Korean J Anesthesiol.  2021 Apr;74(2):169-174. 10.4097/kja.20204.

Infection control of operating room and anesthesia for cesarean section during the COVID-19 outbreak in Daegu, the Republic of Korea -a case series-

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Daegu Fatimal Hospital, Daegu, Korea
  • 2Division of infection disease, Department of Internal Medicine, Daegu Fatimal Hospital, Daegu, Korea
  • 3Department of Infection Control, Daegu Fatimal Hospital, Daegu, Korea

Abstract

Background
The coronavirus disease-19 (COVID-19) was first reported in Wuhan, China, with Korea being subsequently exposed. In Korea, COVID-19 screening guidelines have been established in every hospital as an attempt to prevent its spread. There has been a previous report of a successful cesarean section of a confirmed mother; however, there remain no guidelines for suspected mothers. Cesarean section is often urgently operated without sufficient infection evaluations. We would like to suggest anesthetic management guidelines for cesarean section patients suspected of COVID-19. Case: Our hospital, which is located in Daegu, Korea, was designated as a quarantine and delivery facility for suspected mothers. We performed the cesarean section on seven suspected mothers and one confirmed mother.
Conclusions
This case report presents guidelines for infection control during surgery and anesthesia for cesarean section of mothers with suspected COVID-19 involving operating room preparation and protection strategy.

Keyword

Cesarean section; SARS-COV-2; COVID-19; Pregnancy; Guidelines; Pandemic; Personal protective equipment
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