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KMID : 1155520200150040498
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Anesthesia and Pain Medicine
2020 Volume.15 No. 4 p.498 ~ p.504
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Emergency exploratory laparotomy in a COVID-19 patient - A case report -
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Lee Seong-Su
Park Ji-Hyun
Kim Gunn-Hee
Kwon Mi-Young
Kim Hee-Yeong
Moon Yeon-Jin
Kim Su-Jin
Yun Mi-Jung
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Abstract
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Background: Surgeries in patients with coronavirus disease 2019 (COVID-19) put medical staff at a high risk of infection. We report the anesthetic management and infection control of a mechanically ventilated COVID-19 patient who underwent exploratory laparotomy for suspected duodenal ulcer perforation.
Case: A 73-year-old man, mechanically ventilated for confirmed COVID-19, showed clinical and radiographic signs of a perforated duodenal ulcer, and he was transferred under sedation and intubation to a negative-pressure operating room. The operating and assistant staff wore personal protective equipment. High-efficiency particulate absorbing filters were inserted into the expiratory circuits of the anesthesia machine and portable ventilator. No participating staff contracted COVID-19, although the patient later died due to pneumonia.
Conclusions: This report can contribute to establishing clinical guidelines for the surgical management and operation room setting of COVID-19 patients.
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KEYWORD
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Anesthetics, COVID-19, Infection control, Medical staff, Personal protective equipment, SARS-CoV-2, Surgery
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