Anesthetic Management of Patient with COVID-19 Undergoing Decompressive Craniectomy: a Case Report

Jatuporn  Eiamchareonwit; Jatuporn  Eiamchareonwit

Authors

Jatuporn Eiamchareonwit Anesthesiology Department, Neurological Institute of Thailand
Phuping Akavipat Neurological Institute of Thailand

Keywords:

COVID-19, decompressive craniec- tomy, middle cerebral artery infarction

Abstract

This report describes a case of a COVID-19 patient who presented with middle cerebral artery infarction. The patient developed cerebral edema and brain herniation. This report aims to share clinical experience in the perioperative management of a 71-year-old patient undergoing decompressive craniectomy. Infection control is essential during the perioperative period, especially in the moment of airway management. Risk factors for cerebrovascular complications for COVID-19 patients were shown as elderly, severe COVID-19 disease, and hypercoagulable state. Finally, the anesthetic management of a patient with COVID-19 for decompressive craniectomy has been discussed.

References

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