id author title date pages extension mime words sentences flesch summary cache txt cord-263214-h6lkvlj3 Bassi, Massimiliano BEDSIDE TRANSCERVICAL-TRANSTRACHEAL POST-INTUBATION INJURY REPAIR IN A COVID-19 PATIENT 2020-04-22 .txt text/plain 1319 89 42 title: BEDSIDE TRANSCERVICAL-TRANSTRACHEAL POST-INTUBATION INJURY REPAIR IN A COVID-19 PATIENT We report the case of a COVID-19 patient developing pneumomediastinum and subcutaneous emphysema secondary to post-intubation tracheal injury. We performed a bedside tracheal injury surgical repair, after failure of conservative management, with resolution of pneumomediastinum and subcutaneous emphysema and improvement of patient's conditions. However, some patients need hospitalization for respiratory support and a relevant rate (ranging between 9.8 and 15.2%) requires oro-tracheal intubation (OTI) for invasive ventilation. We present a case of a COVID-19 patient who develops massive pneumomediastinum and subcutaneous emphysema for post-intubation tracheal injury. Considering the hemodynamic and respiratory instability after conservative management, a bedside surgical tracheostomy with primary suture of the tracheal lesion was performed. In order to reduce the risk of epidemic spread and avoid transporting, in absence of a COVID-19 dedicated operating room, the procedure was performed bedside. ./cache/cord-263214-h6lkvlj3.txt ./txt/cord-263214-h6lkvlj3.txt