Department of Anesthesiology, University of California, San Diego, La Jolla, CA, USA.
Division of Pediatric Anesthesiology, Clinical Professor, Department of Anesthesiology, University of California, San Diego, La Jolla, CA, USA.
Best Pract Res Clin Anaesthesiol. 2021 Oct;35(3):461-475. doi: 10.1016/j.bpa.2021.02.002. Epub 2021 Feb 27.
In 2019, a novel coronavirus called the severe acute respiratory syndrome coronavirus 2 led to the outbreak of the coronavirus disease 2019, which was deemed a pandemic by the World Health Organization in March 2020. Owing to the accelerated rate of mortality and utilization of hospital resources, health care systems had to adapt to these major changes. This affected patient care across all disciplines and specifically within the perioperative services. In this review, we discuss the strategies and pitfalls of how perioperative services in a large academic medical center responded to the initial onset of a pandemic, adjustments made to airway management and anesthesia specialty services - including critical care medicine, obstetric anesthesiology, and cardiac anesthesiology - and strategies for reopening surgical caseload during the pandemic.
2019 年，一种新型冠状病毒——严重急性呼吸系统综合征冠状病毒 2 引发了 2019 年冠状病毒病，世界卫生组织于 2020 年 3 月宣布其为大流行疾病。由于死亡率和医院资源利用率的加速，医疗保健系统不得不适应这些重大变化。这影响了所有学科的患者护理，特别是在围手术期服务中。在这篇综述中，我们讨论了一个大型学术医疗中心的围手术期服务在大流行初期如何应对、对气道管理和麻醉专业服务（包括重症监护医学、产科麻醉学和心脏麻醉学）所做的调整，以及在大流行期间重新开放手术量的策略。
