[Anesthesia management in cesarean section for a patient with coronavirus disease 2019].
Identifieur interne : 000125 ( Main/Exploration ); précédent : 000124; suivant : 000126[Anesthesia management in cesarean section for a patient with coronavirus disease 2019].
Auteurs : Xianhui Kang [République populaire de Chine] ; Rong Zhang [République populaire de Chine] ; Huiliang He [République populaire de Chine] ; Yongxing Yao [République populaire de Chine] ; Yueying Zheng [République populaire de Chine] ; Xiaohong Wen [République populaire de Chine] ; Shengmei Zhu [République populaire de Chine]Source :
- Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences [ 1008-9292 ] ; 2020.
Abstract
Since the corona virus disease 2019 (COVID-19) affects the cardio-pulmonary function of pregnant women, the anesthetic management in the cesarean section for the patients, as well as the protection for medical staff is significantly different from that in ordinary surgical operation. This paper reports a pregnant woman with COVID-19, for whom a cesarean section was successfully performed in our hospital on February 8, 2020. Anesthetic management, protection of medical staff and psychological intervention for the patients during the operation are discussed. Importance should be attached to the preoperative evaluation of pregnant women with COVID-19 and the implementation of anesthesia plan. For ordinary COVID-19 patients intraspinal anesthesia is preferred in cesarean section, and the influence on respiration and circulation in both maternal and infant should be reduced; while for severe or critically ill patients general anesthesia with endotracheal intubation should be adopted. The safety of medical environment should be ensured, and level-Ⅲ standard protection should be taken for anesthetists. Special attention and support should be given to maternal psychology. It is important to give full explanation before operation to reduce anxiety; to relieve the discomfort during operation to reduce tension; to avoid the bad mood of patients due to pain after operation.
PubMed: 32207592
Affiliations:
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type="province">Zhejiang</region></placeName></affiliation></author><author><name sortKey="Zhang, Rong" sort="Zhang, Rong" uniqKey="Zhang R" first="Rong" last="Zhang">Rong Zhang</name><affiliation wicri:level="1"><nlm:affiliation>Department of Anesthesiology, the First Affiliated Hospital, College of Medicine, Zhejiang University School of Medicine, Hangzhou 310003, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Anesthesiology, the First Affiliated Hospital, College of Medicine, Zhejiang University School of Medicine, Hangzhou 310003</wicri:regionArea><placeName><settlement type="city">Hangzhou</settlement><region type="province">Zhejiang</region></placeName></affiliation></author><author><name sortKey="He, Huiliang" sort="He, Huiliang" uniqKey="He H" first="Huiliang" last="He">Huiliang He</name><affiliation wicri:level="1"><nlm:affiliation>Department of Anesthesiology, the First Affiliated Hospital, College of Medicine, Zhejiang University School of Medicine, Hangzhou 310003, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Anesthesiology, the First Affiliated Hospital, College of Medicine, Zhejiang University School of Medicine, Hangzhou 310003</wicri:regionArea><placeName><settlement type="city">Hangzhou</settlement><region type="province">Zhejiang</region></placeName></affiliation></author><author><name sortKey="Yao, Yongxing" sort="Yao, Yongxing" uniqKey="Yao Y" first="Yongxing" last="Yao">Yongxing Yao</name><affiliation wicri:level="1"><nlm:affiliation>Department of Anesthesiology, the First Affiliated Hospital, College of Medicine, Zhejiang University School of Medicine, Hangzhou 310003, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Anesthesiology, the First Affiliated Hospital, College of Medicine, Zhejiang University School of Medicine, Hangzhou 310003</wicri:regionArea><placeName><settlement type="city">Hangzhou</settlement><region type="province">Zhejiang</region></placeName></affiliation></author><author><name sortKey="Zheng, Yueying" sort="Zheng, Yueying" uniqKey="Zheng Y" first="Yueying" last="Zheng">Yueying Zheng</name><affiliation wicri:level="1"><nlm:affiliation>Department of Anesthesiology, the First Affiliated Hospital, College of