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Minerva Anestesiologica 2021 May;87(5):604-12

DOI: 10.23736/S0375-9393.20.15015-6

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: English

COVID-19 patients in the operating room: a concise review of existing literature

Kemal T. SARACOGLU ¹ ✉, Ummahan DALKILINC HOKENEK ¹, Ayten SARACOGLU ², Massimiliano SORBELLO ³, Recep DEMIRHAN ⁴

¹ Clinic of Anesthesiology and Intensive Care, Health Sciences University Dr. Lutfi Kirdar Kartal Training and Research Hospital, Istanbul, Turkey; ² Department of Anesthesiology and Intensive Care, Marmara University Pendik Training and Research Hospital, Istanbul, Turkey; ³ Department of Anesthesiology and Intensive Care, AOU Policlinico Vittorio Emanuele, Catania, Italy; ⁴ Clinic of Thoracic Surgery, Health Sciences University Kartal Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Turkey

A novel Coronavirus was identified in late 2019 as the cause of COVID-19 disease which is highly contagious. SARS-CoV-2 is a single-stranded RNA, enveloped virus from the beta Coronavirus family. Intraoperative management of patients with COVID-19 is a high-risk procedure. An international attention has raised to develop recommendations for the management strategies. This review article was designed to synthesize the existing evidence and experience related to intraoperative management of COVID-19. This review provides a summary of clinical guidance and addresses six domains: principles of intraoperative monitoring, airway management and related difficulties, ventilation, type of anesthesia, medications and side effects, and intraoperative fluid management.

KEY WORDS: COVID-19; SARS-CoV-2; Operating rooms