Chinese Society of Anesthesiology Expert Consensus on Anesthetic Management of Cardiac Surgical Patients With Suspected or Confirmed Coronavirus Disease 2019

Yi He; Jinfeng Wei; Jinjun Bian; Kefang Guo; Jiakai Lu; Wei Mei; Jun Ma; Zhongyuan Xia; Meiying Xu; Fuxia Yan; Chunhua Yu; E Wang; Weijian Wang; Ni Zeng; Sheng Wang; Junmei Xu; Yuguang Huang; Jiapeng Huang

doi:10.1053/j.jvca.2020.03.026

Chinese Society of Anesthesiology Expert Consensus on Anesthetic Management of Cardiac Surgical Patients With Suspected or Confirmed Coronavirus Disease 2019

J Cardiothorac Vasc Anesth. 2020 Jun;34(6):1397-1401. doi: 10.1053/j.jvca.2020.03.026. Epub 2020 Mar 30.

Authors

Yi He¹, Jinfeng Wei¹, Jinjun Bian², Kefang Guo³, Jiakai Lu⁴, Wei Mei⁵, Jun Ma⁴, Zhongyuan Xia⁶, Meiying Xu⁷, Fuxia Yan⁸, Chunhua Yu⁹, E Wang¹⁰, Weijian Wang¹¹, Ni Zeng¹², Sheng Wang¹³, Junmei Xu¹², Yuguang Huang⁹, Jiapeng Huang¹⁴

Affiliations

¹ Department of Anesthesiology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, Guangdong Province, China.
² Department of Anesthesiology, Changhai Hospital, Naval Medical University, Shanghai, China.
³ Department of Anesthesiology, Zhongshan Hospital, Fudan University, Shanghai, China.
⁴ Department of Anesthesiology, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart, Lung, and Blood Vessel Diseases, Beijing, China.
⁵ Department of Anesthesiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China.
⁶ Department of Anesthesiology, Renmin Hospital of Wuhan University, Wuhan, Hubei Province, China.
⁷ Department of Anesthesiology, Shanghai Chest Hospital of Shanghai Jiaotong University, Shanghai, China.
⁸ Department of Anesthesiology, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
⁹ Department of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China.
¹⁰ Department of Cardiovascular Surgery, Xiangya Hospital, Central South University, Changsha, Hunan, China.
¹¹ Department of Anesthesiology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang Province, China.
¹² Department of Anesthesiology, Second Xiangya Hospital, Central South University, Changsha, Hunan Province, China.
¹³ Department of Anesthesiology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, Guangdong Province, China; Department of Anesthesiology, Linzhi People's Hospital, Linzhi, Tibet, China. Electronic address: shengwang_gz@163.com.
¹⁴ Department of Anesthesiology and Perioperative Medicine, University of Louisville, Louisville, KY.

Abstract

The outbreak of a new coronavirus (severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2]) in China in December 2019 has brought serious challenges to disease prevention and public health. Patients with severe coronavirus disease 2019 (COVID-19) who undergo cardiovascular surgery necessitate extremely high demands from anesthesia personnel, and face high risks of mortality and morbidity. Based on the current understanding of COVID-19 and the clinical characteristics of cardiovascular surgical patients, the authors provide anesthesia management guidelines for cardiovascular surgery along with the prevention and control of COVID-19.

Keywords: Anesthesia management; COVID-19; Cardiovascular surgery; SARS-CoV-2.

MeSH terms

Anesthesiology / methods
Anesthetics / therapeutic use*
COVID-19
Cardiovascular Diseases / surgery
Cardiovascular Diseases / virology
Cardiovascular Surgical Procedures
Cardiovascular System / virology
China / epidemiology
Consensus*
Coronavirus Infections / drug therapy*
Coronavirus Infections / epidemiology
Disease Outbreaks
Humans
Pandemics
Pneumonia, Viral / drug therapy*
Pneumonia, Viral / epidemiology
Practice Guidelines as Topic
Renin-Angiotensin System / physiology

Substances

Anesthetics