Anaesthesia and intensive care in obstetrics during the COVID-19 pandemic

Gouez, Agnès Le; Benhamou, Dan; Bonnet, Marie; Bonnin, M.; Bouthors, Anne Sophie; Bouvet, Lionel; Castel, Adeline; Chassard, D.; Dewandre, P.-Y.; Fisher, Catherine; Julliac, B.; Keïta, H.; Mercier, Frédéric; Morau, Estelle; Rackelboom, T.; Vial, F.; Wernet, Anne

doi:10.1016/j.accpm.2020.05.006

Cited by 37 publications

(33 citation statements)

References 29 publications

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“…Unfractionated heparin is preferred to low molecular weight heparin for patients who may need to deliver expeditiously, as it is more easily reversed. Low molecular weight heparin is reasonable in patients who are post‐partum 103 …”

Section: Management Of Disease In Pregnancymentioning

confidence: 99%

COVID‐19‐related disease severity in pregnancy

Thompson

Nguyen

Noble

et al. 2020

American J Rep Immunol

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The pandemic caused by COVID-19 is affecting populations and healthcare systems worldwide. As we gain experience managing COVID-19, more data become available on disease severity, course, and treatment in patients infected with the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). However, data in pregnancy remain limited. This narrative review of COVID-19 during pregnancy underscores key knowledge gaps in our understanding of the impact of this viral infection on reproductive health. Current data suggest that pregnant people have similar disease course and outcomes compared to nonpregnant people, with the majority experiencing mild disease; however, pregnant people may have increased risk of hospitalization and intensive care unit (ICU) admission. Among patients who develop severe and critical disease, major maternal morbidity and mortality have been described including cardiomyopathy, mechanical ventilation, extracorporeal membrane oxygenation, and death. Many questions remain regarding maternal severity of disease in COVID-19. Further research is needed to better understand disease course in pregnancy. Additionally, the inclusion of pregnant patients in therapeutic trials will provide vital data on treatment options for patients. As we continue to treat more patients affected by SARS-CoV-2, multidisciplinary care and continued research are both needed to achieve optimal outcomes for mother and fetus.

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Section: Management Of Disease In Pregnancymentioning

confidence: 99%

COVID‐19‐related disease severity in pregnancy

Thompson

Nguyen

Noble

et al. 2020

American J Rep Immunol

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“…If general anesthesia is required during cesarean section, intubation is an infectious respiratory aerosol-generating procedure, which significantly increases the risk of medical personnel infection during surgery. However, there is no evidence indicating that aerosol particles would be generated by the inhalation of a mixture of nitrous oxide and oxygen (Entonox) [51].…”

Section: Methodsmentioning

confidence: 99%

COVID-19 during pregnancy, delivery and postpartum period based on EBM

2020

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The pandemic caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has become the reason of the global health crisis. Since the first case of diagnosed COVID-19 pneumonia was reported in Wuhan, Hubei Province, China, in December 2019, the infection has spread rapidly to all over the world. The knowledge gained from previous human coronavirus infection outbreaks suggests that pregnant women and their foetuses represent a high-risk population during infectious disease epidemics. Moreover, a pregnancy, due to the physiological changes involving immune and cardiopulmonary systems, is a state predisposing women to respiratory complications of viral infection. The constantly increasing number of publications regarding the course of COVID-19 infection in pregnant women has been published, however, the available data remains limited and many questions remain unanswered. The aim of this review was to summarize the literature data and adjusted to current recommendations regarding pregnancy care, delivery and postpartum period. An extremely important issue is the need to register all the cases of COVID-19 affected women and the course of these pregnancies to local, regional, or international registries, which will be helpful to answer many clinical and scientific questions and to create guidelines ensuring an adequate level of care for women affected by COVID-19 infection during pregnancy, delivery and during postpartum period, as well as their newborns.

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“…Anesthesia service was consulted in the event an epidural was needed, and neonatology service was alerted for newborn isolation after delivery. [ 18 ]…”

Section: Obstetric Emergency and Labor And Delivery Unitsmentioning

confidence: 99%

“…Elective CS cases were evaluated by the patient's consultant to determine the urgency of the procedure and the safety of delaying the procedure until the infection cleared to minimize risk of infection transmission to other patients, HCW, and the newborn. [ 18 19 ]…”

Section: Obstetric Emergency and Labor And Delivery Unitsmentioning

confidence: 99%

Framework for obstetrics and gynecology department change management in response to COVID-19 pandemic

Madkhali¹,

Ghamdi²,

Al-Sum³

et al. 2021

Annals of Thoracic Medicine

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Coronavirus (cov) disease 2019 pandemic caused by severe acute respiratory syndrome cov 2 has imposed significant demands on healthcare systems across the world. These demands were more significant on obstetrics and gynecology (obgyn) patients, who required services that had to continue despite the closure of other services. This paper describes the change management of an obgyn department at a tertiary health-care center. That experience resulted in a complete management shift in the institution and the formation of an infectious disease epidemic plan for respiratory infections. Description of the change management performed, difficulties encountered, and achievements obtained can assist other departments change management when they face similar situations.

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Anaesthesia and intensive care in obstetrics during the COVID-19 pandemic

Cited by 37 publications

References 29 publications

COVID‐19‐related disease severity in pregnancy

COVID‐19‐related disease severity in pregnancy

COVID-19 during pregnancy, delivery and postpartum period based on EBM

Framework for obstetrics and gynecology department change management in response to COVID-19 pandemic

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