Suppr超能文献

新冠疫情后产科患者的麻醉管理——我们需要了解的内容。

Anesthesia management in a post Covid-19 obstetric patient-What we need to know.

作者信息

Bajwa Sukhminder J S, Sharma Ridhima, Kurdi Madhuri S, Katikar Manisha, Bajwa Sukhwinder K, Choudhary Ripon

机构信息

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.

出版信息

J Anaesthesiol Clin Pharmacol. 2022 Jul;38(Suppl 1):S13-S21. doi: 10.4103/joacp.joacp_550_21. Epub 2022 Jun 30.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c54f/9438824/c8f0e8625f84/JOACP-38-13-g001.jpg

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验