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Protocols of Anesthesia Management in Parturients with SARS-CoV-2 Infection.
Coviello, Antonio; Vargas, Maria; Marra, Annachiara; Golino, Ludovica; Saccone, Gabriele; Iacovazzo, Carmine; Frigo, Maria Grazia; Tognù, Andrea; Ianniello, Marilena; Buonanno, Pasquale; Servillo, Giuseppe.
  • Coviello A; Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples "Federico II", 80100 Naples, Italy.
  • Vargas M; Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples "Federico II", 80100 Naples, Italy.
  • Marra A; Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples "Federico II", 80100 Naples, Italy.
  • Golino L; Department of Anesthesiology and Intensive Care, San Giovanni di Dio Hospital, 80027 Naples, Italy.
  • Saccone G; Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples "Federico II", 80100 Naples, Italy.
  • Iacovazzo C; Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples "Federico II", 80100 Naples, Italy.
  • Frigo MG; Department of Anesthesia and Resuscitation in Obstetrics, San Giovanni Calibita Fatebenefratelli Hospital, 39, 00186 Rome, Italy.
  • Tognù A; Department of Anesthesiology and Intensive Care Medicine, Istituto Ortopedico Rizzoli IRCCS, 40136 Bologna, Italy.
  • Ianniello M; Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples "Federico II", 80100 Naples, Italy.
  • Buonanno P; Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples "Federico II", 80100 Naples, Italy.
  • Servillo G; Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples "Federico II", 80100 Naples, Italy.
Healthcare (Basel) ; 10(3)2022 Mar 12.
Article in English | MEDLINE | ID: covidwho-1742404
ABSTRACT

BACKGROUND:

Our hospital became a referral center for COVID-19-positive obstetric patients from 1 May 2020. The aim of our study is to illustrate our management protocols for COVID-19-positive obstetric patients, to maintain safety standards for patients and healthcare workers.

METHODS:

Women who underwent vaginal or operative delivery and induced or spontaneous abortion with a SARS-CoV-2-positive nasopharyngeal swab using real-time PCR (RT-PCR) were included in the study. Severity and onset of new symptoms were carefully monitored in the postoperative period. All the healthcare workers received a nasopharyngeal swab for SARS-CoV-2 using RT-PCR serially every five days.

RESULTS:

We included 152 parturients with COVID-19 infection. None of the included women had general anesthesia, an increase of severe symptoms or onset of new symptoms. The RT-PCR test was "negative" for the healthcare workers.

CONCLUSIONS:

In our study, neuraxial anesthesia for parturients' management with SARS-CoV-2 infection has been proven to be safe for patients and healthcare workers. Neuraxial anesthesia decreases aerosolization during preoxygenation, face-mask ventilation, endotracheal intubation, oral or tracheal suctioning and extubation. This anesthesia management protocol can be generalizable.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Prognostic study Language: English Year: 2022 Document Type: Article Affiliation country: Healthcare10030520

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Prognostic study Language: English Year: 2022 Document Type: Article Affiliation country: Healthcare10030520