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Cardiovascular considerations for anesthesiologists during the COVID-19 pandemic

Naoyuki Hirata1, Michiaki Yamakage2

  • 1Department of Anesthesiology, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo , Hokkaido, 060-8543, Japan. naohirata@mac.com.

Journal of Anesthesia
|September 5, 2020
PubMed

Insights

Anesthesiologists face challenges during the COVID-19 pandemic, as cardiovascular complications are common and increase mortality risk. Perioperative care must address both respiratory and cardiovascular issues in patients with or recovering from COVID-19.

Area of Science:

  • Anesthesiology
  • Cardiology
  • Infectious Diseases

Background:

  • The COVID-19 pandemic presents significant challenges for anesthesiologists and perioperative care.
  • While airway management is a primary concern, cardiovascular complications are frequently observed in COVID-19 patients.
  • Patients with pre-existing cardiovascular disease (CVD) exhibit a higher mortality rate when infected with SARS-CoV-2.

Purpose of the Study:

  • To highlight the critical need for anesthesiologists to consider cardiovascular complications in COVID-19 patients.
  • To emphasize the importance of comprehensive perioperative management addressing both respiratory and circulatory status.

Main Methods:

  • Review of current COVID-19 data and previous studies on cardiovascular disease and mortality.
  • Analysis of the impact of anesthesia and surgery on immune function in patients with CVD.

Main Results:

  • Cardiovascular complications are common in COVID-19 patients, impacting prognosis.
  • Immune system dysregulation in CVD patients may influence COVID-19 outcomes.
  • Anesthesia and surgical procedures can alter immune responses.

Conclusions:

  • Anesthesiologists must prioritize cardiovascular assessment and management alongside respiratory care for COVID-19 patients.
  • Perioperative circulatory management is crucial for controlling disease progression in patients with suspected, diagnosed, or recovered COVID-19, especially those with CVD.

Keywords:
Anesthetic managementCOVID-19 pandemicCardiovascular surgery

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