Second Update for Anaesthetists on Clinical Features of COVID-19 Patients and Relevant Management

Abstract

The COVID-19 pandemic poses great challenges for healthcare workers around the world, including perioperative specialists. Previously, we provided a first overview of available literature on SARS-CoV-2 and COVID-19, relevant for anaesthetists and intensivists. In the current review, we provide an update of this topic, after a literature search current through May 2020. We discuss the evidence on perioperative risk for COVID-19 patients presenting for surgery, the risk of transmission of SARS-CoV-2 in the operating room, and the current literature on laboratory diagnostics. Furthermore, cardiovascular and nervous system involvement in COVID-19 are discussed, as well as considerations in diabetic patients. Lastly, the latest evidence on pharmacological treatment is summarised.

Utilizing IoT to design a relief supply chain network for the SARS-COV-2 pandemic

“…SARS-COV-2 usually has three periods including latent, mild, and severe symptoms on a confirmed case ( [72] , [1] ). Generally, the initial symptoms appear after 2–14 days ( [73] , [74] , [75] , [76] , [77] ). Therefore, identification of patients after the initial symptoms can significantly control the spread of virus.…”

“…According to the WHO, the most common symptoms of SARS-COV-2 are fever, dry cough, and tiredness. Other symptoms that are less common and may affect some patients include aches and pains, nasal congestion, headache, conjunctivitis, sore throat, diarrhea, loss of taste or smell, or a rash on skin or discoloration of fingers or toes ( [79] , [80] , [74] , [81] , [75] , [76] , [77] ). On the other hand, the real-time rapid test for SARS-COV-2 takes about 2-3 h ( [78] ).…”