Difficulties in the Treatment of Complications and Rehabilitation after COVID-19. A Clinical Case
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 featur...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | Russian |
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New Terra Publishing House
2022-08-01
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| Series: | Вестник анестезиологии и реаниматологии |
| Subjects: | |
| Online Access: | https://www.vair-journal.com/jour/article/view/699 |
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| _version_ | 1849343530453958656 |
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| author | S. A. Andreichenko M. A. Slepukhina M. V. Bychinin T. V. Klypa M. A. Atamanova V. G. Shirinsky G. E. Karapetyan |
| author_facet | S. A. Andreichenko M. A. Slepukhina M. V. Bychinin T. V. Klypa M. A. Atamanova V. G. Shirinsky G. E. Karapetyan |
| author_sort | S. A. Andreichenko |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-be2eb27eeea245ed8a55bf004218f965 |
| institution | Kabale University |
| issn | 2078-5658 2541-8653 |
| language | Russian |
| publishDate | 2022-08-01 |
| publisher | New Terra Publishing House |
| record_format | Article |
| series | Вестник анестезиологии и реаниматологии |
| spelling | doaj-art-be2eb27eeea245ed8a55bf004218f9652025-08-20T03:42:56ZrusNew Terra Publishing HouseВестник анестезиологии и реаниматологии2078-56582541-86532022-08-01194899610.21292/2078-5658-2022-19-4-89-96541Difficulties in the Treatment of Complications and Rehabilitation after COVID-19. A Clinical CaseS. A. Andreichenko0M. A. Slepukhina1M. V. Bychinin2T. V. Klypa3M. A. Atamanova4V. G. Shirinsky5G. E. Karapetyan6Central Clinical Hospital of RZD-Medicine; Academy of Postgraduate Education, Federal Scientific Clinical Center of Specialized Medical Care and Medical Technologies, Federal Medical Biological AgencyAcademy of Postgraduate Education, Federal Scientific Clinical Center of Specialized Medical Care and Medical Technologies, Federal Medical Biological AgencyAcademy of Postgraduate Education, Federal Scientific Clinical Center of Specialized Medical Care and Medical Technologies, Federal Medical Biological AgencyAcademy of Postgraduate Education, Federal Scientific Clinical Center of Specialized Medical Care and Medical Technologies, Federal Medical Biological AgencyCentral Clinical Hospital of RZD-MedicineCentral Clinical Hospital of RZD-MedicineCentral Clinical Hospital of RZD-MedicineThe 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.https://www.vair-journal.com/jour/article/view/699tracheoesophageal fistulacovid-19rehabilitation |
| spellingShingle | S. A. Andreichenko M. A. Slepukhina M. V. Bychinin T. V. Klypa M. A. Atamanova V. G. Shirinsky G. E. Karapetyan Difficulties in the Treatment of Complications and Rehabilitation after COVID-19. A Clinical Case Вестник анестезиологии и реаниматологии tracheoesophageal fistula covid-19 rehabilitation |
| title | Difficulties in the Treatment of Complications and Rehabilitation after COVID-19. A Clinical Case |
| title_full | Difficulties in the Treatment of Complications and Rehabilitation after COVID-19. A Clinical Case |
| title_fullStr | Difficulties in the Treatment of Complications and Rehabilitation after COVID-19. A Clinical Case |
| title_full_unstemmed | Difficulties in the Treatment of Complications and Rehabilitation after COVID-19. A Clinical Case |
| title_short | Difficulties in the Treatment of Complications and Rehabilitation after COVID-19. A Clinical Case |
| title_sort | difficulties in the treatment of complications and rehabilitation after covid 19 a clinical case |
| topic | tracheoesophageal fistula covid-19 rehabilitation |
| url | https://www.vair-journal.com/jour/article/view/699 |
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