The Role of Regional Anesthesia During the SARS-CoV2 Pandemic: Appraisal of Clinical, Pharmacological and Organizational Aspects.

COVID-19 anesthesia conduction coronavirus regional anaesthesia regional anesthesia severe acute respiratory syndrome coronavirus 2

Journal

Frontiers in pharmacology
ISSN: 1663-9812
Titre abrégé: Front Pharmacol
Pays: Switzerland
ID NLM: 101548923

Informations de publication

Date de publication:
2021
Historique:
received: 19 06 2020
accepted: 28 04 2021
entrez: 21 6 2021
pubmed: 22 6 2021
medline: 22 6 2021
Statut: epublish

Résumé

The severe acute respiratory syndrome coronavirus SARS-CoV2 is spreading over millions of people worldwide, leading to thousands of deaths, even among the healthcare providers. Italy has registered the deaths of 337 physicians and more than 200 nurses as of March 14, 2021. Anesthesiologists are at higher risk as they are the care providers in both ICU and operating rooms.Although the vaccination of healthcare providers has been the prioirity, physicians are still continually exposed to the virus and potentially risk contagion and must thus protect themselves and their patients from the risks of infection while providing the best care to their surgical patients.Regional anesthesia allows for a reduction in airway manipulation, reducing environmental contamination as a result. Furthermore, regional anesthesia reduces the opioid requirements as well as the muscle paralysis due to muscle-relaxants and should be recommended whenever possible in COVID-19 patients. Our aim is to evaluate the advantages and criticisms of regional anesthesia in the management of surgical patients in the pandemic age.

Identifiants

pubmed: 34149401
doi: 10.3389/fphar.2021.574091
pii: 574091
pmc: PMC8213435
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

574091

Informations de copyright

Copyright © 2021 Cappelleri, Fanelli, Ghisi, Russo, Giorgi, Torrano, Lo Bianco, Salomone and Fumagalli.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Gianluca Cappelleri (G)

Anesthesia and Intensive Care Unit, Policlinico di Monza, Monza, Italy.

Andrea Fanelli (A)

Anesthesia and Intensive Care Unit, Policlinico di Monza, Monza, Italy.

Daniela Ghisi (D)

Anesthesia, Postoperative Intensive Care and Pain Therapy, Rizzoli Orthopedic Institute (IRCCS), Bologna, Italy.

Gianluca Russo (G)

Anesthesia, Postoperative Intensive Care and Pain Therapy, Lodi Hospital, Lodi, Italy.

Antonio Giorgi (A)

Department of Medicine and Surgery, University of Milano Bicocca, Monza, Italy.

Vito Torrano (V)

Department of Anesthesia, Critical Care and Pain Medicine, Asst Grande Ospedale Metropolitano Niguarda, Milan, Italy.

Giuliano Lo Bianco (G)

Department of Biomedical and Biotechnological Sciences, School of Medicine, University of Catania, Catania, Italy.
Anesthesiology and Pain Department, Fondazione Istituto G.Giglio, Cefalú, Italy.

Salvatore Salomone (S)

Department of Biomedical and Biotechnological Sciences, School of Medicine, University of Catania, Catania, Italy.

Roberto Fumagalli (R)

Department of Anesthesia, Critical Care and Pain Medicine, Niguarda Ca' Granda Hospital, Milan, Italy.
University of Milano-Bicocca, Milan, Italy.

Classifications MeSH