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Perioperative considerations for COVID-19 patients: lessons learned from the pandemic -a case series
Jia Lin Jacklyn Yek1, Sheng Chuu Anne Kiew1, James Chi-Yong Ngu2
1Department of Anesthesiology and Intensive Care, Changi General Hospital, Singapore.
Insights
This case study details the emergency surgical management of a suspected coronavirus disease 2019 (COVID-19) patient, emphasizing infection control for healthcare workers and other patients.
Area of Science:
- Medicine
- Infectious Diseases
- Surgical Management
Background:
- Hospitals worldwide are adapting facilities for the COVID-19 pandemic.
- Existing infrastructure is often inadequate for infection control.
- This report details the management of a suspected COVID-19 case.
Observation:
- A 66-year-old male presented with infective symptoms and travel history.
- The patient required emergency surgery due to septic condition.
- Rapid sequence intubation and post-operative ventilation were performed.
Findings:
- The patient underwent emergency surgery with strict infection control measures.
- Supplemental oxygen, intubation, and continued ventilation were necessary.
- Droplet, contact, and airborne infection precautions were implemented.
Implications:
- Surgical management of COVID-19 patients requires specialized protocols.
- Minimizing nosocomial transmission is critical for healthcare workers.
- Adapting hospital facilities is essential during global pandemics.
Background:
As the coronavirus disease 2019 (COVID-19) pandemic spreads globally, hospitals are rushing to adapt their facilities, which were not designed to deal with infections adequately. Here, we present the management of a suspected COVID-19 patient.
Case:
A 66-year-old man with a recent travel history, infective symptoms, and chest X-ray was presented to our hospital. Considering his septic condition, we decided to perform an emergency surgery. The patient was given supplemental oxygen through a face mask and transported to an operating theatre on a plastic-covered trolley. An experienced anesthetist performed rapid sequence intubation using a video laryngoscope. Due to the initial presentation of respiratory distress, the patient remained intubated after surgery to avoid re-intubation. Precautions against droplet, contact, and airborne infection were instituted.
Conclusions:
Our objective was to facilitate surgical management of patients with known or suspected COVID-19 while minimizing the risk of nosocomial transmission to healthcare workers and other patients.
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