Perioperative considerations for COVID-19 patients: lessons learned from the pandemic -a case series-
Korean Journal of Anesthesiology 2020³â 73±Ç 6È£ p.557 ~ p.561
(Yek Jia Lin Jacklyn) - Changi General Hospital Department of Anesthesiology and Intensive Care
(Kiew Sheng Chuu Anne) - Changi General Hospital Department of Anesthesiology and Intensive Care
(Ngu James Chi-Yong) - Changi General Hospital Department of General Surgery
(Lim Jimmy Guan Cheng) - Changi General Hospital Department of Anesthesiology and Intensive Care
Abstract
Background: As the coronavirus disease 2019 (COVID-19) pandemic spreads globally, hospitals are rushing to adapt their facilities, which were not designed to deal with infections adequately. Here, we present the management of a suspected COVID-19 patient.
Case: A 66-year-old man with a recent travel history, infective symptoms, and chest X-ray was presented to our hospital. Considering his septic condition, we decided to perform an emergency surgery. The patient was given supplemental oxygen through a face mask and transported to an operating theatre on a plastic-covered trolley. An experienced anesthetist performed rapid sequence intubation using a video laryngoscope. Due to the initial presentation of respiratory distress, the patient remained intubated after surgery to avoid re-intubation. Precautions against droplet, contact, and airborne infection were instituted.
Conclusions: Our objective was to facilitate surgical management of patients with known or suspected COVID-19 while minimizing the risk of nosocomial transmission to healthcare workers and other patients.
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Communication, Coronavirus, COVID-19, Infection control, Pandemics, Perioperative care, Perioperative period, Personal protective equipment
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Detailed planning and coordination between departments are required to minimize the risk of disease transmission in the COVID-19 situation. It is imperative for the containment measures to be effective yet practical, without hindering patient care, especially during a surgical emergency.