Open AccessPerioperative Management in Parturient with Severe Preeclampsia, Obesity, and COVID-19
Author(s) -
Rafael Bagus Yudhistira,
Muhammad Yurizar Yudhistira,
Raden Theodorus Supraptomo
Publication year - 2021
Publication title -
solo journal of anesthesi, pain and critical care
Language(s) - English
Resource type - Journals
eISSN - 2797-0035
pISSN - 2776-1770
DOI - 10.20961/soja.v1i2.54984
Subject(s) - medicine , caesarean section , preeclampsia , pregnancy , perioperative , anesthesia , covid-19 , surgery , disease , genetics , infectious disease (medical specialty) , biology
The elevated cases of pregnant women infected with COVID-19 who needed to undergo caesarean section is a great challenge to anesthesiologists. Morbid obesity and preeclampsia in pregnancy are also another challenge to medical practice especially when the patient requires caesarean section. To describe the perioperative management of a morbidly obese preeclamptic patient with COVID-19. A pregnant woman with mild case of COVID-19, severe preeclampsia and obesity underwent an emergency caesarean section. Spinal anesthesia was performed using a Whitacre 26G spinal needle with 76 mm length, bupivacaine 0.5% 12.5 mg as spinal anesthesia agent and fentanyl 25 mcg as adjuvant. All operating teams use PPE according to COVID-19 guidelines and standard procedures. The operation went with a good outcome without any transmission to the operating team. The patient underwent treatment without postoperative complications. Spinal anesthesia is considered safe to be a usual technique for parturient with preeclampsia and morbid obesity. A proper COVID-19 surgery protocol is crucial in order to protect health workers handling COVID-19 patients.