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How Should Anesthesiologists Face Coronavirus Disease 2019?

Coronavirus disease 2019 (COVID-19) is a highly contagious disease. Most infected patients manifest mild flu-like symptoms, but in some cases, the patients rapidly develop severe lung infections and pneumonia. It is estimated that about 15–20% of patients with COVID-19 develop hypoxemia and require...

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Autores principales: Feng, Long, Fu, Shihui, Zhang, Pei, Yao, Yao, Feng, Zeguo, Zhao, Yali, Luo, Leiming
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9196584/
https://www.ncbi.nlm.nih.gov/pubmed/35711340
http://dx.doi.org/10.3389/fcvm.2022.890967
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author Feng, Long
Fu, Shihui
Zhang, Pei
Yao, Yao
Feng, Zeguo
Zhao, Yali
Luo, Leiming
author_facet Feng, Long
Fu, Shihui
Zhang, Pei
Yao, Yao
Feng, Zeguo
Zhao, Yali
Luo, Leiming
author_sort Feng, Long
collection PubMed
description Coronavirus disease 2019 (COVID-19) is a highly contagious disease. Most infected patients manifest mild flu-like symptoms, but in some cases, the patients rapidly develop severe lung infections and pneumonia. It is estimated that about 15–20% of patients with COVID-19 develop hypoxemia and require some form of oxygen therapy and ventilation support. Further, exacerbation of the disease usually requires an emergency tracheal intubation, where the patients are more prone to coughing and aerosol diffusion, placing the anesthesiologist at an extremely high risk of infection. In this review, after a brief introduction to the epidemiology and pathogenesis of the COVID-19, we describe various recommendations that the anesthesiologists should employ to avoid the chances of infection during the management of severely ill patients. We describe key steps such as not removing the patient's mask prematurely and using sedatives, analgesics, and muscle relaxants for rapid and orderly intubation. The use of spinal cord and regional nerve block anesthesia should also be promoted to avoid general anesthesia. Since the patients with COVID-19 may also have disorders related to other parts of the body (other than lungs), short-acting drugs are recommended to actively maintain the perfusion pressure of the peripheral and important organs without metabolism of the drugs by the liver and kidney. Multimodal analgesia is advocated, and non-steroidal anti-inflammatory analgesic drugs can be used appropriately. In this review, we also discuss key studies and experiences of anesthesiologists from China, highlights research findings, and inform on the proper management of patients with perspective on anesthesiologists.
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spelling pubmed-91965842022-06-15 How Should Anesthesiologists Face Coronavirus Disease 2019? Feng, Long Fu, Shihui Zhang, Pei Yao, Yao Feng, Zeguo Zhao, Yali Luo, Leiming Front Cardiovasc Med Cardiovascular Medicine Coronavirus disease 2019 (COVID-19) is a highly contagious disease. Most infected patients manifest mild flu-like symptoms, but in some cases, the patients rapidly develop severe lung infections and pneumonia. It is estimated that about 15–20% of patients with COVID-19 develop hypoxemia and require some form of oxygen therapy and ventilation support. Further, exacerbation of the disease usually requires an emergency tracheal intubation, where the patients are more prone to coughing and aerosol diffusion, placing the anesthesiologist at an extremely high risk of infection. In this review, after a brief introduction to the epidemiology and pathogenesis of the COVID-19, we describe various recommendations that the anesthesiologists should employ to avoid the chances of infection during the management of severely ill patients. We describe key steps such as not removing the patient's mask prematurely and using sedatives, analgesics, and muscle relaxants for rapid and orderly intubation. The use of spinal cord and regional nerve block anesthesia should also be promoted to avoid general anesthesia. Since the patients with COVID-19 may also have disorders related to other parts of the body (other than lungs), short-acting drugs are recommended to actively maintain the perfusion pressure of the peripheral and important organs without metabolism of the drugs by the liver and kidney. Multimodal analgesia is advocated, and non-steroidal anti-inflammatory analgesic drugs can be used appropriately. In this review, we also discuss key studies and experiences of anesthesiologists from China, highlights research findings, and inform on the proper management of patients with perspective on anesthesiologists. Frontiers Media S.A. 2022-05-27 /pmc/articles/PMC9196584/ /pubmed/35711340 http://dx.doi.org/10.3389/fcvm.2022.890967 Text en Copyright © 2022 Feng, Fu, Zhang, Yao, Feng, Zhao and Luo. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Cardiovascular Medicine
Feng, Long
Fu, Shihui
Zhang, Pei
Yao, Yao
Feng, Zeguo
Zhao, Yali
Luo, Leiming
How Should Anesthesiologists Face Coronavirus Disease 2019?
title How Should Anesthesiologists Face Coronavirus Disease 2019?
title_full How Should Anesthesiologists Face Coronavirus Disease 2019?
title_fullStr How Should Anesthesiologists Face Coronavirus Disease 2019?
title_full_unstemmed How Should Anesthesiologists Face Coronavirus Disease 2019?
title_short How Should Anesthesiologists Face Coronavirus Disease 2019?
title_sort how should anesthesiologists face coronavirus disease 2019?
topic Cardiovascular Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9196584/
https://www.ncbi.nlm.nih.gov/pubmed/35711340
http://dx.doi.org/10.3389/fcvm.2022.890967
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