Lahiri Swati, Kundu Asim Kumar, Ray Manjushree
Department of Anaesthesiology, Medical College, Kolkata, West Bengal, India.
Department of Critical Care Medicine, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India.
Indian J Anaesth. 2023 May;67(5):471-474. doi: 10.4103/ija.ija_695_22. Epub 2023 May 11.
Administration of anaesthesia in post-COVID mucormycosis patients is a real challenge due to complications such as dyselectrolytemia, renal failure, multi-organ failure, and sepsis. The aim of this study was to evaluate the challenges and perioperative complications of administration of anaesthesia in terms of morbidity and mortality in patients undergoing surgical resection of post-COVID rhino-orbito-cerebral mucormycosis (ROCM). The present study was a case series, which was carried out on 30 post-COVID, biopsy-proven mucormycosis patients enrolled for ROCM resection under general anaesthesia, and all data were collected retrospectively for this series. The post-COVID mucormycosis patients had diabetes mellitus as the most common comorbidity (96.6%), and difficult airway was a common feature (60%) among them. Anaesthetic management of post-COVID mucormycosis patients is a real challenge due to associated comorbidities.
由于存在诸如电解质紊乱、肾衰竭、多器官功能衰竭和败血症等并发症,为新冠后毛霉菌病患者实施麻醉是一项真正的挑战。本研究的目的是从接受新冠后鼻眶脑型毛霉菌病(ROCM)手术切除患者的发病率和死亡率方面,评估麻醉实施的挑战和围手术期并发症。本研究为病例系列研究,对30例经活检证实为毛霉菌病的新冠后患者进行了全身麻醉下的ROCM切除手术,该系列的所有数据均为回顾性收集。新冠后毛霉菌病患者中最常见的合并症是糖尿病(96.6%),其中气道困难是常见特征(60%)。由于存在相关合并症,对新冠后毛霉菌病患者的麻醉管理是一项真正的挑战。