Research & Article

Anesthetic Management of Patients with COVID 19 Infections during Emergency Procedures

ชื่อเรื่อง : Anesthetic Management of Patients with COVID 19 Infections during Emergency Procedures

ชื่อผู้แต่ง : Shuai Zhao, Ken Ling, Hong Yan, Liang Zhong, Xiaohong Peng, Shanglong Yao, Jiapeng Huang, Xiangdong Chen

สำนักพิมพ์ : ELSEVIER

เนื้อหาโดยย่อ : Abstract: Objectives
The aim of the present study was to prevent cross-infection in the operating room during emergency procedures for patients with confirmed or suspected 2019 novel coronavirus (2019-nCoV) by following anesthesia management protocols, and to document clinical- and anesthesia-related characteristics of these patients.
Design
This was a retrospective, multicenter clinical study.
Setting
This study used a multicenter dataset from 4 hospitals in Wuhan, China.
Participants
Patients and health care providers with confirmed or suspected 2019-nCoV from January 23 to 31, 2020, at the Wuhan Union Hospital, the Wuhan Children's Hospital, The Central Hospital of Wuhan, and the Wuhan Fourth Hospital in Wuhan, China.
Interventions
Anesthetic management and infection control guidelines for emergency procedures for patients with suspected 2019-nCoV were drafted and applied in 4 hospitals in Wuhan.
Measurements and Main Results
Cross-infection in the operating rooms of the 4 hospitals was effectively reduced by implementing the new measures and procedures. The majority of patients with laboratory-confirmed 2019-nCoV infection or suspected infection were female (23 [62%] of 37), and the mean age was 41.0 years old (standard deviation 19.6; range 4-78). 10 (27%) patients had chronic medical illnesses, including 4 (11%) with diabetes, 8 (22%) with hypertension, and 8 (22%) with digestive system disease. Twenty-five (68%) patients presented with lymphopenia, and 23 (62%) patients exhibited multiple mottling and ground-glass opacity on computed tomography scanning.
Conclusions
The present study indicates that COVID 19–specific guidelines for emergency procedures for patients with confirmed or suspected 2019-nCoV may effectively prevent cross-infection in the operating room. Most patients with confirmed or suspected COVID 19 presented with fever and dry cough and demonstrated bilateral multiple mottling and ground-glass opacity on chest computed tomography scans.