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麻醉与新型冠状病毒肺炎:我们应该了解什么以及应该做什么。

Anesthesia and COVID-19: What We Should Know and What We Should Do.

作者信息

Tang Linda Y, Wang Jingping

机构信息

Duke University Trinity College, Durham, NC, USA.

Harvard Medical School, Boston, MA, USA.

出版信息

Semin Cardiothorac Vasc Anesth. 2020 Jun;24(2):127-137. doi: 10.1177/1089253220921590. Epub 2020 Apr 27.

Abstract

Coronavirus disease 2019 (COVID-19), caused by Severe Acute Respiratory Syndrome-Coronavirus-2 (SARS-CoV-2), was first reported in Wuhan, Hubei, China, and has spread to more than 200 other countries around the world. COVID-19 is a highly contagious disease with continuous human-to-human transmission. The origin of the virus is unknown. Airway manipulations and intubations, which are common during anesthesia procedures may increasingly expose anesthesia providers and intensive care unit team members to SARS-CoV-2. Through a comprehensive review of existing studies on COVID-19, this article presents the epidemiological and clinical characteristics of COVID-19, reviews current medical management, and suggests ways to improve the safety of anesthetic procedures. Owing to the highly contagious nature of the virus and the lack of therapeutic drugs or vaccines, precautions should be taken to prevent medical staff from COVID-19.

摘要

2019冠状病毒病(COVID-19)由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起,于中国湖北省武汉市首次报告,并已传播至全球其他200多个国家。COVID-19是一种具有持续人际传播能力的高度传染性疾病。该病毒的起源尚不清楚。气道操作和插管在麻醉过程中很常见,这可能会使麻醉医护人员和重症监护病房团队成员越来越多地暴露于SARS-CoV-2之下。通过全面回顾关于COVID-19的现有研究,本文介绍了COVID-19的流行病学和临床特征,回顾了当前的医疗管理方法,并提出了提高麻醉程序安全性的方法。由于该病毒具有高度传染性且缺乏治疗药物或疫苗,应采取预防措施以防止医护人员感染COVID-19。

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