Canpolat Dilek Günay
Department of Oral and Maxiloofasial Surgery, Erciyes University School of Dentistry, Kayseri, Turkey.
Eurasian J Med. 2022 Feb;54(1):87-91. doi: 10.5152/eurasianjmed.2022.20408.
The coronavirus disease 2019 has been defined as COVID-19 in February 2020 by the World Health Organization. It rapidly resulted in an epidemic throughout China and spread over the world causing a pandemic. Anesthetic procedures such as tracheal intubation, non-invasive ventilation, tracheotomy, cardiopulmonary resuscitation, manual balloon-mask ventilation before the intubation, and bronchoscopy in operating rooms are aerosol-generating medical procedures. In the field of anesthesiology, infection control includes protection of anesthesia workers and the patients from infection, and the prevention of contamination of all anesthesia devices, especially the anesthesia machine. In maxillofacial surgery, anesthesia management has some unique characteristics because the procedures in maxillofacial surgery are aerosol-forming, resulting in the resulting in the aerosols dispersing into the environment. It is considered that the global effects of the coronavirus disease 2019 infection will continue for longer. Thus, the anesthesiologist working in the oral and maxillofacial surgery operating rooms should closely follow the current guidelines regarding the pandemic and take the necessary precautions to protect patients and staff from the risk of infection. Clinicians should provide their anesthesia precautions and management program during COVİD-19 pandemic for general anesthesia settings in oral and maxillofacial surgery.
2020年2月，世界卫生组织将2019冠状病毒病定义为COVID-19。它迅速在中国各地引发疫情，并蔓延至全球，造成大流行。气管插管、无创通气、气管切开、心肺复苏、插管前手动球囊面罩通气以及手术室中的支气管镜检查等麻醉操作都是产生气溶胶的医疗程序。在麻醉学领域，感染控制包括保护麻醉工作人员和患者免受感染，以及防止所有麻醉设备，尤其是麻醉机受到污染。在颌面外科手术中，麻醉管理具有一些独特的特点，因为颌面外科手术过程会形成气溶胶，导致气溶胶扩散到环境中。人们认为，2019冠状病毒病感染的全球影响将持续更长时间。因此，在口腔颌面外科手术室工作的麻醉医生应密切遵循当前关于大流行的指南，并采取必要的预防措施，以保护患者和工作人员免受感染风险。临床医生应提供在COVID-19大流行期间口腔颌面外科全身麻醉设置的麻醉预防措施和管理方案。
