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Case report
Perioperative challenges in managing a morbidly obese patient with COVID-19 undergoing an elective tracheostomy
  1. Kai Ming Teah1,
  2. Serena Shu Ying Tsen2,
  3. Kean Khang Fong3 and
  4. Tat Boon Yeap1
  1. 1Medicine Based Disciplines Department, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
  2. 2Department of Cardiac Anaesthesia and Perfusion, Hospital Queen Elizabeth 2, Kota Kinabalu, Sabah, Malaysia
  3. 3Anaesthesia and Intensive Care Unit, Hospital Queen Elizabeth, Kota Kinabalu, Sabah, Malaysia
  1. Correspondence to Dr Tat Boon Yeap; boontat{at}ums.edu.my

Abstract

Tracheostomy is an aerosol-generating procedure and performing it in patients with COVID-19 requiring mechanical ventilation raises significant concerns of infection risk to healthcare workers. We herein report a case of tracheostomy in a critically ill patient with severe COVID-19 acute respiratory distress syndrome. This article depicts the use of personal protective equipment, highlighting the common challenges it presents and ways to address them.

  • anaesthesia
  • COVID-19
  • otolaryngology/ENT

This article is made freely available for use in accordance with BMJ’s website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained.

https://bmj.com/coronavirus/usage

https://doi.org/10.1136/bcr-2021-243559

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    Footnotes

    • Contributors KMT and KKF were the senior anaesthetists who managed this patient perioperatively. SSYT and TBY coauthored this manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.