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Revista de la Universidad Industrial de Santander. Salud
versão impressa ISSN 0121-0807versão On-line ISSN 2145-8464
Resumo
MEDINA-GARZON, Mauricio; ALVAREZ-GUEVARA, Juan Felipe e CASTELLANOS-LOPEZ, Jorge Iván. Anesthetic considerations for the management of the surgical patient with COVID-19. Rev. Univ. Ind. Santander. Salud [online]. 2022, vol.54, e304. Epub 19-Out-2022. ISSN 0121-0807. https://doi.org/10.18273/saluduis.54.e:22018.
Introduction:
The current situation caused by COVID-19 demands the implementation of new techniques in anesthetic management and pre-existing risks in surgical services.
Objective:
to identify the anesthetic considerations for patients with COVID-19 to suggest interventions in the surgical area.
Methodology:
Integrative review of descriptive scope in conjunction with compliance with the methodological steps of Whittemore-Knafl and the PRISMA parameters. The search was performed in the following databases: PubMed, VHL, Coronavirus Research Database, SCOPUS, Elsevier, and SAGE. A total of 953 articles were obtained, which together with a critical analysis by CASPe, met the established inclusion and exclusion criteria.
Results:
Twenty-seven articles classified as: selection criteria for anesthetic techniques; general anesthesia and the use of specific medications for anesthetic management that reduce cough and prevent the release of aerosols; airway management to avoid failed intubations; regional anesthesia and nursing considerations in the preparation of elements and devices prior to the patient's admission to the operating room; identification and follow-up of symptomatic and asymptomatic patients during the perioperative process.
Conclusion:
Regarding the anesthetic technique, it is important to prioritize the use, as far as possible, of ultrasound-guided regional anesthesia. If general anesthesia is required, it is advisable to maintain precautions to prevent infection with the virus. For nursing, the role in preparing a safe surgical environment, knowledge of the anesthetic technique used and individualized care according to the required needs stand out.
Palavras-chave : Anesthesia; COVID-19; Coronavirus infections; Nursing care; Surgery; Perioperative nursing.