COVID in obstetrics: labor analgesia and cesarean section.
Journal
Current opinion in anaesthesiology
ISSN: 1473-6500
Titre abrégé: Curr Opin Anaesthesiol
Pays: United States
ID NLM: 8813436
Informations de publication
Date de publication:
01 Feb 2021
01 Feb 2021
Historique:
pubmed:
15
12
2020
medline:
1
1
2021
entrez:
14
12
2020
Statut:
ppublish
Résumé
This review is based on the latest evidence to provide a good standard of care for COVID-19 parturients and protection to healthcare givers. COVID-19 by itself is not an indication for cesarean section. Different publications demonstrated the efficacy of neuraxial analgesia/anesthesia for delivery. Although SARS-CoV-2 was associated with a certain neurotropism, neuraxial block was not associated with neurological damage in COVID-19 parturients, and seems as safe and effective as in normal situations. It permits to avoid a general anesthesia in case of intrapartum cesarean section. Epidural failure is a concern: it may lead to a general anesthesia in case of emergency cesarean section. Local protocols and well-trained anesthesiologists will be helpful. COVID-19 patients require special circuits and every step (transfer to and from theatre, recovery, analgesia, and so on) should be planned in advance. For cesarean section under general anesthesia, personal protection equipment must be enhanced. Postoperative analgesia with neuraxial opioids, NSAIDs, or regional blocks are recommended. COVID-19 and pregnancy increase the risk of thrombosis, so thromboprophylaxis has to be considered and protocolized. Anesthetic care for delivery in COVID-19 parturients should include neuraxial blocks. Special attention should be paid on the risk of thrombosis.
Identifiants
pubmed: 33315638
pii: 00001503-202102000-00012
doi: 10.1097/ACO.0000000000000949
doi:
Substances chimiques
Anticoagulants
0
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
62-68Informations de copyright
Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.
Références
Harapan H, Itoh N, Yufika A, et al. Coronavirus disease 2019 (COVID-19): a literature review. J Infect Public Health 2020; 13:667–673.
Chen H, Guo J, Wang C, et al. Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine pregnant women: a retrospective review of medical records. Lancet 2020; 395:809–815.
Hantoushzadeh S, Shamshirsaz AA, Aleyasin A, et al. Maternal death due to COVID-19. Am J Obstet Gynecol 2020; 223: 109 e1–e16.
Savasi VM, Parisi F, Patane L, et al. Clinical findings and disease severity in hospitalized pregnant women with coronavirus disease 2019 (COVID-19). Obstet Gynecol 2020; 136:252–258.
Breslin N, Baptiste C, Gyamfi-Bannerman C, et al. COVID-19 infection among asymptomatic and symptomatic pregnant women: two weeks of confirmed presentations to an affiliated pair of New York City hospitals. Am J Obstet Gynecol 2020; 2:100118.
Westgren M, Pettersson K, Hagberg H, Acharya G. Severe maternal morbidity and mortality associated with COVID-19: the risk should not be downplayed. Acta Obstet Gynecol Scand 2020; 99:815–816.
Pereira A, Cruz-Melguizo S, Adrien M, et al. Clinical course of coronavirus disease-2019 (COVID-19) in pregnancy. Acta Obstet Gynecol Scand 2020; 99:839–847.
Khalil A, von Dadelszen P, Draycott T, et al. Change in the incidence of stillbirth and preterm delivery during the COVID-19 pandemic. JAMA 2020; 324:705–706.
Ministerio_de_sanidad. Documento técnico. Manejo de la mujer embarazada y el recién nacido con COVID-19. 2020; https://www.mscbs.gob.es/profesionales/saludPublica/ccayes/alertasActual/nCov-China/documentos/Documento_manejo_embarazo_recien_nacido.pdf . [Accessed october 2019].
Royal_College_of_Obstetricians_and_Gynaecologists. Coronavirus (COVID-19) infection and pregnancy. https://wwwrcogorguk/coronavirus-pregnancy . 2020;Consultado el 29/04/2020.
Society_for_Maternal-Fetal_Medicine, Society_for_Obstetric_and_Anesthesia_and_Perinatology. Labor and Delivery COVID-19 Considerations. https://s3amazonawscom/cdnsmfmorg/media/2277/SMFM-SOAP_COVID_LD_Considerations_3-27-20_(final)_PDF.pdf . 2020;Consultado el 29/04/2020
ICM_Anaesthesia_COVID-19. Management of pregnant women with known or suspected COVID-19. https://icmanaesthesiacovid-19org/s/OAA-RCoA-COVID-19-guidance_160320.pdf . 2020. [Accessed october 2019].