Medicine, Zhejiang University School of Medicine, Hangzhou 310003, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Anesthesiology, the First Affiliated Hospital, College of Medicine, Zhejiang University School of Medicine, Hangzhou 310003</wicri:regionArea><placeName><settlement type="city">Hangzhou</settlement><region type="province">Zhejiang</region></placeName></affiliation></author><author><name sortKey="Wen, Xiaohong" sort="Wen, Xiaohong" uniqKey="Wen X" first="Xiaohong" last="Wen">Xiaohong Wen</name><affiliation wicri:level="1"><nlm:affiliation>Department of Anesthesiology, the First Affiliated Hospital, College of Medicine, Zhejiang University School of Medicine, Hangzhou 310003, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Anesthesiology, the First Affiliated Hospital, College of Medicine, Zhejiang University School of Medicine, Hangzhou 310003</wicri:regionArea><placeName><settlement type="city">Hangzhou</settlement><region type="province">Zhejiang</region></placeName></affiliation></author><author><name sortKey="Zhu, Shengmei" sort="Zhu, Shengmei" uniqKey="Zhu S" first="Shengmei" last="Zhu">Shengmei Zhu</name><affiliation wicri:level="1"><nlm:affiliation>Department of Anesthesiology, the First Affiliated Hospital, College of Medicine, Zhejiang University School of Medicine, Hangzhou 310003, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Anesthesiology, the First Affiliated Hospital, College of Medicine, Zhejiang University School of Medicine, Hangzhou 310003</wicri:regionArea><placeName><settlement type="city">Hangzhou</settlement><region type="province">Zhejiang</region></placeName></affiliation></author></analytic><series><title level="j">Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences</title><idno type="ISSN">1008-9292</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Since the corona virus disease 2019 (COVID-19) affects the cardio-pulmonary function of pregnant women, the anesthetic management in the cesarean section for the patients, as well as the protection for medical staff is significantly different from that in ordinary surgical operation. This paper reports a pregnant woman with COVID-19, for whom a cesarean section was successfully performed in our hospital on February 8, 2020. Anesthetic management, protection of medical staff and psychological intervention for the patients during the operation are discussed. Importance should be attached to the preoperative evaluation of pregnant women with COVID-19 and the implementation of anesthesia plan. For ordinary COVID-19 patients intraspinal anesthesia is preferred in cesarean section, and the influence on respiration and circulation in both maternal and infant should be reduced; while for severe or critically ill patients general anesthesia with endotracheal intubation should be adopted. The safety of medical environment should be ensured, and level-Ⅲ standard protection should be taken for anesthetists. Special attention and support should be given to maternal psychology. It is important to give full explanation before operation to reduce anxiety; to relieve the discomfort during operation to reduce tension; to avoid the bad mood of patients due to pain after operation.</div></front></TEI><affiliations><list><country><li>République populaire de Chine</li></country><region><li>Zhejiang</li></region><settlement><li>Hangzhou</li></settlement></list><tree><country name="République populaire de Chine"><region name="Zhejiang"><name sortKey="Kang, Xianhui" sort="Kang, Xianhui" uniqKey="Kang X" first="Xianhui" last="Kang">Xianhui Kang</name></region><name sortKey="He, Huiliang" sort="He, Huiliang" uniqKey="He H" first="Huiliang" last="He">Huiliang He</name><name sortKey="Wen, Xiaohong" sort="Wen, Xiaohong" uniqKey="Wen X" first="Xiaohong" last="Wen">Xiaohong Wen</name><name sortKey="Yao, Yongxing" sort="Yao, Yongxing" uniqKey="Yao Y" first="Yongxing" last="Yao">Yongxing Yao</name><name sortKey="Zhang, Rong" sort="Zhang, Rong" uniqKey="Zhang R" first="Rong" last="Zhang">Rong Zhang</name><name sortKey="Zheng, Yueying" sort="Zheng, Yueying" uniqKey="Zheng Y" first="Yueying" last="Zheng">Yueying Zheng</name><name sortKey="Zhu, Shengmei" sort="Zhu, Shengmei" uniqKey="Zhu S" first="Shengmei" last="Zhu">Shengmei Zhu</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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