دستورالعمل‌های پیشنهادی بیهوشی و توصیه‌های کاربردی حین بیماری همه‌گیری کووید 19 بر اساس ارزیابی گایدلاین‌های چند کشور
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حمیدرضا عزیزی فارسانی
فرانک بهناز شایسته خراسانی زاده
زهرا عزیزی فارسانی
فرانک بهناز شایسته خراسانی زاده
زهرا عزیزی فارسانی
چکیده
مقدمه: پاندمی کووید 19، سیستم بهداشتی جهان را دستخوش چالش بزرگی نموده و منجر به انتشار سریع دستورالعمل‌های متعدد بیهوشی شده است. تجارب همکاران بین‌المللی ما بایستی در جهت حفظ جان بیماران و کارکنان مراقبت سلامت به کار گرفته شود. هدف اولیه‌ی این مطالعه، برآورد و جمع‌آوری دستورالعمل‌های ملی برای مدیریت بیهوشی بیماران با کووید 19 بود که می‌تواند باعث بهبودی در مدیریت هر خیز جدید اپیدمی گردد.
شیوه‌ی مطالعه: این مطالعه به صورت مروری بر اساس استخراج اطلاعات از Cochrane Library، Embase،
Science Direct، Up-to-date، PubMed بطور همه جانبه‌ای برای دستورالعمل‌های مربوط به کووید 19 بررسی گردید. به علاوه، صفحه‌ی اینترنتی مربوط به منابع اطلاعاتی فدراسیون جهانی متخصصین بیهوشی، برای دستورالعمل‌های ملی بررسی و جستجو شد.
یافته‌ها: دستورالعمل‌های کشورهای استرالیا، کانادا، چین، هند، ایتالیا، آفریقای جنوبی، کره جنوبی، تایوان، ایران، انگلیس و در نهایت آمریکا مورد بررسی قرار گرفت. تمام دستورالعمل‌ها، غالباً برای محدود کردن شیوع عفونت و حفظ سلامت مراقبین سلامت بود. حیطه و هدف دستورالعمل‌های چینی فراگیرتر بود. آفریقای جنوبی و انگلیس واضح‌ترین و روشن‌ترین منابع اطلاعاتی را در دسترس قرار دارند.
نتیجه‌گیری: با وجود مستندات جدید، دستورالعمل‌های ملی بایستی به روز شوند تا میزان دقت، وضوح و قابلیت اجرایی شدن آن‌ها بیشتر شود.
کلمات کلیدی: دستورالعمل، بیهوشی عمومی، کوید-19، توصیه‌های کاربردی
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استناد به مقاله
عزیزی فارسانیح., بهنازف., خراسانی زادهش., & عزیزی فارسانیز. (2022). دستورالعمل‌های پیشنهادی بیهوشی و توصیه‌های کاربردی حین بیماری همه‌گیری کووید 19 بر اساس ارزیابی گایدلاین‌های چند کشور. مجله دانشکده پزشکی زابل, 159-168. https://doi.org/https://doi.org/10.18502/jzms.v4i4.8749
نوع مقاله
مقاله مروری
مراجع
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https://www.asahq.org/in-the-spotlight/coronavirus-covid-19-information
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27. Chen R, Zhang Y, Huang L, Cheng BH, Xia ZY, Meng QT. Safety and efficacy of different anesthetic regimens for parturients with COVID-19 undergoing Cesarean delivery: a case series of 17 patients. Can J Anaesth 2020; 67(6): 655-63.
28. Caputo KM, Byrick R, Chapman MG, Orser BJ, Orser BA. Intubation of SARS patients: infection and perspectives of healthcare workers. Can J Anaesth 2006; 53(2): 122-9.
29. Uppal V, Sondekoppam RV, Landau R, El-Boghdadly K, Narouze S, Kalagara HKP. Neuraxial anaesthesia and peripheral nerve blocks during the COVID-19 pandemic: a literature review and practice recommendations. Anaesthesia 2020; 75(10): 1350-63.
