Emergency exploratory laparotomy in a COVID-19 patient - A case report.
Anesth Pain Med (Seoul)
; 15(4): 498-504, 2020 Oct 30.
Article
in English
| MEDLINE | ID: covidwho-983719
ABSTRACT
BACKGROUND:
Surgeries in patients with coronavirus disease 2019 (COVID-19) put medical staff at a high risk of infection. We report the anesthetic management and infection control of a mechanically ventilated COVID-19 patient who underwent exploratory laparotomy for suspected duodenal ulcer perforation. CASE A 73-year-old man, mechanically ventilated for confirmed COVID-19, showed clinical and radiographic signs of a perforated duodenal ulcer, and he was transferred under sedation and intubation to a negative-pressure operating room. The operating and assistant staff wore personal protective equipment. High-efficiency particulate absorbing filters were inserted into the expiratory circuits of the anesthesia machine and portable ventilator. No participating staff contracted COVID-19, although the patient later died due to pneumonia.CONCLUSIONS:
This report can contribute to establishing clinical guidelines for the surgical management and operation room setting of COVID-19 patients.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Type of study:
Case report
/
Observational study
/
Prognostic study
Language:
English
Journal:
Anesth Pain Med (Seoul)
Year:
2020
Document Type:
Article
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