Yeni koronavirüs COVID-19 ile enfekte gebelerin sezaryenle doğumunda anestezi yönetimi ve korunma

Öz

Hastanemizde COVID-19 ile enfekte 4 gebenin sezaryenle doğumu için yapılan anestezi yönetimi ve korunmaya ilişkin bilgilerin sunulması amaçlandı. Perinatoloji-Anesteziyoloji-Neonataloji ekibi önceden haberleşerek anestezi, ameliyathane ve kişisel korunma hazırlığı yapıldı. Gebelerin yazılı onamların alınmasını takiben; tek doz spinal anestezi uygulandı. Neonatal enfeksiyona, postoperatif maternal komplikasyona ve sağlık ekibi bulaşına rastlanmadı. SARS-CoV-2 ile enfekte gebelerin sezaryenle doğumları dikkatli planlama ve ayrıntılı hazırlık yapıldığında hem hasta hem de sağlık personelinin enfeksiyon riski önlenebilir.

Anahtar Kelimeler

• COVID-19
• koronavirüs
• spinal anestezi
• SARS-CoV-2

Anesthesia management and prevention in with the novel coronavirus COVID-19

Abstract

We aimed to present the anesthesia management and information related to protection for 4 pregnant women infected with COVID-19 underwent cesarean delivery in our hospital. Perinatology-Anesthesiology-Neonatology team communicated in advance and preparations were made for anesthesia, operating room and personal protection. After obtaining informed consent from parturients, single shot spinal anesthesia was performed. There was no neonatal infection, postoperative maternal complication, or medical staff transmission. The deliveries of pregnant women infected with SARS-CoV-2 are carefully planned and elaborated, the risk of infection of both patients and healthcare personnel can be prevente

Keywords

• COVID-19
• SARS CoV-2
• coronavirus
• spinal anesthesia

Kaynakça

1. 1. COVIDSurg Collaborative. Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study. Lancet 2020; 396: 27–38.
2. 2. COVIDSurg Collaborative GlobalSurg CollaborativeTiming of surgery following SARS‐CoV‐2 infection: an international prospective cohort study: Anaesthesia. https://doi.org/10.1111/anae.15458
3. 3. Dabrowska D, Lock GJ. Staying ahead of the curve: modified approach to emergency caesarean section under general anaesthesia in COVID-19 pandemic. Turk J Anesthesiol Reanim 2020; 48: 174-79.
4. 4. Alyamani O, Abushoshah I, Tawfeeq NA, Al Dammas F, Algurashi FA. Considerations and recommendations for obstetric anesthesia care during COVID-19 pandemic - Saudi Anesthesia Society Guidelines. Saudi J Anesth 2020; 14: 359-364
5. 5. Ganesh V, Bhatia R, Trikha A. COVID-19 : Considerations for obstetric anesthesia and analgesia. J Obstet Anesth Crit Care 2020; 10: 69-74.
6. 6. Jecko Thachil NT, Gando S, Falanga A, Cattaneo M, Levi M, Clark C, Iba T. ISTH interim guidance on recognition and management of coagulopathy in COVID-19. J Thromb Haemost. 2020; 18: 1023-1026.
7. 7. Ismail S, Aman A. Safe anesthesia and analgesia for obstetric patients in COVID 19 pandemic. J Obstet Anesth Crit Care 2020; 10: 65-8.