Department of Anesthesiology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.
The Second School of Clinical Medicine, Southern Medical University, Guangzhou, Guangdong, China.
Biosci Trends. 2020 Jul 17;14(3):222-226. doi: 10.5582/bst.2020.03066. Epub 2020 Apr 22.
The new coronavirus (COVID-19) has been characterized as a world pandemic by WHO since March 11, 2020. Although it is likely that COVID-19 transmission is primarily via droplets and close contact, airborne transmission and fecal-oral route remains a possibility. The medical staff working in the operating room, such as anesthesiologists, surgeons and nurses, are at high risk of exposure to virus due to closely contacting patients. The perioperative management is under great challenge while performing surgeries for patients suffering COVID-19, including emergency cesarean section, which is one of the most common surgeries under such circumstances. How to prevent medical staff from cross-infection is an issue of great concern. In this article, we give a practice of anesthesia scenario design for emergency cesarean section in a supposed standard patient suffering COVID-19, aimed to optimize the work flow and implement the protective details through simulation of a real operation scenario, which may be useful for training and clinical practice of anesthesia management for patients suffering COVID-19 or other fulminating infectious diseases.
自 2020 年 3 月 11 日以来，世界卫生组织（WHO）已将新型冠状病毒（COVID-19）定性为全球大流行疾病。尽管 COVID-19 主要通过飞沫和密切接触传播，但空气传播和粪-口途径仍有可能。由于与患者密切接触，在手术室工作的医务人员（如麻醉师、外科医生和护士）接触病毒的风险很高。在为 COVID-19 患者进行手术时，围手术期管理面临巨大挑战，包括紧急剖宫产术，这是在这种情况下最常见的手术之一。如何防止医务人员交叉感染是一个备受关注的问题。在本文中，我们针对假定的 COVID-19 标准患者的紧急剖宫产术设计了一种麻醉场景，旨在通过模拟真实手术场景来优化工作流程并实施防护细节，这可能对 COVID-19 或其他暴发性传染病患者的麻醉管理培训和临床实践有用。
