Recomendaciones para la analgesia o anestesia de pacientes obstétricas con COVID-19

Jankelevich, Alejandro; Lacassie, Héctor J.; Carmona, Diana Carolina; Morales, Juan Francisco; Nazar, Claudio

doi:10.25237/revchilanestv49n03.082

Cited by 1 publication

(2 citation statements)

References 6 publications

(8 reference statements)

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“…Neuraxial analgesia, whether epidural or combining spinal + epidural, is the most recommended when there is minimal risk of cesarean section; on the contrary, the use of inhalation analgesia techniques is not recommended due to the risk of possible airborne spread of the virus, In turn, intravenous analgesic techniques with remifentanil warrant close monitoring by the anesthesiologist, which increases the professional's exposure (6).…”

Section: Introductionmentioning

confidence: 99%

“…According to the statistics regarding SARS-CoV-2 infection in pregnant patients, it is known that pregnant women are not more susceptible to being infected by coronavirus, so peri-anesthetic management should be focused on preventing equipment contagion of health and the rest of the patients. The use of nitrous oxide for labor analgesia should be avoided, given the risk of aerosolization of the virus that can be caused by the gas mixture administration system (6). However, recent studies question the danger of the so-called aerosolgenerating procedures, since during ventilation with a face mask, it does not seem to be greater than that produced by coughing or deep breathing (11).…”

Section: Introductionmentioning

confidence: 99%

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Labor Analgesia in Times of Covid-19

Jimbo

Chichande²

2022

PIJR

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The SARS-CoV-2 pandemic has represented changes in obstetric care and in anesthesiology practice, trying to avoid general anesthesia and promoting the early use of epidural catheters for the management of labor pain. The care of pregnant women represents a risk of contagion for health personnel and all recommendations have been made in order to provide safe environments for the patient and workers. Objective: To describe the current scientific knowledge on the analgesic management of the pregnant patient during the period of labor in times of COVID-19, through a bibliographic review of indexed research. Materials and methods: Theoretical-descriptive review, with analysis of scientific articles published in journals indexed between 2019-2022, consulting databases: PubMed, MedLine, Scielo, and Google Scholar.The PRISMA diagram was implemented as a tool. Results:The pain associated with labor can cause both maternal and fetal alterations and interfere with the normal development of the process. Neuraxial analgesia is recommended when COVID-19 is suspected or confirmed, reducing the need for general anesthesia in the emergency room.There is no evidence of contraindications in these cases and the possible emission of aerosols does not represent a greater risk of contagion. Conclusion: Neuraxial analgesia during labor is essential in obstetric care,even in the face of COVID-19 infection.It is currently known that aerosol-generating procedures do not represent a risk of transmission of coronavirus infection under biosafety conditions.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%