COVID-19后患者需要头颈部手术的麻醉和手术注意事项。

IF 4.3 Q1 Medicine Biology of Blood and Marrow Transplantation Pub Date : 2023-12-01 Epub Date: 2023-07-11 DOI:10.1007/s12070-023-04040-5
Kritant Bhushan, Priya Jeyaraj, Rajnish Sahu, Mansi Luthra Sharma
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引用次数: 0

摘要

随着COVID-19病例的减少,从这种可怕的疾病中恢复过来的患者正在报告进行选择性或紧急手术。由于与感染及其破坏性后遗症相关的发病率和死亡率,covid -19康复患者的手术计划需要特别考虑。在这些患者的围手术期管理中,关于指导方针和方案的文献明显缺乏。在过去两年“COVID-19时代”积累的经验的帮助下,我们能够在COVID-19康复患者的围手术期管理中建立重要的建议、指南和有用的方案。这些方案包括重要的麻醉和手术方面的考虑,既实用又可实施,也符合政府制定的建议。虽然SARS-CoV-2感染主要影响肺部和心脏系统,但它有可能以不稳定和不可预测的方式严重影响多个器官和各种其他身体系统。所有这些因素都可能产生重大影响,使covid -19后患者的围手术期管理变得困难和具有挑战性。鉴于这种感染对人体的影响深远而持久,本文提出的方案和建议可为临床医生有效管理手术患者提供有价值的指导,有助于减少COVID-19感染引起的围手术期并发症。
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Anaesthetic and Surgical Considerations in Post COVID-19 Patients Requiring Head and Neck Surgery.

As the cases of COVID-19 have declined, the number of patients who have recovered from the dreaded disease is reporting for elective or emergency surgeries. Surgical planning in patients who have recovered from COVD-19 requires special considerations because of the morbidity and mortality associated with the infection and its devastating after-effects. There is a distinct paucity of literature on guidelines and protocols to follow in the perioperative management of these patients. With the help of experience gained over the past 2 years of the 'COVID-19 era', we have been able to establish important recommendations, guidelines and useful protocols during perioperative management of COVID-recovered patients. These protocols include important anesthetic and surgical considerations, which are both practical as well as implementable and are also in cognizance with government-laid down advisories. Although SARS-CoV-2 infection primarily affects the pulmonary and cardiac systems, it has the potential for serious and severely affect multiple organs and various other body systems in erratic and unpredictable manner. All of these factors can have significant implications that make the perioperative management of post-COVID-19 patients, difficult and challenging. Considering the far-reaching and long-lasting effects of this infection on the human body, the protocols and recommendations presented in this article can serve as a valuable guide for clinicians to effectively manage the surgical patient and help reduce perioperative complications attributable to COVID-19 infection.

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来源期刊
CiteScore
6.60
自引率
0.00%
发文量
1061
审稿时长
3-6 weeks
期刊介绍: Biology of Blood and Marrow Transplantation publishes original research reports, reviews, editorials, commentaries, letters to the editor, and hypotheses and is the official publication of the American Society for Transplantation and Cellular Therapy. The journal focuses on current technology and knowledge in the interdisciplinary field of hematopoetic stem cell transplantation.
期刊最新文献
Anaesthetic and Surgical Considerations in Post COVID-19 Patients Requiring Head and Neck Surgery. Membrane-bound D-mannose isomerase of acetic acid bacteria: finding, characterization, and application. Human-induced pluripotent stem cells-derived retinal pigmented epithelium, a new horizon for cells-based therapies for age-related macular degeneration. Table of Contents Editorial Board
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