Professional paper

https://doi.org/10.26800/LV-142-5-6-22

Recommendations for neuraxial anaesthesia and peripheral nerve blocks during the coronavirus pandemic 2019 (COVID-19).

Katarina Šakić-Zdravčević ; Fakultet za dentalnu medicinu i zdravstvo Osijek, Sveučilište Josipa Jurja Strossmayera u Osijeku
Tatjana Šimurina ; Odjel za anesteziologiju i intenzivnu medicinu, Opća bolnica Zadar; Katedra za anesteziologiju, reanimatologiju i intenzivno liječenje, Medicinski fakultet Sveučilišta „Josip Juraj Strossmayer” u Osijeku; Odjel za zdravstvene studije, Sveučilište u Zadru
Miroslav Župčić ; Klinika za anesteziologiju i intenzivno liječenje, Medicinski fakultet Sveučilišta u Rijeci, Klinički bolnički centar Rijeka, Katedra za fiziologiju, imunologiju i patofiziologiju, Medicinski fakultet Sveučilišta u Rijeci za anesteziologiju i intenzivno liječenje, Medicinski fakultet Sveučilišta u Rijeci, Klinički bolnički centar Rijeka 6 Katedra za fiziologiju, imunologiju i patofiziologiju, Medicinski fakultet Sveučilišta u Rijeci
Livija Šakić ; Fakultet za dentalnu medicinu i zdravstvo Osijek, Sveučilište Josipa Jurja Strossmayera u Osijeku za anesteziologiju, reanimatologiju i intenzivnu medicinu, Klinička bolnica „Sveti Duh”, Zagreb
Sandra Graf Župčić ; Klinika za neurologiju, Medicinski fakultet Sveučilišta u Rijeci, Klinički bolnički centar Rijeka
Viktor Đuzel ; Department of Anaesthesia, Barking, Havering and Redbridge University Hospitals NHS Trust, London RM7 0AG, United Kingdom

Abstract

The global COVID-19 pandemic has a significant impact on healthcare systems across the world. Due to insufficient scientific research on the impact of the pandemic, the majority of recommendations on anaesthesia during the pandemic are based primarily on expert opinion. During the pandemic, it is recommended to postpone all elective procedures and carry out only essential and urgent surgery and procedures, such as those for oncological surgery, and those whose aim is to prevent permanent disability or prevent other life-threatening conditions. General anaesthesia is an aerosol generating procedure and therefore it is recommended to utilise regional anaesthesia whenever this is possible. This document provides an overview of guidance for the administration of neuraxial anaesthesia and peripheral nerve blocks during the COVID-19 pandemic in Croatia, with regard to the recommendations of the European and American societies for regional anaesthesia and pain medicine. This guidance is aimed at preparation and planning of personnel, required personal protective and other equipment, medication, clinical environment strategy, oxygen supplementation strategy, safety assessment of regional anaesthesia procedures, and monitoring during and after surgery. The implementation of these recommendations is crucial in preventing the spread of the pandemic for both the patients and medical personnel.

Keywords

CORONAVIRUS INFECTIONS – prevention and control, transmission, therapy; PANDEMICS – prevention and control; ANESTHESIA, SPINAL – standards; ANALGESIA, EPIDURAL – standards; ANESTHESIA, OBSTETRICAL – metode, standardi; AEROSOLS – adverse effects; POST-DURAL PUNCTURE HEADACHE – therapy; NERVE BLOCK – methods; PERSONAL PROTECTIVE EQUIPMENT – standards; EQUIPMENT AND SUPPLIES – standards; HEALTH PERSONNEL – organization and admministration, standards; PRACTICE GUIDELINES AS TOPIC; CROATIA

Hrčak ID:

240208

URI

https://hrcak.srce.hr/240208

Publication date:

29.6.2020.

Article data in other languages: croatian

Visits: 2.882 *