Thoracic Surgery Consultations in COVID-19 Critically Ill Patients: Beyond Conservative Approach
Introduction. Iatrogenic pneumothoracis, barotraumas, and tracheoesophageal fistulae, especially after prolonged intubation, and tracheal stenosis are all entities involving thoracic surgeons’ consultation and management. With the surge of COVID-19 cases particularly in the critical care settings, v...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-01-01
|
| Series: | Critical Care Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2021/6626150 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832547762697142272 |
|---|---|
| author | Yasser Aljehani Sharifah A. Othman Yousif Almubarak Ayman Elbaz Mohammed Sabry Farouk Alreshaid Hatem Y. Elbawab Zeead M. Alghamdi Mohammed Alshahrani |
| author_facet | Yasser Aljehani Sharifah A. Othman Yousif Almubarak Ayman Elbaz Mohammed Sabry Farouk Alreshaid Hatem Y. Elbawab Zeead M. Alghamdi Mohammed Alshahrani |
| author_sort | Yasser Aljehani |
| collection | DOAJ |
| description | Introduction. Iatrogenic pneumothoracis, barotraumas, and tracheoesophageal fistulae, especially after prolonged intubation, and tracheal stenosis are all entities involving thoracic surgeons’ consultation and management. With the surge of COVID-19 cases particularly in the critical care settings, various types of complications have been observed that require intervention from thoracic surgeons. Methods and Materials. A retrospective study was conducted in an academic healthcare institute in the Eastern Province of Saudi Arabia. We included all COVID-19 cases admitted to ICU in the period between March 15, 2020, and August 15, 2020, requiring thoracic surgery consultation and management. Non-COVID-19 critical cases and iatrogenic pneumothorax were excluded. Results. Of 122 patients who were admitted to ICU with COVID-19, 18 patients (14.75%) required thoracic surgery consultation and management. We discovered a significant association between the outcomes and reintubation rates and the rate of pneumothorax occurrence. The survival analysis showed improvement in patients who had thoracostomy tube insertion as a management than the group who were treated conservatively. On the other hand, there was a significant difference between the COVID ICU group who had thoracic complication and those who did not regarding the length of hospital stay. Conclusion. Noniatrogenic pneumothorax, subcutaneous emphysema, and mediastinal emphysema are well-known thoracic entities, but their presence in the context of COVID-19 disease is a harbinger for worse prognosis and outcomes. The presence of pneumothorax may be associated with better prognosis and outcome compared to surgical and mediastinal emphysema. |
| format | Article |
| id | doaj-art-20fa07cb2a394e0cb16fce5bb838d6d7 |
| institution | Kabale University |
| issn | 2090-1305 2090-1313 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Critical Care Research and Practice |
| spelling | doaj-art-20fa07cb2a394e0cb16fce5bb838d6d72025-02-03T06:43:29ZengWileyCritical Care Research and Practice2090-13052090-13132021-01-01202110.1155/2021/66261506626150Thoracic Surgery Consultations in COVID-19 Critically Ill Patients: Beyond Conservative ApproachYasser Aljehani0Sharifah A. Othman1Yousif Almubarak2Ayman Elbaz3Mohammed Sabry4Farouk Alreshaid5Hatem Y. Elbawab6Zeead M. Alghamdi7Mohammed Alshahrani8Division of Thoracic Surgery, Department of Surgery, King Fahad Hospital of the University, Khobar, Saudi ArabiaDivision of Thoracic Surgery, Department of Surgery, King Fahad Hospital of the University, Khobar, Saudi ArabiaDepartment of Critical Care, King Fahad Hospital of the University, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi ArabiaDivision of Thoracic Surgery, Department of Surgery, King Fahad Hospital of the University, Khobar, Saudi ArabiaDivision of Thoracic Surgery, Department of Surgery, King Fahad Hospital of the University, Khobar, Saudi ArabiaDivision of Thoracic Surgery, Department of Surgery, King Fahad Hospital of the University, Khobar, Saudi ArabiaDivision