Ponde Vrushali Chandrashekhar, Diwan Sandeep, Gopal Thota Venkata Sanjeev, Subramanian J Balavenkata, Danish Mohammed Azam
Surya Children Hospital, Sancheti Hospital, Care Hospitals, Ganga Hospital and Bhagwan Mahavir Jain Hopsital.
J Anaesthesiol Clin Pharmacol. 2020 Aug;36(Suppl 1):S109-S115. doi: 10.4103/joacp.JOACP_277_20. Epub 2020 Jul 31.
Anesthesiologists are amongst the front line warriors in this COVID-19 pandemic. We need to change our preferences and practices to reduce the spread to healthcare workers and patients in the hospital. General anesthesia involves aerosol-generating procedures while ventilating and intubating the patients. Regional anesthesia maintains respiratory functions, circumvents airway instrumentation and helps to limit viral transmission. This makes a strong case to patronize regional anaesthesia practises whenever possible. Due to various limitations of diagnostic tests available, all patients can be treated as COVID-19 positive and necessary precautions are suggested to limit the transmission. The importance of a practise advisory is to clear the mist around the dos and don'ts to ensure clarity of thoughts leading to improved safety of both patient and health care professional. We propose clinical guidelines for regional anaesthesia practices in COVID-19 positive patient posted for surgery. Furthermore, current recommendations on confirming the COVID-19 negative status is referred. These features are subject to change further with time.
麻醉医生是这场新冠疫情中的一线战士。我们需要改变我们的偏好和做法，以减少在医院内传播给医护人员和患者。全身麻醉在对患者进行通气和插管时涉及产生气溶胶的操作。区域麻醉可维持呼吸功能，避免气道操作，并有助于限制病毒传播。这有力地说明了应尽可能采用区域麻醉方法。由于现有诊断测试存在各种局限性，所有患者均可被视为新冠阳性，并建议采取必要的预防措施以限制传播。实践指南的重要性在于消除有关注意事项的迷雾，以确保思路清晰，从而提高患者和医护人员的安全性。我们提出了针对计划接受手术的新冠阳性患者的区域麻醉实践临床指南。此外，还参考了当前关于确认新冠阴性状态的建议。这些特点可能会随时间进一步变化。
