Anesthetic considerations for the management of the surgical patient with COVID-19
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Keywords

Anesthesia
COVID-19
Coronavirus Infections
Nursing Care
surgery
Perioperative Nursing

How to Cite

Álvarez-Guevara, J. F., Medina-Garzón, M., & Castellanos-López, J. I. (2022). Anesthetic considerations for the management of the surgical patient with COVID-19. Salud UIS, 54. https://doi.org/10.18273/saluduis.54.e:22018

Abstract

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.

https://doi.org/10.18273/saluduis.54.e:22018
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Copyright (c) 2022 Juan Felipe Álvarez-Guevara, Mauricio Medina-Garzón, Jorge Iván Castellanos-López

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