Regional anesthesia during the COVID-19 pandemic: a time to reconsider practices? (Letter #2)

Aliste, Julián; Altermatt, Fernando; Atton, Rous; Bravo, Daneila; Layera, Sebastián; Miranda, Pablo; Pesce, Ítalo

doi:10.1007/s12630-020-01682-9

Cited by 5 publications

(2 citation statements)

References 7 publications

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“…60 Patients should wear surgical face masks to prevent transmission of COVID-19 and virus spread. 61 Nerve blocks should be performed with US guidance to reduce the risk of local anesthetic systemic toxicity. 62 Since the US machine has numerous surfaces that can serve as viral droplet reservoirs, protecting it with a single-use plastic transparent cover can help to prevent its contamination.…”

Section: Airway Managementmentioning

confidence: 99%

The Cutting Edge of Thoracic Anesthesia During the Coronavirus Disease 2019 (COVID-19) Outbreak

Fiorelli

Menna

Piccioni

et al. 2020

Journal of Cardiothoracic and Vascular Anesthesia

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Coronavirus disease 2019 (COVID-19) has quickly spread globally, causing a real pandemic. In this critical scenario, lung cancer patients scheduled for surgical treatment need to continue to receive optimal care while protecting them from an eventual severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Adequate use of personal protective equipment (PPE) during aerosol-generating procedures (AGPs) and a COVID-19 specific intraoperative management are paramount in order to prevent cross infections. New suggestions or improvement of existing contagion control guidance are needed, even in case of non-symptomatic patients, possibly responsible for virus spread.

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Section: Airway Managementmentioning

confidence: 99%

The Cutting Edge of Thoracic Anesthesia During the Coronavirus Disease 2019 (COVID-19) Outbreak

Fiorelli

Menna

Piccioni

et al. 2020

Journal of Cardiothoracic and Vascular Anesthesia

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“…During the ongoing COVID-19 pandemic, performing emergency or elective surgeries carries the potential risk of infection transmission to the patients, surgeons as well as the Operating Room (OR) staff. Several surgeries are being performed under local or regional anaesthesia without closed respiratory circuits (Aliste et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Protection of health care workers from exhaled air of patients operated under local, regional, spinal or epidural anaesthesia during COVID 19 pandemic

Atodaria

Singh

Prajapati³

et al. 2020

Preprint

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The SARS-CoV-2 (COVID-19) pandemic mandates the use of N-95/FFP-2 masks for healthcare workers, especially in operation room (OR) for surgical or aerosol producing pro-cedures. During pandemic, surgical interventions such as limb trauma, limb amputations, and limb malignancies continued to flow into the hospitals and are normally performed un-der local, regional or spinal anaesthesia. N-95/FFP-2 masks normally do not prevent escape of exhaled air to surrounding and to avoid the escape of exhaled unfiltered air, sealing masks by taping its edges to face possibly serves the purpose, but causes significant discomfort to patients. HEPA filters, high vacuum suction apparatus, and negative pressure operating-room may protect partially against the-risk of infection if patients exhaled air is infected. In order to reduce risk of transmission from patients exhaled air to the healthcare workers, a technique has been designed to divert the patients exhaled air to outside the-OR using a suction machine. This technique is easy, simple and cost-effective and trial has been per-formed with four-volunteers to see feasibility to breathe through N-95 mask sealed by stick-ing its edges to face using tape. The trial reflected reduction in SpO2, causing increased res-piratory-rate, tachycardia and hypertension, in-addition an un-acclimatized volunteers had difficulty in breathing through sealed N-95 masks, which was relieved by supplying oxygen to them. Attaching suction system to remove the-exhaled air aids to comfort levels. Treating exhaled-air with sodium-hypochlorite and diverting it externally to an open-space outside the-OR added to safety for the patients, surgical team and the hospital surroundings.

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In reply: Regional anesthesia during the COVID-19 pandemic: a time to reconsider practices? (Letters #1 and #2)

Lie

Wong

et al. 2020

Can J Anesth/J Can Anesth

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Regional anesthesia during the COVID-19 pandemic: a time to reconsider practices? (Letter #2)

Cited by 5 publications

References 7 publications

The Cutting Edge of Thoracic Anesthesia During the Coronavirus Disease 2019 (COVID-19) Outbreak

The Cutting Edge of Thoracic Anesthesia During the Coronavirus Disease 2019 (COVID-19) Outbreak

Protection of health care workers from exhaled air of patients operated under local, regional, spinal or epidural anaesthesia during COVID 19 pandemic

In reply: Regional anesthesia during the COVID-19 pandemic: a time to reconsider practices? (Letters #1 and #2)

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