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10.1016/j.bjan.2020.06.001

http://scihub22266oqcxt.onion/10.1016/j.bjan.2020.06.001
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suck abstract from ncbi


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pmid32605826      Braz+J+Anesthesiol 2020 ; 70 (2): 165-170
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  • Assistencia perioperatoria de paciente com infeccao pelo SARS-CoV-2 (COVID-19) submetido a resseccao de tumor de hipofise urgente Relato de caso e diretrizes para manejo de via aerea #MMPMID32605826
  • Santos CDSE; Filho LMDCL; Santos CAT; Neill JS; Vale HF; Kurnutala LN
  • Braz J Anesthesiol 2020[Mar]; 70 (2): 165-170 PMID32605826show ga
  • The 2020 pandemic caused by the novel coronavirus, COVID-19, had its headquarters in China. It causes Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) and presents a broad spectrum of clinical manifestations, ranging from entirely asymptomatic through severe acute respiratory failure and death. Presuming a significant quantity of ventilator-dependent patients, several institutions strategically delayed elective surgeries. Particularly procedures performed involving the nasal mucosa, such as a transsphenoidal approach of the pituitary gland, considering the tremendous level of viral shedding. Nevertheless, critical cases demand expeditious resolution. Those situations are severe pituitary apoplexy, declining consciousness level, or risk of acute visual loss. This case presents a successful urgent perioperative management of a 47 year-old male COVID-19 positive patient who presented to the Emergency Department with a left frontal headache that culminated with diplopia, left eye ptosis, and left visual acuity loss after 5 days. Transsphenoidal hypophysectomy was uneventfully performed, and the patient was discharged from the hospital on postoperative day four. It additionally describes in detail the University of Mississippi Medical Center airway management algorithm for patients infected with the novel coronavirus who need emergent surgical attention.
  • |Airway Management/*methods[MESH]
  • |Betacoronavirus/isolation & purification[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*complications[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Perioperative Care[MESH]
  • |Pituitary Neoplasms/diagnosis/*surgery[MESH]
  • |Pneumonia, Viral/*complications[MESH]
  • |SARS-CoV-2[MESH]


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