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COVID-19 大流行期间急症手术的气道管理。

Airway Management for Emergent Surgeries during COVID-19 Pandemic.

机构信息

Department of Anesthesia, Armed Forces Hospital, Jizan, Kingdom of Saudi Arabia.

出版信息

J Coll Physicians Surg Pak. 2021 Jan;31(1):S35-S37. doi: 10.29271/jcpsp.2021.01.S35.

DOI:10.29271/jcpsp.2021.01.S35
PMID:33650423
Abstract

Aerosol generating procedures (AGPs) performed in the operating room during general anesthesia and surgery can contaminate the operation room environment putting the anesthetist, surgeons and paramedical staff at risk of infection with the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. The polymerase chain reaction (PCR) test for SARS-CoV-2 has low sensitivity and is time-bound. Emergent surgical cases might not give ample time for SARS-CoV-2 evaluation. These issues have called for adaptation of an anesthesia technique that can ensure safety measures regarding airway management in emergent cases; and can limit the chances of viral spread in case the patient is a carrier of coronavirus disease 2019 (COVID-19). In this communication, we summarised the modifications required in anesthesia technique during intubation and extubation of a patient's airway that would decrease the risk of virus transmission to the operation theatre staff. Key Words: COVID-19, SARS-CoV-2, Emergent surgeries, Anesthesia technique.

摘要

在全身麻醉和手术过程中进行的气溶胶生成程序 (AGP) 会污染手术室环境,使麻醉师、外科医生和辅助医务人员有感染新型严重急性呼吸综合征冠状病毒 2 (SARS-CoV-2) 的风险。用于检测 SARS-CoV-2 的聚合酶链反应 (PCR) 测试灵敏度低且受到时间限制。紧急手术病例可能没有足够的时间进行 SARS-CoV-2 评估。这些问题要求对麻醉技术进行调整,以确保紧急情况下气道管理的安全措施;并在患者是 2019 年冠状病毒病 (COVID-19) 携带者的情况下限制病毒传播的机会。在本通讯中,我们总结了在患者气道插管和拔管过程中麻醉技术所需的修改,以降低病毒传播给手术室工作人员的风险。

关键词

COVID-19、SARS-CoV-2、紧急手术、麻醉技术。

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Airway Management for Emergent Surgeries during COVID-19 Pandemic.COVID-19 大流行期间急症手术的气道管理。
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