Club_d’Anesthésie_et_Réanimation_en_Obstétrique. Prise en charge AR patiente COVID + ou suspecte en maternité . https://wwwwfsahqorg/images/mater__Covid_1.pdf . 2020. [Accessed october 2019].
WHO. 18. Caring for women with COVID-19 during and after pregnancy. Clinical Management of COVID-19 Interim Guidance. 2020:39-42, https://apps.who.int/iris/rest/bitstreams/1278777/retrieve , consulted 01/08/2020.
Roberts F. OAA Standard Operating procedure: Emergency Theatre plan for COVID-19 (suspected or confirmed) Obstetric patients. https://wwwoaa-anaesacuk/assets/_managed/cms/files/Covid-19%20Resources%20Page/SOP%20-%20COVID19%20-%20Sheffield%20-%20Roberts.pdf consulted 01/08/2020. 2020.
Bampoe S, Odor PM, Lucas DN. Novel coronavirus SARS-CoV-2 and COVID-19. Practice recommendations for obstetric anaesthesia: what we have learned thus far. Int J Obstet Anesth 2020; 43:1–8.
Lokken EM, Walker CL, Delaney S, et al. Clinical characteristics of 46 pregnant women with a severe acute respiratory syndrome coronavirus 2 infection in Washington State. Am J Obstet Gynecol 2020; 223:911.e1–911.e14.
Dixon T, Bhatia K, Columb M. The SARS-CoV-2 effect: an opportunity to reduce general anaesthesia rates for caesarean section? Br J Anaesth 2020; 125:e324–e326.
Wu YT, Li C, Zhang CJ, et al. Is termination of early pregnancy indicated in women with COVID-19? Eur J Obstet Gynecol Reprod Biol 2020; 251:271–272.
Moreno-Casbas MT. en nombre del Grupo SANICOVI y Grupo de profesionales de la salud trabajando en la pandemia COVID-19, Integrantes del Grupo SANICOVI. Factors related to SARS-CoV-2 infection in healthcare professionals in Spain. The SANICOVI project. Enferm Clin 2020; 30:360–370.
Rochelson B, Nimaroff M, Combs A, et al. The care of pregnant women during the COVID-19 pandemic: response of a large health system in metropolitan New York. J Perinat Med 2020; 48:453–461.
Sutton D, Fuchs K, D’Alton M, Goffman D. Universal screening for SARS-CoV-2 in women admitted for delivery. N Engl J Med 2020; 382:2163–2164.
Stephens AJ, Barton JR, Bentum NA, et al. General guidelines in the management of an obstetrical patient on the labor and delivery unit during the COVID-19 pandemic. Am J Perinatol 2020; 37:829–836.
Morau E, Bouvet L, Keita H, et al. Anaesthesia and intensive care in obstetrics during the COVID-19 pandemic. Anaesth Crit Care Pain Med 2020; 39:345–349.
Poston JT, Patel BK, Davis AM. Management of critically ill adults with COVID-19. JAMA 2020; 323:1839–1841.
Nanji JA, Carvalho B. Pain management during labor and vaginal birth. Best Pract Res Clin Obstet Gynaecol 2020; 67:100–112.
Kranke P, Weibel S, Sitter M, et al. [Obstetric anesthesia during the SARS-CoV-2 pandemic: a brief overview of published recommendations for action by National and International Specialist Societies and Committees]. Anasthesiol Intensivmed 2020; 55:266–274.
Bamber JH, Lucas DN. COVID-19 and access to labour epidural analgesia in UK hospitals. Anaesthesia 2020; 75:1119–1120.
Lee M, Zhu F, Moodie J, et al. Remifentanil as an alternative to epidural analgesia for vaginal delivery: a meta-analysis of randomized trials. J Clin Anesth 2017; 39:57–63.
Zafirova Z, Sheehan C, Hosseinian L. Update on nitrous oxide and its use in anesthesia practice. Best Pract Res Clin Anaesthesiol 2018; 32:113–123.
Ministerio_de_sanidad. Documento técnico. Recomendaciones para la programación de cirugía en condiciones de seguridad durante el periodo de transición de la pandemia. 2020; https://www.mscbs.gob.es/profesionales/saludPublica/ccayes/alertasActual/nCov-China/documentos/COVID19_Cirugia_electiva.pdf (Consultado el 21/06/2020).
