Goswami Jyotsna, Sarkar Anshuman, Mukherjee Sudipta, Ghosh Pralay S, Pal Angshuman R, Barman Suparna M, Banerjee Sumantra S, Nandi Rudranil, Bhattacharyya Sanjay
Department of Anaesthesia, Critical Care and Pain, Kolkata, West Bengal, India.
Department of Clinical Microbiology, Tata Medical Center, Kolkata, West Bengal, India.
J Anaesthesiol Clin Pharmacol. 2021 Apr-Jun;37(2):284-289. doi: 10.4103/joacp.JOACP_454_20. Epub 2021 Jul 15.
India came under the grip of the coronavirus disease-2019 (COVID-19) pandemic and is now seeing rising graph. Cancer patients are specially in the high-risk group because of their immunocompromised status on one hand and progressive disease on the other hand. Hence, cancer care facility needs to prepare a clear strategy to manage their space, staff and supplies so that optimum patient care can be continued in the face of COVID-19 pandemic. In addition, infection prevention measures need to be robust to reduce in-hospital transmission. The working area of anesthesia and Critical Care is spread over the whole hospital such as operating room, ICU, isolation area, out-patient dept (OPD) area, various diagnostic areas and in-patient dept (IPD) to attend code blue calls. In this article, we describe the preparedness and initial response measures of the anesthesia and Critical Care department of a stand-alone tertiary level cancer care centre in eastern part of India. These include engineering controls such as identification and preparation of an isolation operating room, administrative measures such as modification of workflow, introduction and adequate supply of personal protective equipment for staff and formulation of clinical guidelines for anesthetic management. These containment measures are necessary to continue care of cancer patients, optimize the quality of care provided to COVID-19 positive cancer patients and to reduce the risk of viral transmission to other patients or healthcare providers.
印度受到了2019冠状病毒病（COVID-19）大流行的影响，目前病例数呈上升趋势。癌症患者尤其属于高危群体，一方面是因为他们免疫功能低下，另一方面是因为病情在进展。因此，癌症护理机构需要制定明确的策略来管理其空间、人员和物资，以便在COVID-19大流行期间能够继续提供最佳的患者护理。此外，感染预防措施需要强有力，以减少医院内传播。麻醉和重症监护的工作区域遍布整个医院，如手术室、重症监护病房、隔离区、门诊部（OPD）区域、各种诊断区域和住院部（IPD），以便应对紧急抢救呼叫。在本文中，我们描述了印度东部一家独立的三级癌症护理中心的麻醉和重症监护部门的准备情况及初步应对措施。这些措施包括工程控制，如识别和准备一间隔离手术室；行政措施，如修改工作流程、为工作人员引入并充分供应个人防护设备；以及制定麻醉管理的临床指南。这些防控措施对于继续护理癌症患者、优化为COVID-19阳性癌症患者提供的护理质量以及降低病毒传播给其他患者或医护人员的风险而言是必要的。
