Open AccessStaying Ahead of the Curve: Modified Approach to Emergency Caesarean Section Under General Anaesthesia in COVID-19 Pandemic
Author(s) -
Dominika Dabrowska,
Gareth John Lock
Publication year - 2020
Publication title -
turkish journal of anaesthesiology and reanimation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.322
H-Index - 12
eISSN - 2667-677X
pISSN - 2667-6370
DOI - 10.5152/tjar.2020.280420
Subject(s) - staffing , caesarean section , covid-19 , pandemic , medicine , medical emergency , health care , unit (ring theory) , intensive care medicine , nursing , psychology , pregnancy , political science , genetics , mathematics education , disease , pathology , infectious disease (medical specialty) , law , biology
The recent outbreak of SARS-CoV-2 has prompted healthcare professionals to re-design and modify the standards of care and operating procedures relevant to dealing with suspected or confirmed cases of COVID-19. The aim of this review is to highlight the key recommendations related to obstetric anaesthesia from scientific bodies in the United Kingdom and United States and to summarize recently developed and implemented clinical pathways for care of obstetric patients - specifically those requiring urgent general anaesthesia for caesarean section within a large maternity unit in London. The need to perform an emergency operative delivery in a timely manner while ensuring clinicians are suitably equipped and protected represents a uniquely challenging scenario, given the higher risk of viral transmission with aerosol generating procedures. In these settings, emphasis needs to be put on meticulous preparation, safety checklists and specific equipment and staffing adjustments. We present a structured framework comprised of four critical steps aimed to facilitate the development of local strategies and protocols.