Heat and Moisture Exchanging Filter pada Pasien COVID-19 yang Menjalani Sectio Caesarea

Abstract

Abstrak 
 Coronavirus Disease 2019 (COVID-19) menjadi topik hangat di dunia termasuk Indonesia sejak muncul kasus di Wuhan, Hubei, Cina pada Desember 2019. Dalam lingkup anestesi obstetri, Sectio Caesaria (SC) pasien COVID-19 merupakan problem yang membutuhkan perhatian. Royal College of Obstetricians and Gynaecologists (RCOG) merekomendasikan anestesi intraspinal pada operasi SC pada pasien terkonfirmasi atau dengan suspek COVID-19. General anestesi (GA diketahui dapat meningkatkan resiko aerosolisasi yang dapat membahayakan petugas medis. Anesthesia Patient Safety Foundation (APSF) merekomendasikan penggunaan Heat and Moisture Exchanging Filter (HMEF) pada breathing circuit anestesi tindakan GA pasien COVID-19 dimana HMEF bekerja sebagai filter yang dapat memfiltrasi bakteri dan virus. Penggunaan HMEF dipercaya dapat menurunkan resiko kontaminasi silang.
 Abstract
 Coronavirus Disease 2019 (COVID-19) has become hot issue around the globe including Indonesia since its first occurence in Wuhan, Hubei, China in December 2019. In obstetric anesthesia, COVID-19 patients undergoing Caesarian Section is a problem requiring great concern. The Royal College of Obstetricians and Gynecologists (RCOG) recommends intra-spinal anesthesia in Caesarian Section procedure for patients with suspected or confirmed COVID-19. General anesthesia (GA) is known to increase risk of aerozolisation which puts clinicians to be exposed to that virus. Anesthesia Patient Safety Foundation (APSF) stated that GA procedure for COVID-19 patients are suggested to use Heat and Moisture Exchanging Filter (HMEF) in anesthesia breathing circuit as a reliable filter which can filter both bacteria and viruses well. Therefore it can lower cross-contamination risk.