Practical recommendations in the obstetrical patient with a COVID-19 infection

Rev Esp Anestesiol Reanim (Engl Ed). 2020 Oct;67(8):438-445. doi: 10.1016/j.redar.2020.06.009. Epub 2020 Jul 10.
[Article in English, Spanish]

Abstract

COVID-19 infection also affects obstetric patients. Regular obstetric care has continued despite the pandemic. Case series of obstetric patients have been published. Neuroaxial techniques appear to be safe and it is important to obtain the highest possible rate of success of the blocks before a cesarean section. For this reason, it is recommended that the blocks be carried out by senior anesthesiologists. The protection and safety of professionals is a key point and in case of general anesthesia, so it is also recommended to call to the most expert anesthesiologist. Seriously ill patients should be recognized quickly and early, in order to provide them with the appropriate treatment as soon as possible. Susceptibility to thrombosis makes prophylactic anticoagulation a priority.

Keywords: Anaesthesia; Analgesia; Anestesia; Anestesia obstétrica; COVID-19; Embarazo; Gestante; Obstetric anesthesia; Pandemia; Pandemic; Pregnancy; Pregnant.

Publication types

  • Review

MeSH terms

  • Analgesia, Epidural / methods
  • Analgesia, Epidural / standards
  • Analgesia, Obstetrical / standards
  • Anesthesia, General
  • Anesthesia, Obstetrical / standards
  • Anesthesiologists*
  • Betacoronavirus*
  • COVID-19
  • Cesarean Section / methods
  • Cesarean Section / standards*
  • Coronavirus Infections / epidemiology*
  • Coronavirus Infections / prevention & control
  • Coronavirus Infections / transmission
  • Cross Infection / prevention & control
  • Female
  • Humans
  • Infectious Disease Transmission, Patient-to-Professional / prevention & control
  • Monitoring, Physiologic / methods
  • Monitoring, Physiologic / standards
  • Pandemics / prevention & control
  • Patient Isolation / standards
  • Personal Protective Equipment
  • Pneumonia, Viral / epidemiology*
  • Pneumonia, Viral / prevention & control
  • Pneumonia, Viral / transmission
  • Postoperative Care / methods
  • Postoperative Care / standards
  • Pregnancy
  • Pregnancy Complications, Infectious*
  • SARS-CoV-2
  • Severity of Illness Index