Anesthetic and Operative Management in COVID-19 Related Patients, the First Two Cases Report in King Chulalongkorn Memorial Hospital
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Published:
Aug 3, 2020
Keywords:
anesthesia, case report, coronavirus, COVID-19, surgery
Main Article Content
Abstract
Since the SARS-CoV-2 viral infection, called
COVID-19, emerged and made a huge effect to the
healthcare system, there would be a chance of COVID-19
patients who needed surgical and anesthetic care.
Perioperative management must be planned and prepared
not only place, but also personnel, protective equipment
and workflow system, mainly to prevent viral transmission
to healthcare workers. By the hospital policy, the isolated
operating room was established with collaboration of the
surgery, anesthesiology and infection control departments.
We reported two cases of COVID-19 related patients
underwent emergency surgery under anesthesia in King
Chulalongkorn Memorial Hospital during January to April
2020 in the anesthesiologist point of view.
Article Details
Section
Case reports
References
1. Huang C, Wang Y, Li X, et al. Clinical features of patients
infected with 2019 novel coronavirus in Wuhan, China.
Lancet 2020;395:497-506.
2. Zhu N, Zhang D, Wang W, et al. A novel Coronavirus from
patients with pneumonia in China, 2019. N Engl J Med
2020;382:727-33.
3. World Health Organization. Coronavirus disease 2019
(COVID-19) situation report-51 [internet]. March 11, 2020
[cited May 20, 2020]. Available from: https://www.who.int/
docs/default-source/coronaviruse/situation-reports/
20200311-sitrep-51-covid-19.pdf?sfvrsn=1ba62e57_10.
4. World Health Organization. Coronavirus disease 2019
(COVID-19) situation report–101 [internet]. April 30, 2020
[cited May 20, 2020]. Available from: https://www.who.int/
docs/default-source/coronaviruse/situation-reports/
20200430-sitrep-101-covid-19.pdf?sfvrsn=2ba4e093_2.
5. Kiatkasemsan B, Chaichalothorn M, Payongsri T,
Charuluxananan S. Outbreak of novel coronavirus (2019-
nCoV): The first three-month experience of anesthesiologists
in Thai University Hospital. Chulalongkorn Med J 2020;64:
231-6.
6. Centers for Disease Control and Prevention. Appendix B: Air
guidelines for environmental infection control in health-care
facilities [internet]. 2003 [cited May 20, 2020]. Available from:
https://www.cdc.gov/infectioncontrol/guidelines/environmental/
background/air.html.
7. Ti LK, Ang LS, Foong TW, Ng BSW. What we do when a
COVID-19 patient needs an operation: operating room
preparation and guidance. Can J Anaesth 2020;67:756-8.
8. Al-Balas M, Al-Balas HI, Al-Balas H. Surgery during the
COVID-19 pandemic: a comprehensive overview and
perioperative care. Am J Surg 2020. doi: 10.1016/j.amjsurg.
2020.04.018
9. Lu R, Zhao X, Li J, et al. Genomic characterisation and
epidemiology of 2019 novel coronavirus: implications for
virus origins and receptor binding. Lancet 2020;395:565-74.
10. Anesthesia Patient Safety Foundation. Perioperative
considerations for the 2019 Novel Coronavirus (COVID-19)
[internet]. February 12, 2020 [cited May 20, 2020]. Available
from: https://www.apsf.org/news-updates/perioperativeconsiderations-
for-the-2019-novel-coronavirus-covid-19.
11. Chen X, Liu Y, Gong Y, et al. Perioperative management of
patients infected with the novel Coronavirus: recommendation
from the Joint Task Force of the Chinese Society of
Anesthesiology and the Chinese Association of
Anesthesiologists. Anesthesiology 2020;132:1307-16.
12. Tran K, Cimon K, Severn M, Pessoa-Silva CL, Conly J.
Aerosol generating procedures and risk of transmission of
acute respiratory infections to healthcare workers:
a systematic review. PLoS One 2012;7:e35797.
13. Practice guidelines for Obstetric Anesthesia: An updated
report by the American Society of Anesthesiologists Task Force
on Obstetric Anesthesia and the Society for Obstetric
Anesthesia and Perinatology. Anesthesiology 2016;124:270-
300.
