Endotracheal granulation after tracheostomy in acute respiratory distress syndrome from COVID‐19. Issue 7 (26th May 2021)

• Record Type: Journal Article
• Authors: Matsumoto, Haruko; Hanada, Shigeo; Yamamoto, Kazumasa; Takaya, Hisashi
• Is Part Of: Respirology case reports. Volume 9:Issue 7(2021)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2021-05-26
• Subjects: COVID‐19 -- endotracheal granulation -- tracheostomy; Respiratory organs -- Diseases -- Periodicals; 616.2005
• DOI: 10.1002/rcr2.787
• Languages: English
• ISSNs: 2051-3380

Abstract

Key message: Granulation tissue formation is one of the late complications of tracheostomy. It can cause stomal stenosis secondary to chondritis because of disproportionate excision of the anterior cartilage. Clinicians should carefully determine the incision point, which is typically located half way between the cricoid cartilage and the sternal notch. Abstract : Tracheostomy requires an incision between the cricoid cartilage and sternal notch in critically ill patients who require an extended period of mechanical ventilation. This procedure can potentially increase the availability of intensive care unit beds in the coronavirus disease 2019 (COVID‐19) era. Granulation tissue formation can cause stomal stenosis secondary to chondritis because of the disproportionate excision of the anterior cartilage. Here, computed tomography (CT) imaging showed partial destruction of the cricoid cartilage, which is suggestive of chondritis and may lead to airway stenosis.