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KMID : 1147420210060010008
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Journal of Surgical Infection
2021 Volume.6 No. 1 p.8 ~ p.12
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Guideline for Anesthesia of COVID-19 Confirmed or Suspicious Patients in the Operating Room
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Kim Ji-Ho
Choi Kwan-Woong
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Abstract
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The transmission of Severe Acute Respiratory Syndrome Corona Virus 2 (SARS-CoV2) occurs via respiratory droplets or
aerosols from patients with Coronavirus disease 19 (COVID-19). During general anesthesia, most airway management processes such as manual mask-bag ventilation, endotracheal intubation and extubation generate massive amounts of droplets from patients, posing a risk of airborne transmission. Thus, infection control in the operating room is critical for preventing the transmission of COVID-19 to health care providers and other patients in the hospital. Anesthesiologists, surgeons and nurses who participate in operations must be familiar with accurate donning and doffing procedures of personal protective equipment. Operations of COVID-19 confirmed or suspicious patients should be held in operating rooms with negative pressure or isolation facilities. Tools and equipment used during anesthesia procedure must be sterilized or disposed cautiously. Since airway management procedures cause large amounts of potentially infectious droplets or aerosols, it is recommended that endotracheal intubation is performed by skilled anesthesiologists and assistants. Patients recovering from general anesthesia should be monitored in the operating room and transferred to a prepared isolated room or intensive care unit with a transfer team. It is recommended that the operating room be reused after 1 hour of isolation and appropriate sterilization.
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KEYWORD
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COVID-19, Anesthesia, Airway management
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