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Review
. 2020 Mar-Apr;70(2):159-164.
doi: 10.1016/j.bjane.2020.06.002. Epub 2020 Jun 10.

Recommendations for local-regional anesthesia during the COVID-19 pandemic

Rodrigo Moreira E Lima  1 , Leonardo de Andrade Reis  2 , Felipe Souza Thyrso de Lara  3 , Lino Correa Dias  4 , Márcio Matsumoto  5   6   7 , Glenio Bitencourt Mizubuti  1 , Adilson Hamaji  8 , Lucas Wynne Cabral  9 , Lígia Andrade da Silva Telles Mathias  10 , Lais Helena Navarro E Lima  1
Affiliations
Review

Recommendations for local-regional anesthesia during the COVID-19 pandemic

Rodrigo Moreira E Lima et al. Braz J Anesthesiol. 2020 Mar-Apr.

Abstract
in English, Portuguese

Since the beginning of the COVID-19 pandemic, many questions have come up regarding safe anesthesia management of patients with the disease. Regional anesthesia, whether peripheral nerve or neuraxial, is a safe alternative for managing patients with COVID-19, by choosing modalities that mitigate pulmonary function involvement. Adopting regional anesthesia mitigates adverse effects in the post-operative period and provides safety to patients and teams, as long as there is compliance with individual protection and interpersonal transmission care measures. Respecting contra-indications and judicial use of safety techniques and norms are essential. The present manuscript aims to review the evidence available on regional anesthesia for patients with COVID-19 and offer practical recommendations for safe and efficient performance.

Desde o início da pandemia de COVID-19, muitas questões surgiram referentes à segurança do manejo anestésico de pacientes acometidos pela doença. A anestesia regional, seja esta periférica ou neuroaxial, é alternativa segura no manejo do paciente COVID-19, desde que o emprego de modalidades que minimizam o comprometimento da função pulmonar seja escolhido. A adoção desta técnica anestésica minimiza os efeitos adversos no pós-operatório e oferece segurança para o paciente e equipe, desde que sejam respeitados os cuidados com proteção individual e de contágio interpessoal. Respeito às contraindicações e emprego criterioso das técnicas e normas de segurança são fundamentais. Este manuscrito tem por objetivo revisar as evidências disponíveis sobre anestesia regional em pacientes com COVID-19 e oferecer recomendações práticas para sua realização segura e eficiente.

Keywords: COVID-19; Epidural anesthesia; Regional anesthesia; Spinal anesthesia.

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Figures

Figure 1
Figure 1
Guidance on employing regional anesthesia for patients with COVID-19.
See this image and copyright information in PMC

References

    1. Practice recommendations on neuraxial anesthesia and peripheral nerve blocks during the COVID-19 Pandemic. Available from: https://www.asra.com/page/2905/practice-recommendations-on-neuraxial-ane.... [Access 21 April 2020]. - PMC - PubMed
    1. COVID-19 guidance for regional anesthesia neuraxial anesthesia and peripheral nerve blocks. Available from https://esraeurope.org/wp-content/uploads/2020/04/ESRAASRA-COVID-19-Guid.... [Access 21 April 2020].
    1. Wax R.S., Christian M.D. Practical recommendations for critical care and anesthesiology teams caring for novel coronavirus (2019-nCoV) patients. Can J Anesth. 2020;67:568–576. doi: 10.1007/s12630-020-01591-x. - DOI - PMC - PubMed
    1. World Health Organization . WHO; Geneva: 2014. Infection prevention and control of epidemic-and pandemic-prone acute respiratory diseases in health care. - PubMed
    1. Tran K., Cimon K., Severn M., et al. Aerosol generating procedures and risk of transmission of acute respiratory infections to healthcare workers: a systematic review. PLoS One. 2012;7 - PMC - PubMed

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