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Text
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URL Address
<a href="http://doi.org/10.1111/anae.15105" target="_blank" rel="noreferrer noopener">http://doi.org/10.1111/anae.15105</a>
ISSN
1365-2044 0003-2409
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Update Year & Number
June 2020 Update II
NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of General Surgery
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Title
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Neuraxial anaesthesia and peripheral nerve blocks during the COVID-19 pandemic: a literature review and practice recommendations.
Publisher
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Anaesthesia
Date
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2020
2020-04-28
Subject
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acute respiratory syndrome; anaesthesia; cesarean delivery; coronavirus; COVID-19; COVID-19; dispersion; exhaled air; hypotension; management
Creator
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Uppal V; Sondekoppam R V; Landau R; El-Boghdadly K; Narouze S; Kalagara H K P
Description
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Coronavirus disease 2019 (COVID-19) has had a significant impact on global healthcare services. In an attempt to limit the spread of infection and to preserve healthcare resources, one commonly used strategy has been to postpone elective surgery, whilst maintaining the provision of anaesthetic care for urgent and emergency surgery. General anaesthesia with airway intervention leads to aerosol generation, which increases the risk of COVID-19 contamination in operating rooms and significantly exposes the healthcare teams to COVID-19 infection during both tracheal intubation and extubation. Therefore, the provision of regional anaesthesia may be key during this pandemic, as it may reduce the need for general anaesthesia and the associated risk from aerosol-generating procedures. However, guidelines on the safe performance of regional anaesthesia in light of the COVID-19 pandemic are limited. The goal of this review is to provide up-to-date, evidence-based recommendations or expert opinion when evidence is limited, for performing regional anaesthesia procedures in patients with suspected or confirmed COVID-19 infection. These recommendations focus on seven specific domains including: planning of resources and staffing; modifying the clinical environment; preparing equipment, supplies and drugs; selecting appropriate personal protective equipment; providing adequate oxygen therapy; assessing for and safely performing regional anaesthesia procedures; and monitoring during the conduct of anaesthesia and post-anaesthetic care. Implicit in these recommendations is preserving patient safety whilst protecting healthcare providers from possible exposure.
Identifier
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<a href="http://doi.org/10.1111/anae.15105" target="_blank" rel="noreferrer noopener">10.1111/anae.15105</a>
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journalArticle
2020
acute respiratory syndrome
anaesthesia
cesarean delivery
coronavirus
COVID-19
Department of General Surgery
DISPERSION
El-Boghdadly K
exhaled air
hypotension
journalArticle
June 2020 Update II
Kalagara H K P
Landau R
Management
Narouze S
NEOMED College of Medicine
Sondekoppam R V
Uppal V