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KMID : 0390220150260020301
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Journal of Clinical Otolaryngology, Head and Neck Surgery
2015 Volume.26 No. 2 p.301 ~ p.306
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Tracheotomy in Middle East Respiratory Syndrome : Report of a Case
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송주헌:Song Ju-Hun
김호찬:Kim Ho-Chan/강제구:Kang Jae-Goo/노동환:Roh Dong-Hwan
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Abstract
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Middle East Respiratory Syndrome (MERS) caused by a single-stranded, positive-sense RNA beta-coronavirus (MERS-CoV) was first isolated in Jeddah, Saudi Arabia. Approximately 180 cases of MERS have occurred in a recent Korean outbreak. Clinical features vary from asymptomatic infection to severe pneumonia with acute respiratory distress syndrome and/or multiorgan failure. To control acute respiratory failure, endotracheal intubation is frequently required; in most patients with prolonged endotracheal intubation, tracheotomy is mandatory to appropriately control the airways and to avoid serious complications of extended intubation. Tracheotomy can be a high-risk procedure because it generates profuse droplets and aerosols, which in turn promote interpersonal dissemination of the virus. Herein, we report the first tracheotomy case in a Korean MERS patient to describe appropriate airway management and protection of medical staff.
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KEYWORD
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Middle east respiratory syndrome , Infection, Tracheotomy, Personal protective equipment
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