Guasch E, Brogly N, Manrique S. Recomendaciones prácticas en la paciente obstétrica con infección por COVID-19. Rev Españ Anestesiol Reanim 2020; 67:438–445.
Landau R. COVID-19 pandemic and obstetric anaesthesia. Anaesth Crit Care Pain Med 2020; 39:327–328.
Lee JSE, Goy RWL, Sng BL, Lew E. Considerations and strategies in the organisation of obstetric anaesthesia care during the 2019 COVID-19 outbreak in Singapore. Int J Obstet Anesth 2020; 43:114–117.
Guasch E, Brogly N, Gilsanz F. Combined spinal epidural for labour analgesia and caesarean section: indications and recommendations. Curr Opin Anaesthesiol 2020; 33:284–290.
Xu J, Zhou J, Xiao H, et al. A systematic review and meta-analysis comparing programmed intermittent bolus and continuous infusion as the background infusion for parturient-controlled epidural analgesia. Sci Rep 2019; 9:2583.
Guasch E, Iannuccelli F, Brogly N, Gilsanz F. Failed epidural for labor: what now? Minerva Anestesiol 2017; 83:1207–1213.
Russell R, Laxton C, Lucas DN, et al. Treatment of obstetric postdural puncture headache. Part 1: conservative and pharmacological management. Int J Obstet Anesth 2019; 38:93–103.
Russell R, Laxton C, Lucas DN, et al. Treatment of obstetric postdural puncture headache. Part 2: epidural blood patch. Int J Obstet Anesth 2019; 38:104–118.
San-Juan R, Barbero P, Fernandez-Ruiz M, et al. Incidence and clinical profiles of COVID-19 pneumonia in pregnant women: a single-centre cohort study from Spain. EClinicalMedicine 2020; 23:100407.
Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan. China Lancet 2020; 395:497–506.
Chen X, Laurent S, Onur OA, et al. A systematic review of neurological symptoms and complications of COVID-19. J Neurol 2020; 20:1–11.
Deniz M, Tezer H. Vertical transmission of SARS CoV-2: a systematic review. J Matern Fetal Neonatal Med 2020; 1–8.
Chen R, Zhang Y, Huang L, et al. Safety and efficacy of different anesthetic regimens for parturients with COVID-19 undergoing Cesarean delivery: a case series of 17 patients. Can J Anaesth 2020; 67:655–663.
Ginosar Y, Mirikatani E, Drover DR, et al. ED50 and ED95 of intrathecal hyperbaric bupivacaine coadministered with opioids for cesarean delivery. Anesthesiology 2004; 100:676–682.
Yue L, Han L, Li Q, et al. Anesthesia and infection control in cesarean section of pregnant women with COVID-19 infection: a descriptive study. J Clin Anesth 2020; 66:109908.
Bauer M, Bernstein K, Dinges E, et al. Obstetric anesthesia during the COVID-19 pandemic. Anesth Analg 2020; 131:7–15.
Sun X, Liu Y, Mei W. Safety considerations for neuraxial anaesthesia in parturients with COVID-19. Br J Anaesth 2020; 125:e313–e314.
Lifebox, CALIMA, WFSA, WHO. Pulse Oximetry for COVID-19 Decision Tool. https://wwwlifeboxorg/wp-content/uploads/2020/04/Pulse-Oximetry-for-COVID-19-Decision-Tool-Lifebox-FINAL1.pdf Consulted on May 30th 2020.
Day M. Covid-19: ibuprofen should not be used for managing symptoms, say doctors and scientists. BMJ 2020; 368:m1086.
SFAR/SFETD. Recommandations SFAR /SFETD sur les AINS. https://sfarorg/recommandations-sfar-sfetd-sur-les-ains/# Consulted 03/08/2020.
Klok FA, Kruip M, van der Meer NJM, et al. Incidence of thrombotic complications in critically ill ICU patients with COVID-19. Thromb Res 2020; 191:145–147.
Benhamou D, Keita H, Ducloy-Bouthors AS. Coagulation changes and thromboembolic risk in COVID-19 obstetric patients. Anaesth Crit Care Pain Med 2020; 39:351–353.
Akima S, McLintock C, Hunt BJ. RE: ISTH interim guidance to recognition and management of coagulopathy in COVID-19. J Thromb Haemost 2020; 18:2057–2058.