Anaesthesia and intensive care medicine in the COVID-19 pandemic

Wong, Jolin; Ng, Shin Yi; Goh, Meng Huat; Tan, Keng Leong; Chai, Hui Zhong; Goh, Ken Junyang; Soh, Chai Rick

doi:10.11622/smedj.2020094

Cited by 3 publications

(3 citation statements)

References 24 publications

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“…During this ongoing COVID-19 pandemic, preparation of anesthesia and surgery includes the screening of all patients and determining their COVID19 status [3]. However, this may not be possible in emergent surgeries.…”

Section: Discussionmentioning

confidence: 99%

Supraclavicular Block: Challenging but Safer Option in Obese Patient During Covid-19 Pandemic

Garg¹

2020

J Clin Anesthes Res

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Introduction: Brachial plexus block is a boon for an anesthesiologist in difficult airway especially in the COVID-19 pandemic. The provision of regional anesthesia in this pandemic reduces the need for general anesthesia and the associated risk from aerosol-generating procedures. Case Report: A 35-year-old male weighing 130 kg with BMI 39.8 post-bariatric surgery 3 years back presented to casualty with the alleged roadside accident with fracture right midshaft humerus, right radius ulna, multiple facial injuries and suspected C3-C4 fracture. An USG guided supraclavicular block was given using 20 ml 2% lignocaine with adrenaline and 20 ml 0.75% ropivacaine. The patient shifted to COVID-19 post-anesthesia care unit for further management. Discussion: During the COVID-19 pandemic, regional anesthesia though challenging but considered the first choice and safer mode of anesthesia in COVID19 suspected patients with a difficult airway. The advent of USG has made supraclavicular nerve block safe for obese patients and reduce the risk of local anesthetic systemic toxicity. Conclusion: Supraclavicular brachial plexus block provides consistently effective anesthesia to the upper extremity. Also, recent advances in techniques of regional anesthesia have dropped the failure rates of the procedure.

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Section: Discussionmentioning

confidence: 99%

Supraclavicular Block: Challenging but Safer Option in Obese Patient During Covid-19 Pandemic

Garg¹

2020

J Clin Anesthes Res

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“…For instance, absence of taps and drainage may preclude the use of intermittent haemodialysis. Intensive care physicians may have to triage patients carefully and assign an appropriate intensive care unit according to the level of organ support that can be safely delivered [4].…”

Section: Dear Editormentioning

confidence: 99%

Rapid establishment of an ICU using anesthesia ventilators during COVID-19 pandemic: lessons learned

Chang

Bittner

2020

Crit Care

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“…The burden placed on healthcare systems and medical professionals worldwide has also been immense. [ 2 3 4 ]…”

Section: Introductionmentioning

confidence: 99%

A review of COVID-19-related thrombosis and anticoagulation strategies specific to the Asian population

Poh

Tay

Lin

et al. 2020

Singapore Medical Journal

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The coronavirus disease 2019 (COVID-19) pandemic has placed an immense burden on healthcare systems worldwide. There is intensive research targeted at better understanding of the virus pathogenicity, development of effective treatment strategies and vaccines against COVID-19. It is increasingly being recognised that the pathogenicity of COVID-19 extends beyond the respiratory system. In severe cases, there can be widespread activation of the immune system, vascular injury and a resultant pro-thrombotic state. Severe COVID-19 is widely regarded as a risk factor for venous thromboembolism. Interim European and American guidelines have been created to guide anticoagulation strategies in COVID-19 patients. However, it is unclear if these guidelines can be extrapolated directly to Asians, in whom there are differences in the baseline risk of thrombosis and bleeding. Our review article aimed to summarise the current understanding of arteriovenous thromboembolic complications in COVID-19 and discuss management strategies for prevention and treatment of thrombotic events in Asian COVID-19 patients.

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Anaesthesia and intensive care medicine in the COVID-19 pandemic

Cited by 3 publications

References 24 publications

Supraclavicular Block: Challenging but Safer Option in Obese Patient During Covid-19 Pandemic

Supraclavicular Block: Challenging but Safer Option in Obese Patient During Covid-19 Pandemic

Rapid establishment of an ICU using anesthesia ventilators during COVID-19 pandemic: lessons learned

A review of COVID-19-related thrombosis and anticoagulation strategies specific to the Asian population

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