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COVID-19: Regional Anesthesia, Benefits, and Practical Recommendations
Gabriel Enrique Mejía-Terrazas1, Eunice López-Muñoz2, Juan Salvador Vilchis-Rentería3
1Anesthesiology Service, Hospital Ángeles México, Mexico City, Mexico.
Regional anesthesia (RA) is a safe strategy for patients needing surgery during the COVID-19 pandemic. This review explores RA
Area of Science:
- Anesthesiology
- Infectious Diseases
- Public Health
Background:
- The COVID-19 pandemic necessitated rethinking healthcare systems and patient care strategies.
- Minimizing aerosol-generating procedures is crucial for protecting patients and healthcare workers.
Purpose of the Study:
- To review the role and safety of regional anesthesia (RA) in surgical patients during the COVID-19 pandemic.
- To highlight necessary modifications in preoperative evaluation and perioperative care for RA.
Main Methods:
- A comprehensive literature search was conducted on PubMed/MEDLINE, Web of Science, and Google Scholar until August 22, 2020.
- Keywords included "regional anesthesia" and "COVID-19" and related terms.
- All English-language articles were included regardless of study design.
Main Results:
- Regional anesthesia is not considered an aerosol-generating procedure and is proposed as a safe strategy.
- Preoperative evaluation requires enhanced patient-specific assessments beyond routine checks.
- Benefits of RA for patients and staff suggest it as a preferred anesthetic choice.
Conclusions:
- Regional anesthesia offers significant benefits and should be considered a primary option for surgical patients during the pandemic.
- Further research is needed to develop precise and standardized management guidelines for RA in COVID-19 patients.
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