Autor : Nuñez, Tomás1
1 Attending Physician. Thoracic Surgery Department. Hospital de Clínicas. Universidad de Buenos Aires
https://doi.org/10.56538/10.56538/ramr.FTNV2444
Correspondencia :
The original article published in
this issue, from the multidisciplinary team of the Hospital Fernández1 calls
for reflection:
The pandemic caused by the SARS-CoV 2 virus posed an unprecedented challenge to our
healthcare system. The authorities’ lack of foresight in the face of this
event that first spreaded across the Northern
hemisphere was added to a deteriorated, insufficient infrastructure. To deal
with this challenge, the healthcare personnel provided their working and
intellectual capacity and, in many cases, their own life, in order to save as
many people as possible. We can never thank them enough for their effort.
The medical teams had to apply
their previous knowledge together with the new skills they developed along
this difficult path. The intensive use of the decubitus prone position and the
ECMO were some of the resources used by the medical teams, among other things.
However, the high contagiousness of the virus complicated the performance of
tracheostomies and the management of the airways in general.
The article in
question adresses some of the sequelae
that have a long-term impact on the patient’s quality of life once the acute
symptoms are resolved. Airway stenosis and
swallowing disorders of local or neurologic etiology are “new” diseases whose
prevalence increases and will continue to increase as long as patients
undergoing prolonged MRA due to various diseases survive thanks to the effort
of physicians, nurses and kinesiologists, as
previously mentioned.
Therefore, this work becomes
relevant because it focuses on the consequences on swallowing and on the
nutritional status and lung function of affected individuals. It is reasonable
to expect more research about long-term sequelae of
prolonged MRA.
REFERENCES
1.
Falduti AK, Chiappero GR, Catini ME. Estudio de prevalencia de lesiones laríngeas y
disfagia en pacientes críticos traqueostomizados por
COVID-19. Rev Am Med Resp 2022;22:298-208.
https://doi.org/10.56538/OSJZ9738
| Galería de imágenes | ||
| Mujer joven con afectación pulmonar bilateral y alteración de la conciencia | ||
Autores: Churin Lisandro |
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