Mejía-Terrazas Gabriel Enrique, López-Muñoz Eunice
Servicio de Anestesiología y Clínica del Dolor, Hospital Ángeles México, Ciudad de México, México. ORCID: 0000-0003-0743-4031.
Unidad de Investigación Médica en Medicina Reproductiva, Hospital de Gineco Obstetricia No. 4, Luis Castelazo Ayala, Instituto Mexicano del Seguro Social, Ciudad de México, México. Email:
Medwave. 2020 Jul 2;20(6):e7950. doi: 10.5867/medwave.2020.06.7950.
The purpose of this article is to review the characteristics of SARS-CoV-2, the clinical-epidemiological aspects of COVID-19, and the implications anesthesiologists when performing aerosol-generating procedures. A search of PubMed/MEDLINE, Scopus, SciELO, and Web of Science databases was performed until April 9, 2020, using the words: "COVID-19 or COVID19 or SARS-CoV-2 and anesthesiology or anesthesia". Forty-eight articles with information on the management of the patient in the perioperative period or the intensive care unit when suspected or confirmed SARS-CoV-2 infection were included. In general, the postponement of elective surgeries for no more than 6 to 8 weeks, depending on the clinical condition of the patients is recommended. In the case of urgent or emergency surgeries, we review the use of personal protection gear, as well as the recommended strategies for carrying out the procedure.
本文旨在综述严重急性呼吸综合征冠状病毒2（SARS-CoV-2）的特征、新型冠状病毒肺炎（COVID-19）的临床流行病学情况，以及麻醉医生在实施产生气溶胶的操作时的注意事项。截至2020年4月9日，我们在PubMed/MEDLINE、Scopus、SciELO和Web of Science数据库中进行了检索，检索词为：“COVID-19或COVID19或SARS-CoV-2以及麻醉学或麻醉”。纳入了48篇关于疑似或确诊SARS-CoV-2感染时围手术期或重症监护病房患者管理的文章。一般来说，建议根据患者的临床状况将择期手术推迟不超过6至8周。对于急诊或紧急手术，我们综述了个人防护装备的使用以及实施手术的推荐策略。
