Emergencies in Covid 19 Parturients: Anesthesia Concerns and Lessons Learnt
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Abstract
Obstetric emergencies have always put the anaesthetist on nerves. More so in this era of novel coronavirus pandemic managing obstertric cases in emergency has been a diverse challenge. COVID 19 parturients presenting in emergencies have prompted us to redesign the strategies regarding their management.
Here we report a series of three obstetric cases presenting as emergency and emphasize on anaesthesia concerns in these COVID-19 positive parturients.
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[6] Helms J, Kremer S, Merdji H, Clere-Jehl R, Schenck M, Kummerlen C, et al. Neurologic Features in Severe SARS-CoV-2 Infection. N Engl J Med. 2020; 382(23):2268-2270.
[7] Moriguchi T, Harii N, Goto J, Harada D, Sugawara H, Takamino J, et al. A first case of meningitis/encephalitis associated with SARS-Coronavirus-2. Int J Infect Dis. 2020; 94:55-58.
[8] Podovei M, Bernstein K, George R, Habib A, Kacmar R, Bateman B, et al. Society for obstetrics anaesthesia & perinatology (SOAP) Interim considerations for obstetric Anaesthesia Care related to COVID-19. Available from: https://www.wfsahq.org/images/SOAP_COVID-19_Obstetric_Anesthesia_Care_031620-2_.pdf. [Last accessed on 2020 May 12].
[9] Chen R, Zhang Y, Huang L, Cheng BH, Xia ZY, Meng QT. Safety and efficacy of different anaesthetic regimens for parturients with COVID-19 undergoing Caesrean delivery: A case series of 17 patients. Can J Anaesth. 2020; 67:655-63.
[10] Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020; 395:497-506.
[11] Guan W, Ni Z, Hu Y, Liang W, Ou C, He J, et al. Clinical characteristics of coronavirus disease 2019 in China. N Eng J Med. 2020; 382:1708-20.
[12] RCOG, Coronavirus (COVID-19) infection and pregnancy. Version 9 [Internet]. Royal College of Obstetricians & Gynaecologists. 2020 [cited 2020 May 30]. Available from: https://www.rcog.org.uk/en/guidelines-research-services/guidelines/coronavirus-pregna
[13] Malhotra N, Bajwa SJS, Joshi M, Mehdiratta L, Trikha A. COVID operation theatre- advisory and position statement of Indian Society of Anaesthesiologists (ISA National). Indian J Anaesth. 2020; 64:355.
[2] England N. Critical care and anaesthesia service reorganisation 2020 [Internet]. [cited 2020 May 30]. Available from: https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/03/Specialty-guide_Critical-care-and-anaesthesia-service-reorganisation_V1_17-March.pdf.
[3] Zhong Q, Liu YY, Luo Q, Zou YF, Jiang HX, Li H, et al. Spinal anaesthesia for patients with coronavirus disease 2019 and possible transmission rates in anaesthetists: Retrospective, single-centre, observational cohort study. Br J Anaesth. 2020; 124(6): 670-5.
[4] Huang YH, Jiang D, Huang JT. SARS-CoV-2 detected in cerebrospinal fluid by PCR in a case of COVID-19 encephalitis. Brain Behav Immun 2020; 87:149.
[5] Al Saiegh F, Ghosh R, Leibold A, Avery MB, Schmidt RF, Theofanis T, et al. Status of SARS-CoV-2 in cerebrospinal fluid of patients with COVID-19 and stroke. J Neurol Neurosurg Psychiatry. 2020; 91(8):846-848.
[6] Helms J, Kremer S, Merdji H, Clere-Jehl R, Schenck M, Kummerlen C, et al. Neurologic Features in Severe SARS-CoV-2 Infection. N Engl J Med. 2020; 382(23):2268-2270.
[7] Moriguchi T, Harii N, Goto J, Harada D, Sugawara H, Takamino J, et al. A first case of meningitis/encephalitis associated with SARS-Coronavirus-2. Int J Infect Dis. 2020; 94:55-58.
[8] Podovei M, Bernstein K, George R, Habib A, Kacmar R, Bateman B, et al. Society for obstetrics anaesthesia & perinatology (SOAP) Interim considerations for obstetric Anaesthesia Care related to COVID-19. Available from: https://www.wfsahq.org/images/SOAP_COVID-19_Obstetric_Anesthesia_Care_031620-2_.pdf. [Last accessed on 2020 May 12].
[9] Chen R, Zhang Y, Huang L, Cheng BH, Xia ZY, Meng QT. Safety and efficacy of different anaesthetic regimens for parturients with COVID-19 undergoing Caesrean delivery: A case series of 17 patients. Can J Anaesth. 2020; 67:655-63.
[10] Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020; 395:497-506.
[11] Guan W, Ni Z, Hu Y, Liang W, Ou C, He J, et al. Clinical characteristics of coronavirus disease 2019 in China. N Eng J Med. 2020; 382:1708-20.
[12] RCOG, Coronavirus (COVID-19) infection and pregnancy. Version 9 [Internet]. Royal College of Obstetricians & Gynaecologists. 2020 [cited 2020 May 30]. Available from: https://www.rcog.org.uk/en/guidelines-research-services/guidelines/coronavirus-pregna
[13] Malhotra N, Bajwa SJS, Joshi M, Mehdiratta L, Trikha A. COVID operation theatre- advisory and position statement of Indian Society of Anaesthesiologists (ISA National). Indian J Anaesth. 2020; 64:355.
| Files | ||
| Issue | Vol 7 No 3 (2021): Summer |
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| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/aacc.v7i3.6909 | |
| Keywords | ||
| COVID 19 parturients PPE obstetric emergency | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Panse N, Adate K, Maske K, Dabral N. Emergencies in Covid 19 Parturients: Anesthesia Concerns and Lessons Learnt. Arch Anesth & Crit Care. 2021;7(3):183-186.
