New indication for an old anesthetic technique: could we consider now rapid sequence spinal anesthesia in a COVID-19 time?

Varandas, Joana; Dias, Rita; Mendes, Â.B.; Lages, Neusa; Machado, Humberto S

doi:10.1136/rapm-2020-101572

Cited by 9 publications

(6 citation statements)

References 2 publications

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“…25 COVID-19 hastalarında havayolu aspirasyonu, endotrakeal entübasyon ve ekstübasyon gibi prosedürler aerosol saçılmasına neden olduğu için genel anestezi tercih edilmemektedir. 26 Rejyonel anestezi, erken fonksiyonel iyileşme, postoperatif erken dönemde ağrı kontrolü ve opioid gereksiniminin azalmasını sağlamaktadır. 27 Guay ve ark., 31 adet randomize kontrollü çalışmayı inceleyerek yaptıkları metaanalizde, bölgesel femoral sinir ve fasiya iliyaka blokajı yapılan kalça kırığı hastalarında blok yapıldıktan sonraki 30 dk içinde hareket sırasında ağrının, ilk mobilizasyona kadar geçen sürenin, analjezik tedavi maliyetinin ve pnömoni riskinin azaldığını göstermişlerdir.…”

Section: Discussionunclassified

Effect of COVID-19 Infection on Postoperative Early-Period Pain in Patients with Geriatric Hip Fracture: Retrospective Cohort Study

ERKOÇ¹,

GEZER²,

Baytaş³

et al. 2022

Turkiye Klinikleri J Anest Reanim

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Section: Discussionunclassified

Effect of COVID-19 Infection on Postoperative Early-Period Pain in Patients with Geriatric Hip Fracture: Retrospective Cohort Study

ERKOÇ¹,

GEZER²,

Baytaş³

et al. 2022

Turkiye Klinikleri J Anest Reanim

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“…In addition to limited time to assess the airways of pregnant mothers decided for emergent cesarean section with corona virus confirmed, there is risk of disease transmission to do so. As it has been mentioned about higher rates of difficult airway during general anesthesia for cesarean section, the corona virus transmission is very high during any aerosol procedure and the rapid sequence spinal anesthesia is becoming new and novel approach for those patients indicated for cesarean section with category1 indication [ 30 ]∗∗. This disease is associated with wide ranges of respiratory compromization which could potentially be affected or aggravated by the drugs during general anesthesia and it is recommended to proceed with rapid sequence spinal anesthesia to prevent the mentioned problems [ 31 ]∗.…”

Section: Discussionmentioning

confidence: 99%

Review of evidences for management of rapid sequence spinal anesthesia for category one cesarean section, in resource limiting setting

Agegnehu

Gebregzi

Endalew

2020

International Journal of Surgery Open

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Background Globally obstetric anesthesia is being done under spinal and epidural than general anesthesia (GA) for most caesarean sections (CSs). This is because GA is associated with failed endotracheal intubation and aspiration of gastric contents. Eventhough general anesthesia is the fastest method for anesthetizing a category 1 cesarean section, it is associated with increased maternal mortality and morbidity. Spinal anesthesia is the preferred regional technique for cesarean section but failure sometimes occurs. To minimize the time factor of spinal anesthesia as well as to avoid the side effects of general anesthesia ‘rapid sequence spinal ‘(RSS) has developed as a novel approach in cases of category one cesarean sections. Methods The study was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol. Search engines like PubMed through HINARI, Cochrane database and Google Scholars were used to find high-level evidences that help to draw appropriate conclusions. Discussion Neuraxial anesthetic techniques have several advantages which include low risk of aspiration and failed intubation, avoidance of central nervous system (CNS) and respiratory depressant drugs, the ability to maintain a wakeful state of mother enjoying the experience of delivery of baby and also lower incidence of blood loss. ‘Rapid sequence spinal’ described to minimize anesthetic time. This consists of a no-touch spinal technique, consideration of omission of the spinal opioid, limiting spinal attempts, allowing the start of surgery before full establishment of the spinal block, and being prepared for conversion to general anesthesia if there are delays or problems. To do rapid sequence spinal anesthesia safely and timely, cooperative work is mandatory with good team relation for those simultaneous and necessary tasks. Conclusion The choice of anesthetic in Cesarean section has long been recognized as one of prime importance, because there are two lives to safeguard instead of one. A balance must be struck between the anesthetic dictated by the general condition of the mother and that suited to the needs of the fetal respiratory system.

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“…No entanto, seu tempo médio de preparação e execução são relativamente maiores quando comparados com a AG, podendo implicar na necessidade do uso desta última em casos de emergência. Ademais a AG pode ser indicada nas pacientes que apresentam criticidade nas condições respiratórias, devido ao risco de desestabilização respiratória nos casos de falha na AR perimedular e sofrimento fetal agudo (Ung & Bonnet, 2020;Varandas et al, 2021). Batistaki et al (2020) relataram o primeiro caso na Grécia do manuseio anestésico de uma paciente de 24 anos positivada para coronavírus, agendada para cesariana eletiva na quadragésima semana gestacional.…”

Section: Ginecologia Obstetrícia E Neonatosunclassified

Anestesia regional como alternativa para procedimentos médicos na pandemia da COVID-19

Segundo

Pavanello

Paiva

2021

RSD

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A pandemia de coronavírus (SARS-CoV-2) impactou significativamente os sistemas de saúde e desafiou a equipe multidisciplinar, sendo considerado um problema de saúde pública global. Diversas estratégias foram sugeridas visando a segurança e minimizar a exposição dos profissionais de saúde e pacientes hospitalizados ao vírus, sendo uma destas evitar procedimentos geradores de aerossóis durante os procedimentos cirúrgicos, como o manejo das vias aéreas. Diante disto, a anestesias regional e local tornaram-se como uma alternativa viável, eficaz e segura a anestesia geral, desempenhando um papel importante durante o surto da COVID-19, quando aplicável. Dentre as vantagens pode-se citar a não geração de aerossóis, analgesia pós-operatória, redução de náuseas e vômitos e também, de complicações cardiorrespiratórias. Este estudo objetiva investigar a aplicação da anestesia regional nas diversas especialidades médicas durante a pandemia de coronavírus avaliando os resultados do emprego desta. Foi realizada uma busca nas bases de dados Pubmed, Web of Science (todas as bases de dados), Scopus, Embase e Cochrane Library utilizando os termos de busca “SARS-CoV-2”, “COVID-19”, “Anesthesia, Local” e “Anesthetics, Local” onde 49 referências foram incluídas. Os estudos demonstram bons resultatos nas técnicas empregadas e possibilitam uma alternativa de tratamento em diversos campos cirúrgicos de maneira segura. Dessa forma a anestesias regional e local são adequadas e viáveis para procedimentos médicos cirúrgicos e constituem uma boa alternativa a anestesia geral podendo ser aplicadas em diferentes especialidades cirúrgicas.

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New indication for an old anesthetic technique: could we consider now rapid sequence spinal anesthesia in a COVID-19 time?

Cited by 9 publications

References 2 publications

Effect of COVID-19 Infection on Postoperative Early-Period Pain in Patients with Geriatric Hip Fracture: Retrospective Cohort Study

Effect of COVID-19 Infection on Postoperative Early-Period Pain in Patients with Geriatric Hip Fracture: Retrospective Cohort Study

Review of evidences for management of rapid sequence spinal anesthesia for category one cesarean section, in resource limiting setting

Anestesia regional como alternativa para procedimentos médicos na pandemia da COVID-19

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