Successful anaesthetic management of a COVID-positive patient with multiple comorbidities: regional anaesthesia to the rescue
Tóm tắt
The perioperative anaesthetic management of a case of COVID-19 pneumonia with multiple systemic comorbidities, posted for unilateral below knee amputation and debridement of hand, poses a uniquely challenging scenario for the anaesthesiologist. We hereby report such a case which was managed successfully using ultrasound-guided popliteal and wrist block along with perioperative use of high flow nasal cannula, incentive spirometry and awake proning.
Tài liệu tham khảo
Horlocker TT, Vandermeuelen E, Kopp SL, Gogarten W, Leffert LR, Benzon HT (2018) Regional Anesthesia in the Patient Receiving Antithrombotic or Thrombolytic Therapy: American Society of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines (Fourth Edition). Reg Anesth Pain Med. 43(3):263–309. https://doi.org/10.1097/AAP.0000000000000763
Nepogodiev D, Bhangu A, Glasbey JC, Li E, Omar OM, Simoes JF et al (2020) Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study. Lancet. 396(10243):27–38. https://doi.org/10.1016/S0140-6736(20)31182-X