From the Department of Anesthesiology, Union Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China (X.C.) the Anesthesia and Operation Center, Chinese People's Liberation Army General Hospital, Beijing, China (Y.L., W.S., H.L., W.M.) the Department of Anesthesiology, Chinese Academy of Medical Sciences and Peking Union Medical College Hospital, Beijing, China (Y.G., X.X., Y.H.) the Department of Anesthesiology, Peking University Third Hospital, Beijing, China (X.G.) the Department of Anesthesiology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, China (M.Z.) the Department of Anesthesiology, Sixth Medical Center of Chinese People's Liberation Army General Hospital, Beijing, China.
Anesthesiology. 2020 Jun;132(6):1307-1316. doi: 10.1097/ALN.0000000000003301.
The outbreak of the new Coronavirus disease, COVID-19, has been involved in 77,262 cases in China as well as in 27 other countries as of February 24, 2020. Because the virus is novel to human beings, and there is no vaccine yet available, every individual is susceptible and can become infected. Healthcare workers are at high risk, and unfortunately, more than 3,000 healthcare workers in China have been infected. Anesthesiologists are among healthcare workers who are at an even higher risk of becoming infected because of their close contact with infected patients and high potential of exposure to respiratory droplets or aerosol from their patients' airways. In order to provide healthcare workers with updated recommendations on the management of patients in the perioperative setting as well as for emergency airway management outside of the operating room, the two largest anesthesia societies, the Chinese Society of Anesthesiology (CSA) and the Chinese Association of Anesthesiologists (CAA) have formed a task force to produce the recommendations. The task force hopes to help healthcare workers, particularly anesthesiologists, optimize the care of their patients and protect patients, healthcare workers, and the public from becoming infected. The recommendations were created mainly based on the practice and experience of anesthesiologists who provide care to patients in China. Therefore, adoption of these recommendations outside of China must be done with caution, and the local environment, culture, uniqueness of the healthcare system, and patients' needs should be considered. The task force will continuously update the recommendations and incorporate new information in future versions.
截至 2020 年 2 月 24 日，新型冠状病毒病（COVID-19）在中国已涉及 77262 例，在其他 27 个国家也有病例发生。由于该病毒对人类是新的，目前还没有疫苗，每个人都容易感染并可能被感染。医护人员面临高风险，不幸的是，中国已有超过 3000 名医护人员被感染。麻醉师是医护人员中感染风险更高的人群，因为他们与感染患者密切接触，并且有很高的暴露于患者气道分泌物或气溶胶的风险。为了向医护人员提供围手术期患者管理以及手术室外紧急气道管理的最新建议，两个最大的麻醉学会，中华麻醉学会（CSA）和中国医师协会麻醉学医师分会（CAA）成立了一个工作组来制定这些建议。该工作组希望帮助医护人员，特别是麻醉师，优化患者的护理，并保护患者、医护人员和公众免受感染。这些建议主要是根据中国麻醉医生为患者提供护理的实践和经验制定的。因此，在中国以外的地方采用这些建议必须谨慎，应考虑当地的环境、文化、医疗体系的独特性和患者的需求。该工作组将不断更新建议，并在未来的版本中纳入新的信息。