of Thoracic Surgery, Department of Surgery, King Fahad Hospital of the University, Khobar, Saudi ArabiaDivision of Thoracic Surgery, Department of Surgery, King Fahad Hospital of the University, Khobar, Saudi ArabiaDepartment of Critical Care, King Fahad Hospital of the University, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi ArabiaIntroduction. Iatrogenic pneumothoracis, barotraumas, and tracheoesophageal fistulae, especially after prolonged intubation, and tracheal stenosis are all entities involving thoracic surgeons’ consultation and management. With the surge of COVID-19 cases particularly in the critical care settings, various types of complications have been observed that require intervention from thoracic surgeons. Methods and Materials. A retrospective study was conducted in an academic healthcare institute in the Eastern Province of Saudi Arabia. We included all COVID-19 cases admitted to ICU in the period between March 15, 2020, and August 15, 2020, requiring thoracic surgery consultation and management. Non-COVID-19 critical cases and iatrogenic pneumothorax were excluded. Results. Of 122 patients who were admitted to ICU with COVID-19, 18 patients (14.75%) required thoracic surgery consultation and management. We discovered a significant association between the outcomes and reintubation rates and the rate of pneumothorax occurrence. The survival analysis showed improvement in patients who had thoracostomy tube insertion as a management than the group who were treated conservatively. On the other hand, there was a significant difference between the COVID ICU group who had thoracic complication and those who did not regarding the length of hospital stay. Conclusion. Noniatrogenic pneumothorax, subcutaneous emphysema, and mediastinal emphysema are well-known thoracic entities, but their presence in the context of COVID-19 disease is a harbinger for worse prognosis and outcomes. The presence of pneumothorax may be associated with better prognosis and outcome compared to surgical and mediastinal emphysema.http://dx.doi.org/10.1155/2021/6626150 |
| spellingShingle | Yasser Aljehani Sharifah A. Othman Yousif Almubarak Ayman Elbaz Mohammed Sabry Farouk Alreshaid Hatem Y. Elbawab Zeead M. Alghamdi Mohammed Alshahrani Thoracic Surgery Consultations in COVID-19 Critically Ill Patients: Beyond Conservative Approach Critical Care Research and Practice |
| title | Thoracic Surgery Consultations in COVID-19 Critically Ill Patients: Beyond Conservative Approach |
| title_full | Thoracic Surgery Consultations in COVID-19 Critically Ill Patients: Beyond Conservative Approach |
| title_fullStr | Thoracic Surgery Consultations in COVID-19 Critically Ill Patients: Beyond Conservative Approach |
| title_full_unstemmed | Thoracic Surgery Consultations in COVID-19 Critically Ill Patients: Beyond Conservative Approach |
| title_short | Thoracic Surgery Consultations in COVID-19 Critically Ill Patients: Beyond Conservative Approach |
| title_sort | thoracic surgery consultations in covid 19 critically ill patients beyond conservative approach |
| url | http://dx.doi.org/10.1155/2021/6626150 |
| work_keys_str_mv | AT yasseraljehani thoracicsurgeryconsultationsincovid19criticallyillpatientsbeyondconservativeapproach AT sharifahaothman thoracicsurgeryconsultationsincovid19criticallyillpatientsbeyondconservativeapproach AT yousifalmubarak thoracicsurgeryconsultationsincovid19criticallyillpatientsbeyondconservativeapproach AT aymanelbaz thoracicsurgeryconsultationsincovid19criticallyillpatientsbeyondconservativeapproach AT mohammedsabry thoracicsurgeryconsultationsincovid19criticallyillpatientsbeyondconservativeapproach AT faroukalreshaid thoracicsurgeryconsultationsincovid19criticallyillpatientsbeyondconservativeapproach AT hatemyelbawab thoracicsurgeryconsultationsincovid19criticallyillpatientsbeyondconservativeapproach AT zeeadmalghamdi thoracicsurgeryconsultationsincovid19criticallyillpatientsbeyondconservativeapproach AT mohammedalshahrani thoracicsurgeryconsultationsincovid19criticallyillpatientsbeyondconservativeapproach |