Volume : 12, Issue : 06, June – 2025
Title:
REGIONAL ANESTHESIA AS A SAFE ALTERNATIVE IN A COVID-19 PNEUMONIA PATIENT: A CASE REPORT
Authors :
Asfandiar Shah Rukh Hijaz
Abstract :
General anesthesia in patients with active COVID-19 pneumonia carries significant risks, including hypoxemia, aerosol generation, and postoperative pulmonary complications. A 58 years old male with confirmed COVID-19 pneumonia underwent urgent right lower limb surgery under ultrasound guided spinal anesthesia. Avoiding general anesthesia reduced airway manipulation, maintained respiratory stability, and prevented postoperative deterioration. Regional anesthesia can be a safe and effective alternative to general anesthesia in selected COVID-19 pneumonia patients, minimizing respiratory risk and viral aerosolization.
Cite This Article:
Please cite this article in press Asfandiar Shah Rukh Hijaz., . Regional Anesthesia As A Safe Alternative In A Covid-19 Pneumonia Patient: A Case Report., Indo Am. J. P. Sci, 2025; 12(07).
Number of Downloads : 10
References:
1. Cook TM, El-Boghdadly K, McGuire B, et al. Consensus guidelines for managing the airway in patients with COVID-19: Guidelines from the Difficult Airway Society, the Association of Anaesthetists the Intensive Care Society, the Faculty of Intensive Care Medicine and the Royal College of Anaesthetists. Anaesthesia. 2020;75(6):785-799. doi:10.1111/anae.15054
2. Tran K, Cimon K, Severn M, Pessoa-Silva CL, Conly J. Aerosol generating procedures and risk of transmission of acute respiratory infections to healthcare workers: a systematic review. PLoS One. 2012;7(4):e35797. doi:10.1371/journal.pone.0035797
3. Dobson G, Chow L, Filteau L, et al. Guidelines to the Practice of Anesthesia – Revised Edition 2020. Guide d’exercice de l’anesthésie de la SCA – Édition révisée 2020. Can J Anaesth. 2020;67(1):64-99. doi:10.1007/s12630-019-01507-4
4. Guan WJ, Ni ZY, Hu Y, et al. Clinical Characteristics of Coronavirus Disease 2019 in China. N Engl J Med. 2020;382(18):1708-1720. doi:10.1056/NEJMoa2002032
5. Narouze S, Benzon HT, Provenzano D, et al. Interventional Spine and Pain Procedures in Patients on Antiplatelet and Anticoagulant Medications (Second Edition): Guidelines From the American Society of Regional Anesthesia and Pain Medicine, the European Society of Regional Anaesthesia and Pain Therapy, the American Academy of Pain Medicine, the International Neuromodulation Society, the North American Neuromodulation Society, and the World Institute of Pain. Reg Anesth Pain Med. 2018;43(3):225-262. doi:10.1097/AAP.0000000000000700
6. Shi H, Han X, Jiang N, et al. Radiological findings from 81 patients with COVID-19 pneumonia in Wuhan, China: a descriptive study. Lancet Infect Dis. 2020;20(4):425-434. doi:10.1016/S1473-3099(20)30086-4
7. Memtsoudis SG, Sun X, Chiu YL, et al. Perioperative comparative effectiveness of anesthetic technique in orthopedic patients. Anesthesiology. 2013;118(5):1046-1058. doi:10.1097/ALN.0b013e318286061d
8. Ho ATN, Patolia S, Guervilly C. Neuromuscular blockade in acute respiratory distress syndrome: a systematic review and meta-analysis of randomized controlled trials. J Intensive Care. 2020;8:12. Published 2020 Jan 28. doi:10.1186/s40560-020-0431-z