14. Suwanwongse K, Shabarek N. Successful conservative
management of acute appendicitis in a Coronavirus disease
2019 (COVID-19) patient. Cereus 2020;12:e7834.
15. Laosuwan P, Earsakul A, Pannangpetch P, Sereeyotin J.
Acrylic box versus plastic sheet covering on droplet
dispersal during extubation in COVID-19 patients. Anesth
Analg 2020. doi: 10.1213/ANE.0000000000004937
infected with 2019 novel coronavirus in Wuhan, China.
Lancet 2020;395:497-506.
2. Zhu N, Zhang D, Wang W, et al. A novel Coronavirus from
patients with pneumonia in China, 2019. N Engl J Med
2020;382:727-33.
3. World Health Organization. Coronavirus disease 2019
(COVID-19) situation report-51 [internet]. March 11, 2020
[cited May 20, 2020]. Available from: https://www.who.int/
docs/default-source/coronaviruse/situation-reports/
20200311-sitrep-51-covid-19.pdf?sfvrsn=1ba62e57_10.
4. World Health Organization. Coronavirus disease 2019
(COVID-19) situation report–101 [internet]. April 30, 2020
[cited May 20, 2020]. Available from: https://www.who.int/
docs/default-source/coronaviruse/situation-reports/
20200430-sitrep-101-covid-19.pdf?sfvrsn=2ba4e093_2.
5. Kiatkasemsan B, Chaichalothorn M, Payongsri T,
Charuluxananan S. Outbreak of novel coronavirus (2019-
nCoV): The first three-month experience of anesthesiologists
in Thai University Hospital. Chulalongkorn Med J 2020;64:
231-6.
6. Centers for Disease Control and Prevention. Appendix B: Air
guidelines for environmental infection control in health-care
facilities [internet]. 2003 [cited May 20, 2020]. Available from:
https://www.cdc.gov/infectioncontrol/guidelines/environmental/
background/air.html.
7. Ti LK, Ang LS, Foong TW, Ng BSW. What we do when a
COVID-19 patient needs an operation: operating room
preparation and guidance. Can J Anaesth 2020;67:756-8.
8. Al-Balas M, Al-Balas HI, Al-Balas H. Surgery during the
COVID-19 pandemic: a comprehensive overview and
perioperative care. Am J Surg 2020. doi: 10.1016/j.amjsurg.
2020.04.018
9. Lu R, Zhao X, Li J, et al. Genomic characterisation and
epidemiology of 2019 novel coronavirus: implications for
virus origins and receptor binding. Lancet 2020;395:565-74.
10. Anesthesia Patient Safety Foundation. Perioperative
considerations for the 2019 Novel Coronavirus (COVID-19)
[internet]. February 12, 2020 [cited May 20, 2020]. Available
from: https://www.apsf.org/news-updates/perioperativeconsiderations-
for-the-2019-novel-coronavirus-covid-19.
11. Chen X, Liu Y, Gong Y, et al. Perioperative management of
patients infected with the novel Coronavirus: recommendation
from the Joint Task Force of the Chinese Society of
Anesthesiology and the Chinese Association of
Anesthesiologists. Anesthesiology 2020;132:1307-16.
12. Tran K, Cimon K, Severn M, Pessoa-Silva CL, Conly J.
Aerosol generating procedures and risk of transmission of
acute respiratory infections to healthcare workers:
a systematic review. PLoS One 2012;7:e35797.
13. Practice guidelines for Obstetric Anesthesia: An updated
report by the American Society of Anesthesiologists Task Force
on Obstetric Anesthesia and the Society for Obstetric
Anesthesia and Perinatology. Anesthesiology 2016;124:270-
300.
14. Suwanwongse K, Shabarek N. Successful conservative
management of acute appendicitis in a Coronavirus disease
2019 (COVID-19) patient. Cereus 2020;12:e7834.
15. Laosuwan P, Earsakul A, Pannangpetch P, Sereeyotin J.
Acrylic box versus plastic sheet covering on droplet
dispersal during extubation in COVID-19 patients. Anesth
Analg 2020. doi: 10.1213/ANE.0000000000004937