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10.1053/j.jvca.2020.02.039

http://scihub22266oqcxt.onion/10.1053/j.jvca.2020.02.039
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32178954!7102598!32178954
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suck abstract from ncbi


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pmid32178954      J+Cardiothorac+Vasc+Anesth 2020 ; 34 (5): 1125-1131
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  • Anesthetic Management of Patients with COVID 19 Infections during Emergency Procedures #MMPMID32178954
  • Zhao S; Ling K; Yan H; Zhong L; Peng X; Yao S; Huang J; Chen X
  • J Cardiothorac Vasc Anesth 2020[May]; 34 (5): 1125-1131 PMID32178954show ga
  • OBJECTIVES: The aim of the present study was to prevent cross-infection in the operating room during emergency procedures for patients with confirmed or suspected 2019 novel coronavirus (2019-nCoV) by following anesthesia management protocols, and to document clinical- and anesthesia-related characteristics of these patients. DESIGN: This was a retrospective, multicenter clinical study. SETTING: This study used a multicenter dataset from 4 hospitals in Wuhan, China. PARTICIPANTS: Patients and health care providers with confirmed or suspected 2019-nCoV from January 23 to 31, 2020, at the Wuhan Union Hospital, the Wuhan Children's Hospital, The Central Hospital of Wuhan, and the Wuhan Fourth Hospital in Wuhan, China. INTERVENTIONS: Anesthetic management and infection control guidelines for emergency procedures for patients with suspected 2019-nCoV were drafted and applied in 4 hospitals in Wuhan. MEASUREMENTS AND MAIN RESULTS: Cross-infection in the operating rooms of the 4 hospitals was effectively reduced by implementing the new measures and procedures. The majority of patients with laboratory-confirmed 2019-nCoV infection or suspected infection were female (23 [62%] of 37), and the mean age was 41.0 years old (standard deviation 19.6; range 4-78). 10 (27%) patients had chronic medical illnesses, including 4 (11%) with diabetes, 8 (22%) with hypertension, and 8 (22%) with digestive system disease. Twenty-five (68%) patients presented with lymphopenia, and 23 (62%) patients exhibited multiple mottling and ground-glass opacity on computed tomography scanning. CONCLUSIONS: The present study indicates that COVID 19-specific guidelines for emergency procedures for patients with confirmed or suspected 2019-nCoV may effectively prevent cross-infection in the operating room. Most patients with confirmed or suspected COVID 19 presented with fever and dry cough and demonstrated bilateral multiple mottling and ground-glass opacity on chest computed tomography scans.
  • |*Anesthesia/methods/standards[MESH]
  • |*Coronavirus Infections/complications[MESH]
  • |*Cross Infection/prevention & control[MESH]
  • |*Emergency Medical Services/standards[MESH]
  • |*Infection Control/standards[MESH]
  • |*Pandemics[MESH]
  • |*Pneumonia, Viral/complications[MESH]
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |Child[MESH]
  • |Child, Preschool[MESH]
  • |China[MESH]
  • |Chronic Disease[MESH]
  • |Comorbidity[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Operating Rooms[MESH]
  • |Practice Guidelines as Topic[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2[MESH]


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