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Emergency exploratory laparotomy in a COVID-19 patient - A case report -

Anesthesia and Pain Medicine 2020년 15권 4호 p.498 ~ 504
이성수, 박지현, 김건희, 권미영, 김희영, 문연진, 김수진, 윤미정,
소속 상세정보
이성수 ( Lee Seong-Su ) - National Medical Center Department of Anesthesiology and Pain Medicine
박지현 ( Park Ji-Hyun ) - National Medical Center Department of Anesthesiology and Pain Medicine
김건희 ( Kim Gunn-Hee ) - National Medical Center Department of Anesthesiology and Pain Medicine
권미영 ( Kwon Mi-Young ) - National Medical Center Department of Anesthesiology and Pain Medicine
김희영 ( Kim Hee-Yeong ) - National Medical Center Department of Anesthesiology and Pain Medicine
문연진 ( Moon Yeon-Jin ) - National Medical Center Department of Anesthesiology and Pain Medicine
김수진 ( Kim Su-Jin ) - National Medical Center Department of Anesthesiology and Pain Medicine
윤미정 ( Yun Mi-Jung ) - National Medical Center Department of Anesthesiology and Pain Medicine

Abstract


Background: Surgeries in patients with coronavirus disease 2019 (COVID-19) put medical staff at a high risk of infection. We report the anesthetic management and infection control of a mechanically ventilated COVID-19 patient who underwent exploratory laparotomy for suspected duodenal ulcer perforation.

Case: A 73-year-old man, mechanically ventilated for confirmed COVID-19, showed clinical and radiographic signs of a perforated duodenal ulcer, and he was transferred under sedation and intubation to a negative-pressure operating room. The operating and assistant staff wore personal protective equipment. High-efficiency particulate absorbing filters were inserted into the expiratory circuits of the anesthesia machine and portable ventilator. No participating staff contracted COVID-19, although the patient later died due to pneumonia.

Conclusions: This report can contribute to establishing clinical guidelines for the surgical management and operation room setting of COVID-19 patients.

키워드

Anesthetics; COVID-19; Infection control; Medical staff; Personal protective equipment; SARS-CoV-2; Surgery

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