Anesthesia Management and Perioperative Infection Control in Patients With the Novel Coronavirus

J Cardiothorac Vasc Anesth. 2021 May;35(5):1503-1508. doi: 10.1053/j.jvca.2020.03.035. Epub 2020 Mar 29.

Abstract

Anesthesiologists have a high risk of infection with COVID-19 during perioperative care and as first responders to airway emergencies. The potential of becoming infected can be reduced by a systematic and integrated approach that assesses infection risk. The latter leads to an acceptable choice of materials and techniques for personal protection and prevention of cross-contamination to other patients and staff. The authors have presented a protocolized approach that uses diagnostic criteria to clearly define benchmarks from the medical history along with clinical symptoms and laboratory tests. Patients can then be rapidly assigned into 1 of 3 risk categories that direct the choice of protective materials and/or techniques. Each hospital can adapt this approach to develop a system that fits its individual resources. Educating medical staff about the proper use of high-risk areas for containment serves to protect staff and patients.

Keywords: COVID-19; anesthesia; infection; safety.

Publication types

  • Review

MeSH terms

  • Anesthesia*
  • Anesthesiologists
  • COVID-19*
  • Humans
  • Infection Control*
  • SARS-CoV-2