Kujak Mary Kay, Pomerantz Lauren H, Petrovic Michelle
Anesthesiology, University of Central Florida College of Medicine, Orlando, USA.
Medicine, University of Central Florida College of Medicine, Orlando, USA.
Cureus. 2022 May 26;14(5):e25364. doi: 10.7759/cureus.25364. eCollection 2022 May.
In the initial phase of the coronavirus disease 2019 (COVID-19) pandemic, laboratory test shortages made it impossible to definitively identify patients with active COVID-19 infection or asymptomatic carriers. Without diagnostic certainty, it was imperative to proceed with caution when performing aerosol-generating procedures; this meant that anesthesiologists needed to make conscious decisions to avoid airway manipulation for procedures when it was not completely necessary. This case report describes a regional anesthetic technique that was used as the primary anesthetic for an urgent above-the-knee amputation in a patient with a history of respiratory issue of unknown etiology.
在2019冠状病毒病(COVID-19)大流行的初始阶段,实验室检测短缺使得无法明确识别患有活动性COVID-19感染的患者或无症状携带者。在没有明确诊断的情况下,在进行产生气溶胶的操作时必须谨慎行事;这意味着麻醉医生需要做出明智的决定,在并非完全必要的情况下避免为手术进行气道操作。本病例报告描述了一种区域麻醉技术,该技术被用作一名有不明病因呼吸问题病史患者紧急膝上截肢手术的主要麻醉方法。