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Protocols of Anesthesia Management in Parturients with SARS-CoV-2 Infection

Background: Our hospital became a referral center for COVID-19-positive obstetric patients from 1 May 2020. The aim of our study is to illustrate our management protocols for COVID-19-positive obstetric patients, to maintain safety standards for patients and healthcare workers. Methods: Women who un...

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Autores principales: Coviello, Antonio, Vargas, Maria, Marra, Annachiara, Golino, Ludovica, Saccone, Gabriele, Iacovazzo, Carmine, Frigo, Maria Grazia, Tognù, Andrea, Ianniello, Marilena, Buonanno, Pasquale, Servillo, Giuseppe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8950444/
https://www.ncbi.nlm.nih.gov/pubmed/35326998
http://dx.doi.org/10.3390/healthcare10030520
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author Coviello, Antonio
Vargas, Maria
Marra, Annachiara
Golino, Ludovica
Saccone, Gabriele
Iacovazzo, Carmine
Frigo, Maria Grazia
Tognù, Andrea
Ianniello, Marilena
Buonanno, Pasquale
Servillo, Giuseppe
author_facet Coviello, Antonio
Vargas, Maria
Marra, Annachiara
Golino, Ludovica
Saccone, Gabriele
Iacovazzo, Carmine
Frigo, Maria Grazia
Tognù, Andrea
Ianniello, Marilena
Buonanno, Pasquale
Servillo, Giuseppe
author_sort Coviello, Antonio
collection PubMed
description Background: Our hospital became a referral center for COVID-19-positive obstetric patients from 1 May 2020. The aim of our study is to illustrate our management protocols for COVID-19-positive obstetric patients, to maintain safety standards for patients and healthcare workers. Methods: Women who underwent vaginal or operative delivery and induced or spontaneous abortion with a SARS-CoV-2-positive nasopharyngeal swab using real-time PCR (RT-PCR) were included in the study. Severity and onset of new symptoms were carefully monitored in the postoperative period. All the healthcare workers received a nasopharyngeal swab for SARS-CoV-2 using RT-PCR serially every five days. Results: We included 152 parturients with COVID-19 infection. None of the included women had general anesthesia, an increase of severe symptoms or onset of new symptoms. The RT-PCR test was “negative” for the healthcare workers. Conclusions: In our study, neuraxial anesthesia for parturients’ management with SARS-CoV-2 infection has been proven to be safe for patients and healthcare workers. Neuraxial anesthesia decreases aerosolization during preoxygenation, face-mask ventilation, endotracheal intubation, oral or tracheal suctioning and extubation. This anesthesia management protocol can be generalizable.
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spelling pubmed-89504442022-03-26 Protocols of Anesthesia Management in Parturients with SARS-CoV-2 Infection Coviello, Antonio Vargas, Maria Marra, Annachiara Golino, Ludovica Saccone, Gabriele Iacovazzo, Carmine Frigo, Maria Grazia Tognù, Andrea Ianniello, Marilena Buonanno, Pasquale Servillo, Giuseppe Healthcare (Basel) Article Background: Our hospital became a referral center for COVID-19-positive obstetric patients from 1 May 2020. The aim of our study is to illustrate our management protocols for COVID-19-positive obstetric patients, to maintain safety standards for patients and healthcare workers. Methods: Women who underwent vaginal or operative delivery and induced or spontaneous abortion with a SARS-CoV-2-positive nasopharyngeal swab using real-time PCR (RT-PCR) were included in the study. Severity and onset of new symptoms were carefully monitored in the postoperative period. All the healthcare workers received a nasopharyngeal swab for SARS-CoV-2 using RT-PCR serially every five days. Results: We included 152 parturients with COVID-19 infection. None of the included women had general anesthesia, an increase of severe symptoms or onset of new symptoms. The RT-PCR test was “negative” for the healthcare workers. Conclusions: In our study, neuraxial anesthesia for parturients’ management with SARS-CoV-2 infection has been proven to be safe for patients and healthcare workers. Neuraxial anesthesia decreases aerosolization during preoxygenation, face-mask ventilation, endotracheal intubation, oral or tracheal suctioning and extubation. This anesthesia management protocol can be generalizable. MDPI 2022-03-12 /pmc/articles/PMC8950444/ /pubmed/35326998 http://dx.doi.org/10.3390/healthcare10030520 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Coviello, Antonio
Vargas, Maria
Marra, Annachiara
Golino, Ludovica
Saccone, Gabriele
Iacovazzo, Carmine
Frigo, Maria Grazia
Tognù, Andrea
Ianniello, Marilena
Buonanno, Pasquale
Servillo, Giuseppe
Protocols of Anesthesia Management in Parturients with SARS-CoV-2 Infection
title Protocols of Anesthesia Management in Parturients with SARS-CoV-2 Infection
title_full Protocols of Anesthesia Management in Parturients with SARS-CoV-2 Infection
title_fullStr Protocols of Anesthesia Management in Parturients with SARS-CoV-2 Infection
title_full_unstemmed Protocols of Anesthesia Management in Parturients with SARS-CoV-2 Infection
title_short Protocols of Anesthesia Management in Parturients with SARS-CoV-2 Infection
title_sort protocols of anesthesia management in parturients with sars-cov-2 infection
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8950444/
https://www.ncbi.nlm.nih.gov/pubmed/35326998
http://dx.doi.org/10.3390/healthcare10030520
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