Difficulties in the Treatment of Complications and Rehabilitation after COVID-19. A Clinical Case-Reference-Cited by-同舟云学术

Difficulties in the Treatment of Complications and Rehabilitation after COVID-19. A Clinical Case

Published:2022-08-31 Issue:4 Volume:19 Page:89-96
ISSN:2541-8653
Container-title:Messenger of ANESTHESIOLOGY AND RESUSCITATION
language:
Short-container-title:Vestn. anesteziol. reanimatol.

Author:

Andreichenko S. A.¹^ORCID,Slepukhina M. A.²^ORCID,Bychinin M. V.²^ORCID,Klypa T. V.²^ORCID,Atamanova M. A.³^ORCID,Shirinsky V. G.³^ORCID,Karapetyan G. E.³^ORCID

Affiliation:

1. Central Clinical Hospital of RZD-Medicine; Academy of Postgraduate Education, Federal Scientific Clinical Center of Specialized Medical Care and Medical Technologies, Federal Medical Biological Agency

2. Academy of Postgraduate Education, Federal Scientific Clinical Center of Specialized Medical Care and Medical Technologies, Federal Medical Biological Agency

3. Central Clinical Hospital of RZD-Medicine

Abstract

The severe course of the new coronavirus infection (COVID-19) is associated with multiple life-threatening complications that lead to delayed initiation of active rehabilitation and unfavorable long-term treatment outcomes. Tracheoesophageal fistula is one of these complications. The specific feature of this event in COVID-19 is delayed tissue regeneration which requires a non-standard approach to management of such patients.The article presents a clinical case of a pregnant patient after a complicated severe course of COVID-19 with the development of tracheoesophageal fistula, sepsis, and weakness syndrome acquired in ICU. The combination of complications of the disease led to a prolonged (about five months) period of rehabilitation.Modern standard components of intensive therapy of such patients including regular monitoring of endotracheal/tracheostomy tube cuff pressure, dynamic assessment of nutritional status and its correction, rational antimicrobial therapy, screening of psychiatric disorders and early rehabilitation, will minimize the number of both early and delayed complications of COVID-19.

Publisher

FSBEI HE I.P. Pavlov SPbSMU MOH Russia

Subject

Anesthesiology and Pain Medicine,Critical Care and Intensive Care Medicine,Emergency Medicine

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