新型冠状病毒患者的麻醉管理和围手术期感染控制

Ehab Abd-alazeem, Marwa Abouseeda, Mahmoud Elsayed
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摘要

背景:COVID-19 新型冠状病毒 SARS-CoV-2 大流行不仅深刻改变了全世界的外科治疗,也给全球医疗保健系统带来了前所未有的困难。由于病毒传播的可能性增加,围手术期麻醉和感染控制的处理方式发生了重大变化。由于病毒的高度传染性及其潜在的破坏性临床影响,已经实施了严格的程序来保证病人和医护人员的安全。研究目的本研究的目的是让麻醉护理人员了解冠状病毒患者的麻醉管理和围术期感染控制的基础知识、临床方面和最新进展,以降低相关发病率,避免围术期不良事件的发生。结论:COVID-19 已痊愈的患者可在获得 SARS-CoV-2 阴性结果后 0-2 周内进行择期手术。随着越来越多的 COVID-19 幸存者成为手术候选者,在接收他们之前进行彻底的术前检查和风险评估已成为当务之急。由于缺乏有关这些患者接受择期手术后效果的有力科学数据,因此,将出色的临床技能和一系列诊断研究结合起来,可以让我们对每位患者进行评估。
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Anesthesia Management and Perioperative Infection Control in Patients with the Novel Coronavirus
Background: The COVID-19 The new coronavirus SARS-CoV-2 pandemic has not only profoundly altered surgical treatment across the world, but it has also presented unprecedented difficulties to global healthcare systems. There has been a significant change in how anaesthesia and infection control are handled in perioperative settings due to the increased potential of viral transmission. Strict procedures have been implemented to guarantee the safety of patients and healthcare personnel due to the highly infectious nature of the virus and its potentially devastating clinical effects.. Objective: The goal of this study was to provide the anesthesia care provider with an understanding of the basics, clinical aspects and recent advances of anesthesia management and perioperative infection control in coronavirus patients in order to diminish related morbidity and to avoid adverse perioperative event. Conclusions: The Patients who have healed with COVID-19 may be posted for elective procedures within 0-2 weeks after receiving negative results for SARS-CoV-2. As more and more COVID-19 survivors become surgical candidates, it becomes imperative to do a thorough preoperative examination and risk assessment before admitting them. In the lack of strong scientific data on outcomes for these individuals following elective procedures, integrating excellent clinical skills and a range of diagnostic studies may allow us to evaluate each patient.
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