Vasallo CVJ, Castro PA, Riveron AY, Gamboa LM

Language: Spanish
References: 12
Page: 1-11
PDF size: 401.88 Kb.

ABSTRACT

Introduction: The results are presented regarding anesthesiological intervention of patients suspected of or confirmed with COVID-19 (the disease caused by the new coronavirus), treated in a clinical surgical hospital designated for the care of patients during the pandemic.
Objectives: To present the experiences regarding management of surgical patients affected by or suspected of infection by the new coronavirus (COVID-19).
Methods: The data of all the cases treated in Hospital Militar Central Dr. Luis Díaz Soto were collected, regardless if they were obstetric cases (by cesarean section) or corresponding to other specialties (surgery, orthopedics, urology).
Results: Forty-nine anesthetic-surgical interventions were performed, including thirteen caesarean sections, nine tracheostomies, seven appendectomies, the same number of salpingectomies, three hip fracture surgeries, and one amputation, one skull trepanation, two abscess drains and one necrectomy, one nephrostomy, one nephrectomy, one cure and two laparotomies. Cesarean sections were performed under neuraxial (epidural) anesthesia (thirteen single injections, accounting for 26.5% of cases). The rest of the procedures were performed under general orotracheal anesthesia (32 single injections, accounting for 65.30% of cases) and general intravenous anesthesia (4 single injections, accounting for 8.16% of cases). 38.77% (19) of cases were confirmed to COVID-19. Eighteen patients (36%) were discharged from the intensive care unit, twelve of which had been ventilated, a figure accounting for 24% of cases. There were thirty positive cases of COVID-19, accounting for 61.2%.
Conclusions: There were no anesthetic accidents, failures in the airway control nor perioperative deaths. There were no personnel infected with COVID-19. The high number of suspects constitute a potential risk of contagion.

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