Chaudhary Fihr, Agrawal Devendra K
Department of Translational Research, College of Osteopathic Medicine of the Pacific,Western University of Health Sciences, Pomona CA 91766, USA.
Anesth Crit Care. 2024;6(4):48-59. doi: 10.26502/acc.071. Epub 2024 Oct 23.
Anesthesiologists and the critical care team may be at increased risk of contracting severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2, COVID-19) due to airway manipulations and intubations performed during anesthesia administration and management of patient undergoing surgery. SARS-CoV-2 infections have been reported among healthcare workers. The virus is transmitted by close personal contact and aerosols. During intubation and other procedures involving the airway, the anesthesiologist is especially susceptible to aerosols. We performed a systematic analysis of the published reports on potential effects of COVID-19 during surgery on the anesthesiologist and critical care team. and identified potential immunomodulatory effects of general anesthetics in the presence of COVID-19 infection in patients. The article also provides critical discussion on the current medical management of COVID-19 and highlights the evidence-based key points for a safer practice during anesthesia administration and surgeries both in children and adults, including obstetric procedures and how it could affect pregnant women receiving anesthesia. With regional anesthesia, airway manipulation is not necessary, and healthcare workers and other patients are less likely to contract the same infection.
由于在麻醉给药以及手术患者管理过程中进行气道操作和插管，麻醉医生和重症监护团队感染严重急性呼吸综合征冠状病毒2（SARS-CoV-2，新冠病毒）的风险可能会增加。医护人员中已报告有感染SARS-CoV-2的情况。该病毒通过密切的个人接触和气溶胶传播。在插管及其他涉及气道的操作过程中，麻醉医生尤其容易受到气溶胶的影响。我们对已发表的关于新冠病毒在手术期间对麻醉医生和重症监护团队潜在影响的报告进行了系统分析，并确定了全身麻醉药在患者感染新冠病毒情况下的潜在免疫调节作用。本文还对新冠病毒的当前医疗管理进行了批判性讨论，并强调了在儿童和成人麻醉给药及手术（包括产科手术）期间更安全操作的循证要点，以及其如何影响接受麻醉的孕妇。采用区域麻醉时，无需进行气道操作，医护人员和其他患者感染同一种病毒的可能性较小。
