Acquired Tracheomegaly in Critically Ill Patients With COVID-19: A Literature Review

Collins, Nina

doi:10.1016/j.nurpra.2022.05.014

Cited by 5 publications

(4 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It has been demonstrated in the literature that tracheomegaly develops in patients undergoing mechanical ventilation due to COVID-19 (16). It has also been hypothesized that high-pressure ventilation causes dilation of the trachea (14). In the study conducted by Tarle et al (15), it was shown that tracheomegaly occurred due to severe damage to the trachea as a result of long-term mechanical ventilation in COVID-19 patients.…”

Section: Discussionmentioning

confidence: 99%

“…Tracheomegaly is frequently congenital but may also occur in connective tissue diseases, because of prolonged inflammation, and because of smoking or the use of mechanical ventilation (11,12). Several studies in the literature (6,(13)(14)(15)(16) have examined characteristics of tracheomegaly and COVID-19, such as their relationship to each other, incidence rate, and management. However, as far as we are aware, there is no existing study examining the effect of tracheal dilatation on prognosis in COVID-19 patients by measuring the tracheal air column area.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Prognosis prediction of the mean tracheal air column area in COVID-19 patients

ÇORAPLI

ÇORAPLI>

2023

Anatolian Current Medical Journal

View full text Add to dashboard Cite

Aim: SARS-CoV-2 infection frequently affects the lungs, it can also cause severe inflammation in the lower respiratory tract, leading to tracheal damage. We aimed to investigate the relationship between the mean tracheal air column and COVID-19.Material and Method: Chest computed tomography scans of COVID-19 patients treated in an intensive care unit between June 1st, 2020 and October 1st 2022 were retrospectively evaluated. The air column area of the trachea was measured and the effect of the values obtained on mortality and length of stay in the intensive care unit for patients COVID-19 was examined.Results: We found that an increase in the mean tracheal air column increased mortality by 1.218 times. We also determined that an increase in the mean area of the tracheal air column increased the length of stay in the intensive care unit. Furthermore, we showed that advanced age and an increase in the length of stay in the intensive care unit were factors that increased mortality.Conclusion: Tracheomegaly is a poor prognostic factor in COVID-19 disease and is easily diagnosed with CT.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Prognosis prediction of the mean tracheal air column area in COVID-19 patients

ÇORAPLI

ÇORAPLI>

2023

Anatolian Current Medical Journal

View full text Add to dashboard Cite

show abstract

“…The pathophysiology of acquired tracheomalacia is not well elucidated; however, endotracheal injury from inflated or hyper-inflated endotracheal tube cuffs as well as repeated injury from reintubations may have a role in the subsequent development of tracheomalacia. 1,2 Continuous or repeated tracheal injury, resulting from endotracheal intubation or chronic cuff hyper-inflation, may lead to decreased perfusion and subsequent poor healing, resulting in compromised tissue integrity of the trachea. Loss of healthy tracheal tissue may lead to collapse of the airways or, conversely, an abnormal enlargement.…”

Section: Discussionmentioning

confidence: 99%

“…For patients who underwent tracheostomy in the setting of COVID-19, prolonged mechanical ventilation, and the subsequent development of acquired tracheomalacia or other pathologies of the trachea (eg, tracheomegaly), resulted in a poor seal of the tracheostomy cuff to the trachea. 1 This poor seal prevents a ventilator from delivering adequate tidal volumes to the lungs while maintaining positive end-expiratory pressure (PEEP), and an urgent tracheostomy tube exchange may be required to maintain adequate oxygenation and ventilation. After we noted many patients with COVID-19 requiring urgent tracheostomy tube exchanges secondary to persistent cuff leak, we sought to describe our single center experience with COVID-19 patients requiring tracheostomy.…”

Section: Introductionmentioning

confidence: 99%

Acquired Tracheomalacia Requiring Urgent Tracheostomy Exchange in Patients With COVID-19

Medvecz

Collins

Beavers

et al. 2023

The American Surgeon™

Self Cite

View full text Add to dashboard Cite

Tracheostomy for prolonged ventilation of patients with COVID-19 was often delayed due to high viral loads and persistent high ventilatory requirements. With prolonged intubation and significant dose corticosteroid use, patients with COVID-19 are at risk for tracheomalacia, and urgent tube exchange may be required to address persistent cuff leak and to maintain adequate mechanical ventilation. We sought to describe our single center experience with COVID-19 patients requiring tracheostomy and the tracheal complications that followed. We performed a review of patients with COVID-19 who underwent tracheostomy from June 2020 to October 2021. 45 patients were identified; 82.2% survived their index hospitalization. Tracheostomy was performed after 16.4 days of mechanical ventilation. 22.2% required urgent exchange to an extended length tracheostomy tube after 7.2 days from initial tracheostomy. Placement of an extended length tracheostomy tube can reduce cuff leak in ventilated COVID-19 patients and may be considered during initial tracheostomy placement.

show abstract