Anesthetic management of cesarean section in COVID-19-positive pregnant women in Japan: Three case reports and review of the literature

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タイトル ( eng )
Anesthetic management of cesarean section in COVID-19-positive pregnant women in Japan: Three case reports and review of the literature
作成者
SUGA Haruka
ARATA Kumiko
SUMII Ayako
KIDO Kenshiro
収録物名
Hiroshima Journal of Medical Sciences
72
1-2
開始ページ 21
終了ページ 25
ページ数 5
収録物識別子
[PISSN] 0018-2052
[EISSN] 2433-7668
[NCID] AA00664312
抄録
Cesarean delivery may be performed if a pregnant woman develops coronavirus disease 2019 (COVID-19) in the prenatal period; however, perioperative management is controversial. Herein, we report the anesthetic management of cesarean sections in three pregnant women with COVID-19. In addition, we reviewed the literature on perioperative anesthesia management in pregnant women with COVID-19. Three pregnant women between the 37th and 38th weeks of gestation developed COVID-19 and were transferred to our hospital for cesarean section. Intraoperative spinal anesthesia was administered, and postoperative analgesia included intravenous morphine. Postoperatively, all patients were administered anticoagulant therapy. We used a negative pressure-controlled operating room for the cesarean sections, and the staff used Level 3 personal protective equipment with N95 masks, face shields, double gloves, full-body gowns, and shoe covers. None of the operating room staff, including the anesthesiologist, were infected with COVID-19 due to patient care. Spinal anesthesia, rather than general anesthesia, is recommended for cesarean sections in pregnant women with COVID-19. In addition to the risk of thrombosis, it is necessary to manage anesthesia in pregnant women infected with COVID-19 while considering accessibility to the ward for postoperative management and familiarity of ward staff.
著者キーワード
Coronavirus disease 2019
Cesarean section
Spinal anesthesia
Analgesia
Thrombosis
言語
英語
資源タイプ 紀要論文
出版者
Hiroshima University Medical Press
発行日 2023-06
権利情報
Copyright (c) 2023 Hiroshima University Medical Press
出版タイプ Version of Record(出版社版。早期公開を含む)
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収録物識別子
[DOI] https://doi.org/10.24811/hjms.72.1-2_21 ~と同一である