Coronavirus disease 2019 (COVID-19) adds more challenges to the perioperative management of parturients. The aim of this study is to examine perioperative adverse events and hemodynamic stability among COVID-19 positive parturients undergoing spinal anesthesia. This prospective observational investigation was conducted at a tertiary teaching hospital in Jordan between January and June 2021, during which 31 COVID-19 positive parturients were identified. Each COVID-19 positive parturient was matched with a COVID-19 negative parturient who received anesthesia under similar operating conditions as a control group. Of the 31 COVID-19 patients, 22 (71%) were otherwise medically free, 8 (25.8%) were emergency cesarean sections. The sensory level of spinal block after 10 min was T8 (T6–T10) among COVID-19 positive group, compared to T4 (T4–T6) among control group (p = 0.001). There were no significant differences in heart rate, SBP, DBP, and MAP intraoperatively (p > 0.05). Twelve (36.4%) neonates born to COVID-19 positive patients were admitted to NICU, compared to four (11.8%) among control group (p = 0.018). There was no statistically significant difference in postoperative complications. In conclusion, spinal anesthesia is considered a safe anesthetic technique in COVID-19 parturients, and therefore it is the anesthetic method of choice for cesarean deliveries among COVID-19 patients.
Around the first COVID-19 epidemic in Jordan, we aimed to explore awareness of COVID-19 (knowledge and attitudes) disease, treatment options, and preventive measures among patients who were admitted to Jordan University Hospital (JUH) and planned to undergo elective surgery over a period of 3 months in 2020.
This prospective cross-sectional article uses a questionnaire based survey which was provided to and was answered by patients themselves, then collected data was migrated to computer software and analyzed. The sample resulted in 292 patients. More than 95% were aware of the disease and and given age, educational levels and gender, we found no significant differences in knowledge and awareness of COVID-19 and protective and preventive measures. More than 60% of those surveyed were aware of COVID-19 serious complications and risk factors for developing them. Around 28% of patients who were admitted had significant anxiety from having COVID-19. The media appears to largely influence and spread some misconceptions about COVID-19 transmission and claimed therapies.
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