Abdelazeem, E., Abouseeda, M., Amin, A. (2021). Peri-operative anaesthetic management of patients with corona virus. Benha Journal of Applied Sciences, 6(6), 127-132. doi: 10.21608/bjas.2021.214386
E.S. Abdelazeem; M.M. Abouseeda; A.R. Amin. "Peri-operative anaesthetic management of patients with corona virus". Benha Journal of Applied Sciences, 6, 6, 2021, 127-132. doi: 10.21608/bjas.2021.214386
Abdelazeem, E., Abouseeda, M., Amin, A. (2021). 'Peri-operative anaesthetic management of patients with corona virus', Benha Journal of Applied Sciences, 6(6), pp. 127-132. doi: 10.21608/bjas.2021.214386
Abdelazeem, E., Abouseeda, M., Amin, A. Peri-operative anaesthetic management of patients with corona virus. Benha Journal of Applied Sciences, 2021; 6(6): 127-132. doi: 10.21608/bjas.2021.214386
Peri-operative anaesthetic management of patients with corona virus
anesthesiology and Intensive Care, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt
Abstract
When using anaesthesia during the COVID-19 pandemic, regional anaesthesia should be the preferable choice over general anaesthesia. As well as numerous advantages in preventing postoperative problems, the proper localised approach may maintain respiratory function and minimise aerosolization and airway instrumentation to prevent virus transmission. When choosing whether or not to provide regional anaesthesia to a patient at this moment, the first step is to check the patient's COVID-19 status (positive, negative, PUI). It's important to remember that as soon as the virus spreads far enough in the population, it's safe to presume that every patient has the new virus. As a result, all patients should wear a surgical mask while being transported around the hospital and throughout the periprocedural time to avoid the spread of droplet. A surgical mask, gown, double-gloves, and shoe coverings should all be worn by healthcare workers in the same way. While N95 masks and powered air-purifying respirators (PAPR) may be utilised, the danger of transmission during the case, the conservation of PPE for aerosolizing procedures, and the impairment of vision, movement, and team communication should be considered while using them. Obtaining verbal or digital permission is preferable; one-time use plastic covers may be used to safeguard devices when consent is acquired digitally. In the operating room, one suggestion is to evaluate, block, and recover the patient to reduce the risk of cross contamination (OR). As neuraxial anaesthesia does not produce aerosols, it is not contraindicated in the presence of COVID-19 infection. In the early phases of the neuraxial technique planning, look for signs of thrombocytopenia and rule it out. Any pre-procedural sedation should be weighed against the possibility of respiratory function being compromised by the operation, which should be performed by a competent physician. Because of this, epidural blood patches should only be used for the most severe and disabling instances to prevent viremic blood from being injected into the epidural area
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