Anesthetic management of cesarean section in COVID-19-positive pregnant women in Japan: Three case reports and review of the literature
Hiroshima Journal of Medical Sciences 72 巻 1-2 号
21-25 頁
2023-06 発行
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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
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作成者 |
SUGA Haruka
ARATA Kumiko
SUMII Ayako
KIDO Kenshiro
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収録物名 |
Hiroshima Journal of Medical Sciences
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巻 | 72 |
号 | 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
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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.
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著者キーワード |
Coronavirus disease 2019
Cesarean section
Spinal anesthesia
Analgesia
Thrombosis
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言語 |
英語
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資源タイプ | 紀要論文 |
出版者 |
Hiroshima University Medical Press
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発行日 | 2023-06 |
権利情報 |
Copyright (c) 2023 Hiroshima University Medical Press
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出版タイプ | Version of Record(出版社版。早期公開を含む) |
アクセス権 | オープンアクセス |
収録物識別子 |
[DOI] https://doi.org/10.24811/hjms.72.1-2_21
~と同一である
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