Clinical course and rehabilitation of a COVID-19 patient requiring mechanical ventilation and tracheostomy in an Argentine public hospital
A case report
Abstract
Introduction: The 2019 coronavirus (COVID-19) pandemic has rapidly evolved and challenged health systems and society at large. This study describes the first COVID-19 patient who required mechanical ventilation (MV) and tracheostomy (TT) in the intensive care unit (ICU) of our hospital.
Case presentation: A 42-year-old male patient with COVID-19 developed acute respiratory failure and required orotracheal intubation and MV. As the patient was predicted to have prolonged weaning, he was tracheostomized. Subsequently, he was weaned from MV and decannulated. After 50 days of ICU hospitalization, the patient progressed favorably and was discharged.
Conclusion: This was the first COVID-19 patient who required MV and TT in our hospital. Protocols for MV, decannulation and rehabilitation could be adapted and implemented. The patient was decannulated and discharged without polyneuropathy.
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