30. Greenland JR, Michelow MD, Wang L, London MJ. COVID-19 infection: Implications for oerioperative and critical care physicians. Anesthesiology 2020; 132(6): 1346-61
31. Lee-Archer P, von Ungern-Sternberg BS. Pediatric anesthetic implications of COVID-19-A review of current literature. Paediatr Anaesth 2020; 30(6): 136-41.
32. He Y, Wei J, Bian J, Guo K, Lu J, Mei W, et al. Chinese Society of Anesthesiology Expert Consensus on Anesthetic Management of Cardiac Surgical Patients with suspected or confirmed Coronavirus Disease 2019. J Cardiothorac Vasc Anesth 2020; 34(6): 1397-401.
33. Zhao S, Ling K, Yan H, Zhong L, Peng X, Yao S, et al. Anesthetic management of patients with COVID 19 Infections during emergency procedures. J Cardiothorac Vasc Anesth 2020; 34(5): 1125-31.
34. de Jong A, Molinari N, Terzi N, Mongardon N, Arnal JM, Guitton C, et al. Early identification of patients at risk for difficult intubation in the intensive care unit: development and validation of the MACOCHA score in a multicenter cohort study. Am J Respir Crit Care Med 2013; 187(8): 832-9.
35. Li W, Huang J, Guo X, Zhao J, Mandell MS. Anesthesia management and perioperative infection control in patients with the novel coronavirus. J Cardiothorac Vasc Anesth 2020; 35(5): 1503-8.
36. Sharma D, Rasmussen M, Han R, Whalin M, Davis M, Kofke WA, et al. Anesthetic management of endovascular treatment of acute ischemic stroke during COVID-19 pandemic: Consensus statement from society for neuroscience in anesthesiology & critical care (SNACC): Endorsed by Society of Vascular & Interventional Neurology (SVIN), Society of Neuro Interventional Surgery (SNIS), Neurocritical Care Society (NCS), European Society of Minimally Invasive Neurological Therapy (ESMINT) and American Association of Neurological Surgeons (AANS) and Congress of Neurological Surgeons (CNS) Cerebrovascular Section. J Neurosurg Anesthesiol 2020; 32(3): 193-201.
37. Flexman AM, Abcejo AS, Avitisian R, De Sloovere V, Highton D, Juul N, et al. Neuroanesthesia practice during the COVID-19 pandemic: recommendations from Society for Neuroscience in Anesthesiology and Critical Care (SNACC). J Neurosurg Anesthesiol 2020; 32(3): 202-9.
38. Dexter F, Parra MC, Brown JR, Loftus RW. Perioperative COVID-19 defense: an evidence-based approach for optimization of infection control and operating room management. Anesth Analg 2020; 131(1): 37-42.
39. Cook TM. Personal protective equipment during the coronavirus disease (COVID) 2019 pandemic - a narrative review. Anaesthesia 2020; 75(5): 920-7.
2. Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med 2020; 382(8): 727-33.
3. Ong S, Lim WY, Ong J, Kam P. Anesthesia guidelines for COVID-19 patients: a narrative review and appraisal. Korean J Anesthesiol 2020; 73(6): 486-502.
4. The Lancet. COVID-19: protecting health-care workers. Lancet 2020; 395(10228): 922.
5. van Doremalen N, Bushmaker T, Morris DH, Holbrook MG, Gamble A, Williamson BN,
et al. Aerosol and surface stability of SARS-CoV-2 as compared with SARS-CoV-1. N Engl
J Med 2020; 382(16): 1564-7.
6. Centers for Disease Control and Prevention. Centers for Disease Control and Prevention Coronavirus disease 2019 (COVID-19). [Online 2020]. Available from: URL:
https://www.cdc.gov/coronavirus/2019-ncov/index.html.
