Perioperative challenges in managing a morbidly obese patient with COVID-19 undergoing an elective tracheostomy.

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. © BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.