Infection control of operating room and anesthesia for cesarean section during the COVID-19 outbreak in Daegu, the Republic of Korea -a case series-
Korean Journal of Anesthesiology 2021³â 74±Ç 2È£ p.169 ~ p.174
¿ÀÁ¤¹Î(Oh Jeong-Min) - Daegu Fatima Hospital Department of Anesthesiology and Pain Medicine
±èÀºÁÖ(Kim Eun-Ju) - Daegu Fatima Hospital Department of Anesthesiology and Pain Medicine
±èÇö°â(Kim Hyun-Kyum) - Daegu Fatima Hospital Department of Anesthesiology and Pain Medicine
ÀÌ»ó¾Æ(Lee Sang-Ah) - Daegu Fatima Hospital Department of Internal Medicine
ÀÌ°æÈñ(Lee Kyeong-Hee) - Daegu Fatima Hospital Department of Infection Control
À¯¹ÌÇý(Yu Mi-Hyae) - Daegu Fatima Hospital Department of Infection Control
¾ÈÁöÇö(An Ji-Hyun) - Daegu Fatima Hospital Department of Anesthesiology and Pain Medicine
Abstract
Background: The coronavirus disease-19 (COVID-19) was first reported in Wuhan, China, with Korea being subsequently exposed. In Korea, COVID-19 screening guidelines have been established in every hospital as an attempt to prevent its spread. There has been a previous report of a successful cesarean section of a confirmed mother; however, there remain no guidelines for suspected mothers. Cesarean section is often urgently operated without sufficient infection evaluations. We would like to suggest anesthetic management guidelines for cesarean section patients suspected of COVID-19.
Case: Our hospital, which is located in Daegu, Korea, was designated as a quarantine and delivery facility for suspected mothers. We performed the cesarean section on seven suspected mothers and one confirmed mother.
Conclusions: This case report presents guidelines for infection control during surgery and anesthesia for cesarean section of mothers with suspected COVID-19 involving operating room preparation and protection strategy.
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Cesarean section, COVID-19, Guidelines, Pandemics, Personal protective equipment, Pregnancy, SARS-COV-2
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On the first post-operative day, all eight patients were confirmed to be negative by RT-PCR and were transferred to the general ward for postoperative treatment.