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suck abstract from ncbi


10.1007/s12630-020-01630-7

http://scihub22266oqcxt.onion/10.1007/s12630-020-01630-7
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32180175!7090434!32180175
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suck abstract from ncbi


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pmid32180175      Can+J+Anaesth 2020 ; 67 (6): 655-663
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  • Securite et efficacite de differents modes d'anesthesie pour des parturientes infectees par la COVID-19 accouchant par cesarienne : une serie de 17 cas #MMPMID32180175
  • Chen R; Zhang Y; Huang L; Cheng BH; Xia ZY; Meng QT
  • Can J Anaesth 2020[Jun]; 67 (6): 655-663 PMID32180175show ga
  • PURPOSE: To assess the management and safety of epidural or general anesthesia for Cesarean delivery in parturients with coronavirus disease (COVID-19) and their newborns, and to evaluate the standardized procedures for protecting medical staff. METHODS: We retrospectively reviewed the cases of parturients diagnosed with severe acute respiratory syndrome coronavirus (SARS-CoV-2) infection disease (COVID-19). Their epidemiologic history, chest computed tomography scans, laboratory measurements, and SARS-CoV-2 nucleic acid positivity were evaluated. We also recorded the patients' demographic and clinical characteristics, anesthesia and surgery-related data, maternal and neonatal complications, as well as the health status of the involved medical staff. RESULTS: The clinical characteristics of 17 pregnant women infected with SARS-CoV-2 were similar to those previously reported in non-pregnant adult patients. All of the 17 patients underwent Cesarean delivery with anesthesia performed according to standardized anesthesia/surgery procedures. Fourteen of the patients underwent continuous epidural anesthesia with 12 experiencing significant intraoperative hypotension. Three patients received general anesthesia with tracheal intubation because emergency surgery was needed. Three of the parturients are still recovering from their Cesarean delivery and are receiving in-hospital treatment for COVID-19. Three neonates were born prematurely. There were no deaths or serious neonatal asphyxia events. All neonatal SARS-CoV-2 nucleic acid tests were negative. No medical staff were infected throughout the patient care period. CONCLUSIONS: Both epidural and general anesthesia were safely used for Cesarean delivery in the parturients with COVID-19. Nevertheless, the incidence of hypotension during epidural anesthesia appeared excessive. Proper patient transfer, medical staff access procedures, and effective biosafety precautions are important to protect medical staff from COVID-19.
  • |*Anesthesia, Epidural[MESH]
  • |*Anesthesia, General[MESH]
  • |*Cesarean Section[MESH]
  • |*Coronavirus Infections[MESH]
  • |*Pandemics[MESH]
  • |*Pneumonia, Viral[MESH]
  • |COVID-19[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Infant, Newborn[MESH]
  • |Infection Control/*methods[MESH]
  • |Infectious Disease Transmission, Patient-to-Professional/*prevention & control[MESH]
  • |Pregnancy[MESH]
  • |Retrospective Studies[MESH]


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