Background: Pregnant women are usually more susceptible to infection
due to typical physiological and mechanical changes, such as increased heart
rate, stroke volume and pulmonary residual capacity. The aim of this study was to
evaluate an innovative anesthesiologic opioid-free management protocol in
symptomatic pregnant women, with COVID-19 and with oxygen therapy, undergoing
cesarean delivery with spinal anesthesia. Methods: With the patient in the sitting position, spinal anesthesia was performed at the
L1–L2 level. Vertebral level has been identified starting from the sacrum, we
counted the laminae in the caudal-to-cephalad direction, which was then marked
with a surgical pen. The technique was performed in asepsis, in the subarachnoid
space after vision of clear Cephalo-Spinal Fluid (CSF) in the spinal needle 27
Gauge, without letting out the CSF, bupivacaine 0.5% 10 mg, dexmedetomidine 10
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Anesthesiologic management of pregnant women with SARS-COV-2 infection undergoing cesarean delivery
Antonio Coviello1, Concetta Posillipo1, Ludovica Golino1, Carlo De Angelis2,*, Elisabetta Gragnano1, Gabriele Saccone1, Marilena Ianniello1, Gaetano Castellano3, Annachiara Marra1, Alfredo Maresca1, Maria Vargas1, Giuseppe Servillo1
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1
Department of Anesthesiology and Intensive Care Medicine, Policlinico, Federico II University Hospital, 80131 Naples, Italy
2
Department of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, 00155 Rome, Italy
3
Department of Anesthesiology and Intensive Care Medicine, Policlinico, Gemelli Molise Spa, 1 86100 Campobasso, Italy
*Correspondence: carlo.deangelis@uniroma1.it (Carlo De Angelis)
Clin. Exp. Obstet. Gynecol. 2021, 48(3), 628–630;
https://doi.org/10.31083/j.ceog.2021.03.2446
Submitted: 2 January 2021 | Revised: 11 February 2021 | Accepted: 23 March 2021 | Published: 15 June 2021
(This article belongs to the Special Issue CoVID-19 in OB/GYN)
Copyright: © 2021 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license (https://creativecommons.org/licenses/by/4.0/).
Abstract
Keywords
Pregnancy
Anesthesia
Delivery
COVID-19
SARS-COV-2
2019-nCOV
Cesarean delivery
Spinal anesthesia
Neuraxial anesthesia
Labour
Fetus
Pneumonia