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COVID-19 associated Mucormycosis (CAM): Implications for perioperative physicians - A narrative review.
Gupta, Anju; Kayarat, Bhavana; Gupta, Nishkarsh.
  • Gupta A; Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India.
  • Kayarat B; Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India.
  • Gupta N; Onco-Anaesthesiology and Palliative Medicine, DRBRAIRCH, AIIMS, India.
Saudi J Anaesth ; 17(1): 58-64, 2023.
Article in English | MEDLINE | ID: covidwho-2230620
ABSTRACT
Mucormycosis once considered a rare disease with an incidence of 0.005 to 1.7 per million, has become one of the greatest menaces during the coronavirus disease (COVID-19) pandemic. India alone has contributed to nearly 70% of the global caseload of COVID-associated mucormycosis (CAM) and it had even been declared as a notifiable disease. Second wave of COVID-19 pandemic saw a steep rise in the incidence of mucormycosis and these patients have been presenting to anesthesiologists for various surgical procedures due to its primary or secondary sequelae. Rhino-orbito-cerebral mucormycosis (ROCM) is the commonest manifestation and is caused by Rhizopus arrhizus. Injudicious use of corticosteroids in vulnerable patients could have been a major contributing factor to the sudden rise in ROCM during the pandemic. Concerns related to anesthetic management include COVID-19 infection and post COVID sequalae, common presence of uncontrolled diabetes mellitus, possibility of difficult mask-ventilation and/or intubation, various drug therapy-associated adverse effects, and interaction of these drugs with anesthetic agents. Thorough preoperative optimization, multidisciplinary involvement, perioperative care, and vigilance go a long way in improving overall outcomes in these patients.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study / Reviews Topics: Long Covid Language: English Journal: Saudi J Anaesth Year: 2023 Document Type: Article Affiliation country: Sja.sja_640_22

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study / Reviews Topics: Long Covid Language: English Journal: Saudi J Anaesth Year: 2023 Document Type: Article Affiliation country: Sja.sja_640_22