Bajwa Sukhminder J S, Sharma Ridhima, Kurdi Madhuri S, Katikar Manisha, Bajwa Sukhwinder K, Choudhary Ripon
Department of Anesthesiology and Intensive Care, Gian Sagar Medical College and Hospital, Banur, Patiala, Punjab, India.
Department of Anesthesia and Critical Care, Maulana Azad Medical College (MAMC), Delhi, India.
J Anaesthesiol Clin Pharmacol. 2022 Jul;38(Suppl 1):S13-S21. doi: 10.4103/joacp.joacp_550_21. Epub 2022 Jun 30.
The outbreak of the coronavirus disease (COVID)-19 pandemic has led to unprecedented challenges globally. At the outset of the receding second wave and third wave of COVID-19, many patients who have recovered from the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) are coming for elective/emergency surgery. This demands a noteworthy emphasis on the post-COVID-19 obstetric patients. The administration of quality and safe obstetric anesthesia are quite challenging in this mentioned subset due to the overlap of signs and symptoms of COVID-19 with the constitutional signs and symptoms of pregnancy. The physiological changes in normal pregnancy and vascular, metabolic alterations in high-risk pregnancy may affect or exacerbate the pathogenesis or clinical presentation of COVID-19, respectively. This article highlights the specific concerns in recovered COVID-19 pregnant patients with associated comorbidity posted for surgery and their repercussions on anesthesia management.
冠状病毒病(COVID)-19大流行的爆发给全球带来了前所未有的挑战。在COVID-19第二波和第三波疫情消退之初,许多从严重急性呼吸综合征冠状病毒2(SARS-CoV-2)中康复的患者前来接受择期/急诊手术。这就需要特别关注COVID-19康复后的产科患者。由于COVID-19的体征和症状与妊娠的体征和症状重叠,在这一特定人群中实施高质量、安全的产科麻醉颇具挑战性。正常妊娠的生理变化以及高危妊娠中的血管、代谢改变可能分别影响或加剧COVID-19的发病机制或临床表现。本文重点介绍了康复的COVID-19合并相关合并症的孕妇在接受手术时的特殊问题及其对麻醉管理的影响。