Open AccessSuccessful anaesthetic management of a COVID-positive patient with multiple comorbidities: regional anaesthesia to the rescue
Author(s) -
Shweta Aghi,
Srinivasan Muthuswamy,
Nidhi Bhatia,
Kamal Kajal,
Anjishnujit Bandyopadhyay
Publication year - 2021
Publication title -
ain shams journal of anesthesiology
Language(s) - English
Resource type - Journals
eISSN - 2090-925X
pISSN - 1687-7934
DOI - 10.1186/s42077-021-00176-0
Subject(s) - medicine , anesthesia , perioperative , covid-19 , pneumonia , remifentanil , nasal cannula , spirometry , regional anaesthesia , cannula , surgery , propofol , asthma , disease , infectious disease (medical specialty) , pathology
The perioperative anaesthetic management of a case of COVID-19 pneumonia with multiple systemic comorbidities, posted for unilateral below knee amputation and debridement of hand, poses a uniquely challenging scenario for the anaesthesiologist. We hereby report such a case which was managed successfully using ultrasound-guided popliteal and wrist block along with perioperative use of high flow nasal cannula, incentive spirometry and awake proning.