COVID-19: review of case reports

Abstract

Recently published case reports relating to anesthesia in patients with coronavirus disease (COVID-19) were reviewed. The diagnosis of COVID-19 was confirmed by positive results of reverse transcriptase polymerase chain reaction test for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Numerous reports handled emergency cesarean delivery. Primary symptoms and laboratory data of pregnant women with COVID-19 were similar to those of non-pregnant patients. Although the mortality rate is reported to be high after surgery in patients with COVID-19, cesarean delivery was successfully performed under regional anesthesia in most cases and postoperative course was favorable both in the parents and newborns. There is no direct evidence of vertical mother-to-child transmission of SARS-CoV-2; however, a diagnosis of COVID-19 was made in a newborn two hours after delivery from a pregnant woman with COVID-19, based on the increased immunoglobulin levels and deranged liver function, suggesting that its possibility cannot be completely eliminated. Emergency cerebral shunt reconstruction was performed repeatedly in an eight-month-old boy with COVID-19. The tracheal tube was removed in the operating room after surgery and postoperative course was uneventful. All the procedures should be performed in isolated operating rooms with medical staff with level-3 personal protection to ensure the safety of patients and health care providers.

Preoperative assessment for scheduling surgery during the coronavirus disease pandemic

“…An example of a standardized questionnaire has been provided in the guidelines [14], which includes questions regarding five major symptoms (fever, dry cough, difficult breathing, loss of smell, and loss of taste) and ten minor symptoms (sore throat, rhinorrhea, chest pain, pain in the muscle, severe fatigue, confusion, headache, diarrhea, nausea and vomiting, and a rash or cracked skin on the fingers or hands). Fever is one of the most common symptoms of symptomatic COVID-19 and is present in many of cases [14][15][16]. Thus, the body temperature needs to be measured during the pre-anesthetic consultation.…”

Challenge of COVID 19: Pathogenicity, Genetic Variations and Laboratory Diagnosis

“…The transmission of SARS-CoV-2 occurs through secretions, droplets, faecal-oral contamination [8,11,12] or consumption of infected meat [7,8], there is no evidence of vertical transmission [8,13] although a diagnosis of COVID-19 was made in a newborn few hours after delivery from infected pregnant woman suggesting that its possibility cannot be completely excluded [13]. Moreover, the transmission of the SARS-CoV-2 virus is expected from asymptomatic, pre-symptomatic and symptomatic patients [6].…”

“…CoVs are to establish a steady system of public health surveillance combined with rapid reliable diagnostic testing [8,13,24].…”

Anesthesiologist behavior and anesthesia machine use in the operating room during the COVID-19 pandemic: awareness and changes to cope with the risk of infection transmission

“…In this context, the literature on the anesthetic management of confirmed/suspected COVID-19 patients mainly focuses on airway management, choice of anesthetic techniques according to planned surgical procedure, patient transport and operation room (OR) managing plan, and the use of personal protective equipment [5][6][7][8][9]. There is also an accumulation of actual cases of infected patients, especially those of pregnant women, which have been frequently reported [10,11].…”