Department of Anesthesiology, Osaka City Juso Hospital, 2-12-27, Nonaka-kita, Yodogawa-ku, Osaka, 532-0034, Japan.
J Anesth. 2021 Jun;35(3):337-340. doi: 10.1007/s00540-020-02825-4. Epub 2020 Jul 12.
Recently published case reports relating to anesthesia in patients with coronavirus disease (COVID-19) were reviewed. The diagnosis of COVID-19 was confirmed by positive results of reverse transcriptase polymerase chain reaction test for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Numerous reports handled emergency cesarean delivery. Primary symptoms and laboratory data of pregnant women with COVID-19 were similar to those of non-pregnant patients. Although the mortality rate is reported to be high after surgery in patients with COVID-19, cesarean delivery was successfully performed under regional anesthesia in most cases and postoperative course was favorable both in the parents and newborns. There is no direct evidence of vertical mother-to-child transmission of SARS-CoV-2; however, a diagnosis of COVID-19 was made in a newborn two hours after delivery from a pregnant woman with COVID-19, based on the increased immunoglobulin levels and deranged liver function, suggesting that its possibility cannot be completely eliminated. Emergency cerebral shunt reconstruction was performed repeatedly in an eight-month-old boy with COVID-19. The tracheal tube was removed in the operating room after surgery and postoperative course was uneventful. All the procedures should be performed in isolated operating rooms with medical staff with level-3 personal protection to ensure the safety of patients and health care providers.
最近发表的与冠状病毒病 (COVID-19) 患者麻醉相关的病例报告进行了回顾。COVID-19 的诊断通过严重急性呼吸综合征冠状病毒 2 (SARS-CoV-2) 的逆转录聚合酶链反应检测阳性结果得到确认。大量报告处理了紧急剖宫产。COVID-19 孕妇的主要症状和实验室数据与非孕妇患者相似。尽管据报道 COVID-19 患者手术后的死亡率较高,但在大多数情况下,区域性麻醉下成功进行了剖宫产,母婴术后均顺利。没有直接证据表明 SARS-CoV-2 垂直母婴传播;然而,从 COVID-19 孕妇分娩后两小时的新生儿中诊断出 COVID-19,基于免疫球蛋白水平升高和肝功能异常,表明其可能性不能完全排除。一名 8 个月大的 COVID-19 男孩反复进行紧急脑室分流重建。手术后在手术室中取出气管导管,术后过程顺利。所有程序均应在具有 3 级个人防护的医护人员的隔离手术室中进行,以确保患者和医护人员的安全。