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. 2020 Apr;64(4):267-274.
doi: 10.4103/ija.IJA_272_20. Epub 2020 Mar 28.

Peri-operative and critical care concerns in coronavirus pandemic

Sukhminder Jit Singh Bajwa  1 , Rashi Sarna  2 , Chashamjot Bawa  3 , Lalit Mehdiratta  4
Affiliations

Peri-operative and critical care concerns in coronavirus pandemic

Sukhminder Jit Singh Bajwa et al. Indian J Anaesth. 2020 Apr.

Abstract

World Health Organization (WHO) declared novel coronavirus outbreak a "pandemic" on March 11th, 2020. India has already reached Stage 2 (local transmission) and the Indian Government, in collaboration with the Indian Council of Medical Research (ICMR), is taking all necessary steps to halt the community transmission(Stage 3). Anaesthesiologists and intensivists around the globe are making untiring efforts akin to soldiers at the final frontier during war. All efforts pertaining to adequate staffing, Personal Protective Equipment (PPE) and strict adherence to hand hygiene measures are being stressed upon to prevent in-hospital transmission. In this article, all outbreak response measures including triaging, preparation of isolation rooms, decontamination and disinfection protocols as well as fundamental principles of critical care and anaesthetic management in Covid-19 cases is being discussed. All the recommendations have been derived from the past experiences of SARS (Severe Acute Respiratory Syndrome) and MERS (Middle East Respiratory Syndrome) outbreak as well as upcoming guidelines from the international health fraternity and Indian Health Services.

Keywords: Anaesthesia; Covid-19; corona virus; intensivists.

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Conflict of interest statement

There are no conflicts of interest.

References

    1. Wu Z, McGoogan JM. Characteristics of and important lessons from the Coronavirus Disease 2019 (COVID-19) outbreak in China: Summary of a report of 72314 cases from the Chinese center for disease control and prevention? JAMA. 2020:E1–4. doi: 10.1001/jama.2020.2648. - PubMed
    1. Nishiura H, Linton NM, Akhmetzhanov AR. Serial interval of novel coronavirus (COVID-19) infections? Int J Infect Dis. 2020 doi: 101016/jijid202002060. - PMC - PubMed
    1. Ministry of Health and Family Welfare. All information related to novel coronavirus Published online March 21st. 2020. [Last accessed on 2020 Mar 21]. Available from: https://wwwmohfwgovin/
    1. Shi Y, Yu X, Zhao H, Wang H, Ruihong Z, Sheng J. Host susceptibility to severe COVID-19 and establishment of a host risk score: Findings of 487 cases outside Wuhan. Crit Care. 2020;24:108. - PMC - PubMed
    1. Li X, Wang W, Zhao X, Zai J, Zhao Q. Transmission dynamics and evolutionary history of 2019-nCov. J Med Virol. 2020:1–11. - PMC - PubMed