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KMID : 0356920200730060557
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Korean Journal of Anesthesiology
2020 Volume.73 No. 6 p.557 ~ p.561
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Perioperative considerations for COVID-19 patients: lessons learned from the pandemic -a case series-
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Yek Jia Lin Jacklyn
Kiew Sheng Chuu Anne
Ngu James Chi-Yong
Lim Jimmy Guan Cheng
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Abstract
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Background: As the coronavirus disease 2019 (COVID-19) pandemic spreads globally, hospitals are rushing to adapt their facilities, which were not designed to deal with infections adequately. Here, we present the management of a suspected COVID-19 patient.
Case: A 66-year-old man with a recent travel history, infective symptoms, and chest X-ray was presented to our hospital. Considering his septic condition, we decided to perform an emergency surgery. The patient was given supplemental oxygen through a face mask and transported to an operating theatre on a plastic-covered trolley. An experienced anesthetist performed rapid sequence intubation using a video laryngoscope. Due to the initial presentation of respiratory distress, the patient remained intubated after surgery to avoid re-intubation. Precautions against droplet, contact, and airborne infection were instituted.
Conclusions: Our objective was to facilitate surgical management of patients with known or suspected COVID-19 while minimizing the risk of nosocomial transmission to healthcare workers and other patients.
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KEYWORD
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Communication, Coronavirus, COVID-19, Infection control, Pandemics, Perioperative care, Perioperative period, Personal protective equipment
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