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韩国大邱市 COVID-19 疫情期间剖宫产的手术室和麻醉感染控制-病例系列研究。

Infection control of operating room and anesthesia for cesarean section during the COVID-19 outbreak in Daegu, the Republic of Korea -a case series.

机构信息

Department of Anesthesiology and Pain Medicine, Daegu Fatimal Hospital, Daegu, Korea.

Division of infection disease, Department of Internal Medicine, Daegu Fatimal Hospital, Daegu, Korea.

出版信息

Korean J Anesthesiol. 2021 Apr;74(2):169-174. doi: 10.4097/kja.20204. Epub 2020 Jun 5.

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.

摘要

背景

新型冠状病毒病-19(COVID-19)最初在中国武汉报告,随后韩国也有病例发生。韩国每家医院都制定了 COVID-19 筛查指南,以试图防止其传播。此前曾有一例确诊母亲成功行剖宫产的报道,但对于疑似母亲仍没有相关指南。剖宫产通常是在没有充分感染评估的情况下紧急进行的。我们希望为疑似 COVID-19 的剖宫产患者提出麻醉管理指南。

病例

我们医院位于韩国大邱,被指定为疑似产妇的隔离和分娩场所。我们对七名疑似母亲和一名确诊母亲进行了剖宫产。

结论

本病例报告介绍了对疑似 COVID-19 母亲行剖宫产手术期间和麻醉期间的感染控制指南,包括手术室准备和保护策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/433b/8024212/e724275f7241/kja-20204f1.jpg

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