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Perioperative management for patients with coronavirus disease 2019
Tao Zhong1,2, Gang Qin3,4, Qulian Guo3,4
1Department of Anesthesiology and Operating Theatre Services, Xiangya Hospital, Central South University, Changsha 410008. zhongtao@csu.edu.cn.
Insights
Managing surgery patients with coronavirus disease 2019 (COVID-19) requires careful perioperative planning to prevent lung injury and hospital-acquired infections. Key strategies include timing surgery appropriately, screening patients, and implementing lung protection and infection control measures.
Area of Science:
- Medicine
- Infectious Diseases
- Anesthesiology
Background:
- Coronavirus disease 2019 (COVID-19) presents significant challenges due to its high transmissibility and complex routes.
- Providing optimal perioperative care for COVID-19 patients is difficult while preventing nosocomial spread.
Purpose of the Study:
- To outline essential considerations for the perioperative management of surgical patients with COVID-19.
- To emphasize strategies for minimizing lung injury and preventing hospital-acquired infections.
Main Methods:
- Review of existing literature and clinical guidelines on managing COVID-19 patients undergoing surgery.
- Analysis of factors influencing perioperative outcomes, including anesthesia, surgical procedures, and infection control.
Main Results:
- Perioperative management must account for anesthesia- and surgery-induced lung injury.
- Careful selection of surgical timing, preoperative screening, and lung protective strategies are crucial.
- Robust infection prevention and control measures are vital to avoid nosocomial transmission.
Conclusions:
- Effective perioperative management of COVID-19 surgical patients necessitates a multidisciplinary approach.
- Prioritizing lung protection and stringent infection control is paramount for patient safety and preventing healthcare-associated infections.
Abstract:
The coronavirus disease 2019 (COVID-19) is a new infectious disease, which has a strong virus transmission power and complex transmission routes. This disease is prone to outbreak of cluster infection. It is difficult for medical workers to provide a better perioperative treatment for surgery patient with COVID-19 while avoiding hospital spread effectively. The perioperative management for such patients needs to fully consider the possible lung injury factors caused by anesthesia and surgery. It also needs to choose the suitable timing of the operation, carry out preoperative infection screening and evaluation, and implement lung protection strategies during and after the operation to avoid aggravating the lung injury. Meanwhile, it is necessary to pay more attention to infection prevention and control in order to avoid nosocomial infection.
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