7. Grudzinski A, Sun B, Zhang M, Crnic A, Djokhdem AH, Hanna M, et al. Airway recommendations for perioperative patients during the COVID-19 pandemic: a scoping review. [Aug 04 2021]. Available from: URL: https://www.medrxiv.org/content/10.1101/2021.07.30.21261372v1
8. Australian Society of Anaesthesiologists. COVID-19 Updates [Online]. 2020 [cited 2020 Oct 2020 May 28]; Avilable from: URL: https://asa.org.au/covid-19-updates/
9. Canadian Anesthesiologists’ Society. Coronavirus tips and guidelines [Online]. 2020 [cited 2020 May 28]; Avilable from: URL: https://www.cas.ca/en/covid-19
10. Matava CT, Kovatsis PG, Lee JK, Castro P, Denning S, Yu J, et al. Pediatric airway management in COVID-19 patients: Consensus Guidelines from the Society for Pediatric Anesthesia's Pediatric Difficult Intubation Collaborative and the Canadian Pediatric Anesthesia Society. Anesth Analg 2020; 131(1): 61-73.
11. Chen X, Liu Y, Gong Y, Guo X, Zuo M, Li J,
et al. Perioperative management of patients infected with the novel coronavirus: recommendation from the Joint Task Force of the Chinese Society of Anesthesiology and the Chinese Association of Anesthesiologists. Anesthesiology 2020; 132(6): 1307-16.
12. Zuo MZ, Huang YG, Ma WH, Xue ZG, Zhang JQ, Gong YH, et al. Expert recommendations for tracheal intubation in critically ill patients with noval coronavirus disease 2019. Chin Med Sci J 2020; 35(2): 105-9.
13. Malhotra N, Joshi M, Datta R, Bajwa SJ, Mehdiratta L. Indian society of anaesthesiologists (ISA National) advisory and position statement regarding COVID-19. Indian J Anaesth 2020; 64(4): 259-63.
14. Sorbello M, El-Boghdadly K, Di Giacinto I, Cataldo R, Esposito C, Falcetta S, et al. The Italian coronavirus disease 2019 outbreak: recommendations from clinical practice. Anaesthesia 2020; 75(6): 724-32.
15. South African Society of Anesthesiologists. SASA covid-19 updates [Online]. 2020 [cited 2020 May 28]; Avilable from: URL: https://www.sasaweb.com/
16. Society for Obstetric Anesthesia and Perinatology. Interim considerations for obstetric anesthesia care related to COVID-19 - SOAP [Online]. 2020 [cited 2020 May 15]; Avilable from: URL:
https://www.jsoap.com/build/files/SOAP_COVID-19_Obstetric_Anesthesia_Care_052220.pdf
17. Kim HJ, Ko JS, Seo H, Kim TY. Guidelines for the control and prevention of coronavirus disease (COVID-19) transmission in surgical and anesthetic settings. Korean J Anesthesiol 2020; 73(4): 271-4.
18. Standing Committee for Sedation Taiwan Society of Anesthesiologists. Clinical Guidance of Mild to Moderate Sedation-An Expert Consensus by Taiwan Society of Anesthesiologists. Asian J Anesthesiol 2020; 58(2): 57-60.
19. Zhong Q, Liu YY, Luo Q, Zou YF, Jiang HX, Li H, et al. Spinal anaesthesia for patients with coronavirus disease 2019 and possible transmission rates in anaesthetists: retrospective, single-centre, observational cohort study. Br J Anaesth 2020; 124(6): 670-5.
20. Wax RS, Christian MD. Practical
recommendations for critical care and anesthesiology teams caring for novel coronavirus (2019-nCoV) patients. Can J Anaesth 2020; 67(5): 568-76.
21. Association of Anaesthestists. Anaesthetic management of patients during a COVID-19 outbreak [Online 2020]. [cited 2020 May 28]; Avilable from: URL:
https://anaesthetists.org/Home/Resources-publications/Anaesthetic-Management-of-Patients-During-a-COVID-19-Outbreak
22. Anesthesia Patient Safety Foundation 2020. Perioperative considerations for the 2019 novel coronavirus (COVID-19) [Online]. 2020 [cited 2020 Feb 12]; Avilable from: URL: Anesthesia Patient Safety Foundation 2020. Perioperative Considerations for the 2019 Novel Coronavirus (COVID-19)
23. American Society of Anesthesiologists. COVID-19 resources [Online]. 2020 [cited 2020 May 28]; Avilable from: URL:
https://www.asahq.org/in-the-spotlight/coronavirus-covid-19-information
24. 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.
