The Cutting Edge of Thoracic Anesthesia During the Coronavirus Disease 2019 (COVID-19) Outbreak

Silvia Fiorelli; Cecilia Menna; Federico Piccioni; Mohsen Ibrahim; Erino Angelo Rendina; Monica Rocco; Domenico Massullo

doi:10.1053/j.jvca.2020.05.042

The Cutting Edge of Thoracic Anesthesia During the Coronavirus Disease 2019 (COVID-19) Outbreak

J Cardiothorac Vasc Anesth. 2020 Dec;34(12):3203-3210. doi: 10.1053/j.jvca.2020.05.042. Epub 2020 Jun 7.

Authors

Silvia Fiorelli¹, Cecilia Menna², Federico Piccioni³, Mohsen Ibrahim², Erino Angelo Rendina², Monica Rocco⁴, Domenico Massullo⁴

Affiliations

¹ Anesthesia and Intensive Care Medicine, Department of Clinical and Surgical Translational Medicine, Sant' Andrea Hospital, Sapienza University of Rome, Rome, Italy. Electronic address: silvia.fiorelli@uniroma1.it.
² Thoracic Surgery, Department of Clinical and Surgical Translational Medicine, Sant' Andrea Hospital, Sapienza University of Rome, Rome, Italy.
³ Department of Critical Care and Supportive Therapy, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
⁴ Anesthesia and Intensive Care Medicine, Department of Clinical and Surgical Translational Medicine, Sant' Andrea Hospital, Sapienza University of Rome, Rome, Italy.

Abstract

Coronavirus disease 2019 (COVID-19) has quickly spread globally, causing a real pandemic. In this critical scenario, lung cancer patients scheduled for surgical treatment need to continue to receive optimal care while protecting them from an eventual severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Adequate use of personal protective equipment (PPE) during aerosol-generating procedures (AGPs) and a COVID-19 specific intraoperative management are paramount in order to prevent cross infections. New suggestions or improvement of existing contagion control guidance are needed, even in case of non-symptomatic patients, possibly responsible for virus spread.

Keywords: 2019-nCoV; COVID-19; airway management; coronavirus; lung cancer; thoracic anesthesia.

Publication types

Review

MeSH terms

Anesthesia, Cardiac Procedures / methods
Anesthesia, Cardiac Procedures / standards*
COVID-19 / epidemiology
COVID-19 / prevention & control*
Cross Infection / epidemiology
Cross Infection / prevention & control*
Disease Outbreaks / prevention & control*
Humans
Occupational Exposure / prevention & control
Occupational Exposure / standards
Personal Protective Equipment / standards*