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Anesthesia for cesarean section and SARS Cov-2: Observational study in Peru / Anestesia para cesárea en gestantes y SARS-CoV-2: estudio observacional en Perú
Huayanay-Bernabé, Marleny Elizabeth; Calderón-Lozano, Marjorie Lisseth; Moreno-Gonzáles, Álvaro Renato; Vásquez-Rojas, José Gunther.
  • Huayanay-Bernabé, Marleny Elizabeth; Instituto Nacional Materno Perinatal. Lima. PE
  • Calderón-Lozano, Marjorie Lisseth; Instituto Nacional Materno Perinatal. Lima. PE
  • Moreno-Gonzáles, Álvaro Renato; Instituto Nacional Materno Perinatal. Lima. PE
  • Vásquez-Rojas, José Gunther; Instituto Nacional Materno Perinatal. Lima. PE
Rev. colomb. anestesiol ; 49(4): e202, Oct.-Dec. 2021. tab, graf
Article in English | LILACS, COLNAL | ID: biblio-1341238
Responsible library: CO99.1
ABSTRACT
Abstract Introduction Information regarding the clinical behavior and the anesthetic and perioperative management in pregnant patients with SARS-CoV-2 is starting to appear in the literature in the form of case reports or case series. However, strong evidence and recommendations are still limited. Objective To describe the clinical characteristics, the results of anesthetic and perioperative management, and complications in seroprevalent pregnant women for SARS-CoV-2 infection, delivered by cesarean section. Methodology Observational study in which 107 clinical records of pregnant women who were seroprevalent for SARS-CoV-2 infection were reviewed and analyzed between April and June, 2020. Demographic, clinical and serological data were collected, as well as data on the anesthetic technique and intraoperative and postoperative complications. Results Of the 107 pregnant women with SARS-CoV-2 infection, 99 (92.52%) were asymptomatic and 8 (7.48%) had mild symptoms. The most frequent reasons for cesarean section were cephalo-pelvic disproportion in 20 (18.68%), previous cesarean section in 20 (18.68%) and non-reassuring fetal status in 14 (13.08%). Anesthesia technique was neuraxial in all cases, with spinal used in 100 (93.5%), combined spinal-epidural in 4 (3.7%) and epidural catheter in 3 (2.8%) patients. No deaths had occurred until the third postoperative day of follow-up. Conclusions The majority of pregnant women with SARS-CoV-2 infection are asymptomatic. In this work, spinal, combined spinal-epidural and epidural neuroxial anesthesia techniques were shown to be effective and safe for these patients and their newborn babies.
RESUMEN
Resumen Introducción La información del comportamiento clínico, manejo anestésico y perioperatorio en gestantes con SARS-CoV-2 empieza a aparecer en la literatura mediante reportes de casos o serie de casos. Aún son limitadas la evidencia contundente y las recomendaciones. Objetivo Describir las características clínicas, resultados del manejo anestésico, perioperatorio y complicaciones en gestantes seroprevalentes para infección por SARS-CoV-2, cuyo parto fue por cesárea. Metodología Estudio observacional en el cual se revisaron y analizaron 107 historias clínicas de gestantes seroprevalentes para infección por SARS-CoV-2, de abril a junio del 2020. Se recolectaron datos demográficos, clínicos, serología, técnica anestésica y complicaciones intra y postoperatorias. Resultados De las 107 gestantes con infección por SARS-CoV-2, 99 (92,52 %) fueron asintomáticas y 8 (7,48 %) presentaron síntomas leves. Los motivos más frecuentes de cesárea fueron desproporción céfalo-pélvica 20 (18,68 %), cesárea previa 20 (18,68 %) y estado fetal no tranquilizador 14 (13,08 %). La técnica anestésica fue neuro axial en su totalidad, espinal en 100 (93,5 %), combinada espinal-epidural en 4 (3,7 %) y epidural con catéter en 3 (2,8 %) pacientes. No se registraron muertes hasta el tercer día postoperatorio de seguimiento. Conclusiones Las gestantes con infección por SARS-CoV-2 presentan -en su mayoría- infecciones asintomáticas. En este trabajo, la anestesia neuro axial espinal, combinada espinal-epidural y epidural, se presentan como técnicas efectivas y seguras para estas pacientes y sus recién nacidos.
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Full text: Available Index: LILACS (Americas) Main subject: Cesarean Section / SARS-CoV-2 / Anesthesia Limits: Female / Humans / Pregnancy Country/Region as subject: South America / Peru Language: English Journal: Rev. colomb. anestesiol Journal subject: Anesthesiology Year: 2021 Type: Article Affiliation country: Peru Institution/Affiliation country: Instituto Nacional Materno Perinatal/PE

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Full text: Available Index: LILACS (Americas) Main subject: Cesarean Section / SARS-CoV-2 / Anesthesia Limits: Female / Humans / Pregnancy Country/Region as subject: South America / Peru Language: English Journal: Rev. colomb. anestesiol Journal subject: Anesthesiology Year: 2021 Type: Article Affiliation country: Peru Institution/Affiliation country: Instituto Nacional Materno Perinatal/PE