25. Dagens A, Sigfrid L, Cai E, Lipworth S, Cheung V, Harris E, et al. Scope, quality, and inclusivity of clinical guidelines produced early in the covid-19 pandemic: rapid review. BMJ 2020; 369: m1936.
26. Guyatt GH, Oxman AD, Vist GE, Kunz R, Falck-Ytter Y, Alonso-Coello P, et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ 2008; 336(7650): 924-6.
27. Chen R, Zhang Y, Huang L, Cheng BH, Xia ZY, Meng QT. Safety and efficacy of different anesthetic regimens for parturients with COVID-19 undergoing Cesarean delivery: a case series of 17 patients. Can J Anaesth 2020; 67(6): 655-63.
28. Caputo KM, Byrick R, Chapman MG, Orser BJ, Orser BA. Intubation of SARS patients: infection and perspectives of healthcare workers. Can J Anaesth 2006; 53(2): 122-9.
29. Uppal V, Sondekoppam RV, Landau R, El-Boghdadly K, Narouze S, Kalagara HKP. Neuraxial anaesthesia and peripheral nerve blocks during the COVID-19 pandemic: a literature review and practice recommendations. Anaesthesia 2020; 75(10): 1350-63.
30. Greenland JR, Michelow MD, Wang L, London MJ. COVID-19 infection: Implications for oerioperative and critical care physicians. Anesthesiology 2020; 132(6): 1346-61
31. Lee-Archer P, von Ungern-Sternberg BS. Pediatric anesthetic implications of COVID-19-A review of current literature. Paediatr Anaesth 2020; 30(6): 136-41.
32. He Y, Wei J, Bian J, Guo K, Lu J, Mei W, et al. Chinese Society of Anesthesiology Expert Consensus on Anesthetic Management of Cardiac Surgical Patients with suspected or confirmed Coronavirus Disease 2019. J Cardiothorac Vasc Anesth 2020; 34(6): 1397-401.
33. Zhao S, Ling K, Yan H, Zhong L, Peng X, Yao S, et al. Anesthetic management of patients with COVID 19 Infections during emergency procedures. J Cardiothorac Vasc Anesth 2020; 34(5): 1125-31.
34. de Jong A, Molinari N, Terzi N, Mongardon N, Arnal JM, Guitton C, et al. Early identification of patients at risk for difficult intubation in the intensive care unit: development and validation of the MACOCHA score in a multicenter cohort study. Am J Respir Crit Care Med 2013; 187(8): 832-9.
35. Li W, Huang J, Guo X, Zhao J, Mandell MS. Anesthesia management and perioperative infection control in patients with the novel coronavirus. J Cardiothorac Vasc Anesth 2020; 35(5): 1503-8.
36. Sharma D, Rasmussen M, Han R, Whalin M, Davis M, Kofke WA, et al. Anesthetic management of endovascular treatment of acute ischemic stroke during COVID-19 pandemic: Consensus statement from society for neuroscience in anesthesiology & critical care (SNACC): Endorsed by Society of Vascular & Interventional Neurology (SVIN), Society of Neuro Interventional Surgery (SNIS), Neurocritical Care Society (NCS), European Society of Minimally Invasive Neurological Therapy (ESMINT) and American Association of Neurological Surgeons (AANS) and Congress of Neurological Surgeons (CNS) Cerebrovascular Section. J Neurosurg Anesthesiol 2020; 32(3): 193-201.
37. Flexman AM, Abcejo AS, Avitisian R, De Sloovere V, Highton D, Juul N, et al. Neuroanesthesia practice during the COVID-19 pandemic: recommendations from Society for Neuroscience in Anesthesiology and Critical Care (SNACC). J Neurosurg Anesthesiol 2020; 32(3): 202-9.
38. Dexter F, Parra MC, Brown JR, Loftus RW. Perioperative COVID-19 defense: an evidence-based approach for optimization of infection control and operating room management. Anesth Analg 2020; 131(1): 37-42.
39. Cook TM. Personal protective equipment during the coronavirus disease (COVID) 2019 pandemic - a narrative review. Anaesthesia 2020; 75(5): 920-7.