Management of the dedicated operating room(OR): The OR should be adequately ventilated, ideally with negative pressure. The same OR and the same anesthesia machine should be used for COVID-19 positive patients. The anesthetic drug trolley should be kept in the induction room and all the drugs and equipment required for the procedure should be placed […]
Canadian Society of Otolaryngology-Head and Neck Surgery strongly advise against performing a tracheotomy in still infectious COVID-19 patients. In positive patients, requests for tracheotomy should generally not be considered regardless of duration of endotracheal intubation. In emergency tracheotomy with unknown COVID-19 status: Manage patient as if COVID-19 positive. Intubation rather than tracheotomy is highly preferable. […]
Labour Analgesia Early initiation of neuraxial analgesia can help prevent aggravation of respiratory symptoms due to labour pains and can minimize the use of general anesthesia in intrapartum Caesarean section. Neuraxial procedures that involve puncturing dura mater may minimize the need for rescue general anesthesia in cases of urgent Caesarean section; consider CSE or DPE. […]
Preoperative evaluation: Elective or semi elective cardiac surgeries should be postponed until the results for virus detection are negative For emergent cardiac surgery for patients with suspected/confirmed SARS-CoV2, nucleic acid testing and chest CT scanning should be done, and level 3 infection control precautions should be taken by the healthcare staff. Intraoperative management and anesthetic […]
