老年COVID-19患者麻醉管理和感染控制建议

Q4 Medicine 中华麻醉学杂志 Pub Date : 2020-03-05 DOI:10.3760/CMA.J.ISSN.0254-1416.2020.00.101

Tianlong Wang, Yuguang Huang, Xiangdong Chen, A. Luo, Z. Xia, Zongze Zhang, Dongxin Wang, W. Ouyang, Min Yan, W. Mei, Min Li, Qian Li, Wei Xiao, Xiaoming Deng, Lize Xiong

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摘要

在2019冠状病毒病(COVID-19)流行期间，老年人群的感染将给临床诊疗、结局和管理带来巨大挑战，结合麻醉的特点和COVID-19的病理生理特点对老年患者肺功能损害的影响，中国麻醉学会制定了《老年COVID-19患者麻醉管理和感染控制建议″》，该建议阐述了术前访诊和感染控制、麻醉管理方案、麻醉监测、麻醉诱导/气管插管、麻醉维持和感染控制、术中肺保护策略、抗应激和抗炎管理、血流动力学优化、为老年患者在新冠肺炎疫情防控过程中安全有效地实施麻醉管理提供参考©2020中华医学会

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Recommendations for anesthesia management and infection control in elderly patients with COVID-19

During the epidemic of coronavirus disease 2019 (COVID-19), the infection of the elderly population will bring great challenges to clinical diagnosis and treatment, outcome and management Combined with the characteristics of anesthesia and the pathophysiological characteristics of COVID-19 on lung function impairment in elderly patients, Chinese Society of Anesthesiology formulated the " Recommendations for anesthesia management and infection control in elderly patients with COVID-19″ This recommendation expounds preoperative visit and infection control, anesthesia management protocol, anesthesia monitoring, anesthesia induction/endotracheal intubation, anesthesia maintenance and infection control, intraoperative lung protection strategy, anti-stress and anti-inflammatory management, hemodynamic optimization, infection control during emergence from anesthesia, and postoperative analgesia in elderly patients with COVID-19, and provides the reference for the safe and effective implementation of anesthesia management in elderly patients during the prevention and control of COVID-19 epidemic © 2020 Chinese Medical Association

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