Anesthetic Management of COVID-19, Post-COVID-19, and Long COVID-19 Patients

A special issue of Healthcare (ISSN 2227-9032).

Deadline for manuscript submissions: closed (1 July 2022) | Viewed by 4879

Special Issue Editors


E-Mail Website
Guest Editor
School of Medicine, University of Naples Federico II, 80100 Naples, Italy
Interests: anesthesia; intensive care medicine; antimicrobial stewardship; infection control; COVID-19

E-Mail Website
Guest Editor
School of Medicine, University of Naples Federico II, 80100 Naples, Italy
Interests: anesthesia; intensive care medicine; antimicrobial stewardship; delirium; COVID-19

Special Issue Information

Dear Colleagues,

The outbreak of COVID-19 changes our work as anesthesiologists. Scientific literature has contributed to the knowledge of this virus and its related infectious diseases, with the number of submissions and articles around the world increasing exponentially as a result. The World Federation Society of Anesthesiologists (WFSA) is actually working to curate, share, and disseminate practical COVID-19 guidance for anesthesia and perioperative care providers.

However, little is known about the anesthetic management of patients with COVID-19, long COVID-19, and post-COVID-19.

The aim of this thematic series is to report clinical practice suggestions, based on the current literature and clinical expertise, on the anesthetic management of COVID-19, long COVID-19, and post-COVID-19 patients.

In this Special Issue, we aim to fill the research gap regarding the impact of COVID-19 and its related complications on preoperative, intraoperative, and postoperative anesthetic management. Therefore, we welcome articles, reviews, and commentaries.

Prof. Dr. Maria Vargas
Dr. Annachiara Marra
Guest Editors

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Keywords

  • anesthesia
  • perioperative evaluation
  • anesthetics choices
  • postoperative evaluation

Published Papers (2 papers)

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Research

12 pages, 1392 KiB  
Article
Selected Predictors of COVID-19 Mortality in the Hospitalised Patient Population in a Single-Centre Study in Poland
by Joanna Jaskolowska, Elzbieta Balcerzyk-Barzdo, Agnieszka Jozwik, Tomasz Gaszynski and Pawel Ratajczyk
Healthcare 2023, 11(5), 719; https://doi.org/10.3390/healthcare11050719 - 1 Mar 2023
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Abstract
Background: The correct analysis of COVID-19 predictors could substantially improve the clinical decision-making process and enable emergency department patients at higher mortality risk to be identified. Methods: We retrospectively explored the relationship between some demographic and clinical factors, such as age [...] Read more.
Background: The correct analysis of COVID-19 predictors could substantially improve the clinical decision-making process and enable emergency department patients at higher mortality risk to be identified. Methods: We retrospectively explored the relationship between some demographic and clinical factors, such as age and sex, as well as the levels of ten selected factors, namely, CRP, D-dimer, ferritin, LDH, RDW-CV, RDW-SD, procalcitonin, blood oxygen saturation, lymphocytes, and leukocytes, and COVID-19 mortality risk in 150 adult patients diagnosed with COVID-19 at Provincial Specialist Hospital in Zgierz, Poland (this hospital was transformed, in March 2020, into a hospital admitting COVID-19 cases only). All blood samples for testing were collected in the emergency room before admission. The length of stay in the intensive care unit and length of hospitalisation were also analysed. Results: The only factor that was not significantly related to mortality was the length of stay in the intensive care unit. The odds of dying were significantly lower in males, patients with a longer hospital stay, patients with higher lymphocyte levels, and patients with higher blood oxygen saturation, while the chances of dying were significantly higher in older patients; patients with higher RDW-CV and RDW-SD levels; and patients with higher levels of leukocytes, CRP, ferritin, procalcitonin, LDH, and D-dimers. Conclusions: Six potential predictors of mortality were included in the final model: age, RDW-CV, procalcitonin, and D-dimers level; blood oxygen saturation; and length of hospitalisation. The results obtained from this study suggest that a final predictive model with high accuracy in mortality prediction (over 90%) was successfully built. The suggested model could be used for therapy prioritization. Full article
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11 pages, 981 KiB  
Article
Protocols of Anesthesia Management in Parturients with SARS-CoV-2 Infection
by Antonio Coviello, Maria Vargas, Annachiara Marra, Ludovica Golino, Gabriele Saccone, Carmine Iacovazzo, Maria Grazia Frigo, Andrea Tognù, Marilena Ianniello, Pasquale Buonanno and Giuseppe Servillo
Healthcare 2022, 10(3), 520; https://doi.org/10.3390/healthcare10030520 - 12 Mar 2022
Cited by 3 | Viewed by 2593
Abstract
Background: Our hospital became a referral center for COVID-19-positive obstetric patients from 1 May 2020. The aim of our study is to illustrate our management protocols for COVID-19-positive obstetric patients, to maintain safety standards for patients and healthcare workers. Methods: Women who underwent [...] Read more.
Background: Our hospital became a referral center for COVID-19-positive obstetric patients from 1 May 2020. The aim of our study is to illustrate our management protocols for COVID-19-positive obstetric patients, to maintain safety standards for patients and healthcare workers. Methods: Women who underwent vaginal or operative delivery and induced or spontaneous abortion with a SARS-CoV-2-positive nasopharyngeal swab using real-time PCR (RT-PCR) were included in the study. Severity and onset of new symptoms were carefully monitored in the postoperative period. All the healthcare workers received a nasopharyngeal swab for SARS-CoV-2 using RT-PCR serially every five days. Results: We included 152 parturients with COVID-19 infection. None of the included women had general anesthesia, an increase of severe symptoms or onset of new symptoms. The RT-PCR test was “negative” for the healthcare workers. Conclusions: In our study, neuraxial anesthesia for parturients’ management with SARS-CoV-2 infection has been proven to be safe for patients and healthcare workers. Neuraxial anesthesia decreases aerosolization during preoxygenation, face-mask ventilation, endotracheal intubation, oral or tracheal suctioning and extubation. This anesthesia management protocol can be generalizable. Full article
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