Department of Anesthesiology and Perioperative Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an Shaanxi, China.
Department of Anesthesiology and Perioperative Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an Shaanxi, China -
Minerva Anestesiol. 2021 Jan;87(1):77-84. doi: 10.23736/S0375-9393.20.14647-9. Epub 2020 Nov 24.
Anesthetic management of parturients with COVID-19 is a big challenge to anesthesiologists. Limited data are available about COVID-19 during pregnancy; however, information on illnesses associated with SARS and MERS might provide insights into COVID-19's effects during pregnancy.
Evidence from previous reports from SARS and MERS, and from COVID-19 cases were reviewed. Concepts from guidelines from the government and academic societies were collected as well.
The evidence was described and summarized.
Principles to minimize the risk of infection as well as optimize patients' safety during obstetric anesthesia were found to include careful evaluation, tight protection, and multi-discipline-based strategy. Though vertical transmission of COVID-19 still needs more definitive evidence, strict isolation is necessary for the newborn of COVID-19 mothers. Psychological support for the parturients is also an important issue during COVID-19 pandemic.
COVID-19 产妇的麻醉管理对麻醉师来说是一个巨大的挑战。关于 COVID-19 在妊娠期间的资料有限；然而，有关 SARS 和 MERS 相关疾病的信息可能为了解 COVID-19 在妊娠期间的影响提供线索。
对之前 SARS 和 MERS 的报告以及 COVID-19 病例进行了回顾。还收集了来自政府和学术协会指南的概念。
对证据进行了描述和总结。
为了降低感染风险并优化产科麻醉期间患者安全的原则包括仔细评估、严格保护和多学科策略。尽管 COVID-19 的垂直传播仍需要更明确的证据，但 COVID-19 产妇的新生儿需要严格隔离。在 COVID-19 大流行期间，对产妇进行心理支持也是一个重要问题。
