Utility of Endobronchial Valves in a Patient with Bronchopleural Fistula in the Setting of COVID-19 Infection: A Case Report and Brief Review

N. Sheikhan, E. Benge, Amanpreet Kaur, J. Hruska, Yi Mcwhorter, Arnold Chung
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引用次数: 0

Abstract

Patients with COVID-19 pneumonia frequently develop acute respiratory distress syndrome (ARDS), and in severe cases, require invasive mechanical ventilation. One complication that can develop in patients with ARDS who are mechanically ventilated is a bronchopleural fistula (BPF). Although rare, the frequency of BPF in patients with COVID-19 pneumonia is increasingly recognized. Here, we present a 48-year old man with BPF associated with COVID-19 pneumonia. Treatment with a commercial endobronchial valve (EBV) system resulted in reduced air leak allowing for tracheostomy placement. Our case adds to a growing body of evidence suggesting that the presence of COVID-19 pneumonia does not hinder the utility of EBV’s in the treatment of BPF’s.
支气管内瓣膜在新冠肺炎感染中的应用:病例报告和简要回顾
新冠肺炎肺炎患者经常出现急性呼吸窘迫综合征(ARDS),严重时需要有创机械通气。机械通气的ARDS患者可能出现的一种并发症是支气管胸膜瘘(BPF)。尽管罕见,但新冠肺炎肺炎患者中BPF的频率越来越被认识到。在此,我们介绍了一名患有BPF的48岁男子,该男子与新冠肺炎肺炎相关。使用商用支气管内瓣膜(EBV)系统进行治疗可减少空气泄漏,从而进行气管造口术。我们的病例增加了越来越多的证据,表明新冠肺炎肺炎的存在不会阻碍EBV在BPF治疗中的作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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