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Şentürk M, El Tahan MR, Szegedi LL, Marczin N, Karzai W, Shelley B, Piccioni F, Granell Gil M, Rex S, Sorbello M, Bence J, Cohen E, Gregorio GD, Kawagoe I, Globokar MD, Jimenez MJ, Licker MJ, Mourisse J, Mukherjee C, Navarro R, Neskovic V, Paloczi B, Paternoster G, Pelosi P, Salaheldeen A, Stoica R, Unzueta C, Vanpeteghem C, Vegh T, Wouters P, Yapici D, Guarracino F. Thoracic Anesthesia of Patients With Suspected or Confirmed 2019 Novel Coronavirus Infection: Preliminary Recommendations for Airway Management by the European Association of Cardiothoracic Anaesthesiology Thoracic Subspecialty Committee. J Cardiothorac Vasc Anesth 2020; 34:2315-2327. [PMID: 32414544 PMCID: PMC7151284 DOI: 10.1053/j.jvca.2020.03.059] [Citation(s) in RCA: 41] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/27/2020] [Accepted: 03/29/2020] [Indexed: 01/27/2023]
Abstract
The novel coronavirus has caused a pandemic around the world. Management of patients with suspected or confirmed coronavirus infection who have to undergo thoracic surgery will be a challenge for the anesthesiologists. The thoracic subspecialty committee of European Association of Cardiothoracic Anaesthesiology (EACTA) has conducted a survey of opinion in order to create recommendations for the anesthetic approach to these challenging patients. It should be emphasized that both the management of the infected patient with COVID-19 and the self-protection of the anesthesia team constitute a complicated challenge. The text focuses therefore on both important topics.
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Affiliation(s)
- Mert Şentürk
- Department of Anaesthesiology & Intensive care of Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey.
| | - Mohamed R El Tahan
- Department of Anaesthesia, Intensive Care and Pain Medicine, College of Medicine, Mansoura University, Mansoura, Egypt
| | - Laszlo L Szegedi
- Department of Anesthesiology, CUB Hôpital Erasme, ULB Université Libre de Bruxelles, Brussels, Belgium
| | - Nandor Marczin
- Department of Surgery & Cancer, Section of Anaesthetics, Imperial College London, London, UK; Harefield Hospital, Royal Brompton & Harefield NHS Foundation Trust, Harefield, UK; Department of Anesthesia and Intensive Care, Semmelweis University, Budapest, Hungary
| | | | - Ben Shelley
- Golden Jubilee National Hospital/West of Scotland Heart and Lung Centre, University of Glasgow Academic Unit of Anesthesia, Pain, and Critical Care, Glasgow, Scotland
| | - Federico Piccioni
- Anesthesia and Intensive Care Unit, Department of Critical and Supportive Care, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy
| | | | - Steffen Rex
- Department of Anesthesiology, University Hospitals Leuven, Leuven, Belgium; Department of Cardiovascular Sciences, Katholieke Universiteit Leuven, Leuven, Belgium
| | - Massimiliano Sorbello
- Anesthesia and Intensive Care, AOU Policlinico Vittorio Emanuele San Marco, Catania, Italy
| | - Johan Bence
- Department of Anesthesia, Glenfield Hospital Leicester, Leicester, England, UK
| | - Edmond Cohen
- Icahn School of Medicine at Mount Sinai, New York, NY
| | - Guido Di Gregorio
- Anesthesia and Critical Care, Azienda Ospedaliera Università di Padova, Padova, Italy
| | - Izumi Kawagoe
- Department of Anesthesiology and Pain Medicine, Juntendo University, Tokyo, Japan
| | - Mojca Drnovšek Globokar
- Department of Anesthesiology, Ljubjljana University Medical Centre Ljubljana, Ljubljana, Slovenia
| | | | - Marc-Joseph Licker
- Anesthesia, Pharmacology and Intensive Care, University Hospital Geneva, Geneva, Switzerland
| | - Jo Mourisse
- Department of Anesthesia, Pain, and Palliative Medicine, Radboud University Medical Centre, Nijmegen, The Netherlands
| | - Chirojit Mukherjee
- Department of Anesthesia and Intensive Care, Helios Clinic for Cardiac Surgery, Karlsruhe, Germany
| | - Ricard Navarro
- Department of Anesthesiology and Critical Care, Hospital Clinic Barcelona, Barcelona, Spain
| | | | - Balazs Paloczi
- Department of Anesthesiology and Intensive Care, University of Debrecen, Debrecen, Hungary
| | - Gianluca Paternoster
- Division of Cardiac Resuscitation, Cardiovascular Anesthesia and Intensive Care, San Carlo Hospital, Potenza, Italy
| | - Paolo Pelosi
- Dipartimento di Scienze Chirurgiche e Diagnostiche Integrate, Università degli Studi di Genova, Genoa, Italy
| | - Ahmed Salaheldeen
- Department of Anesthesia, King Fahd Hospital of the Imam Abdulrahman Bin Faisal University, Al Khobar, Saudi Arabia
| | - Radu Stoica
- Department of Thoracic Anesthesia, Institute of Pulmonology "Marius Nasta," Bucharest, Romania
| | - Carmen Unzueta
- Department of Anesthesiology, Hospital de la Santa Creu i San Pau, Barcelona, Spain
| | | | - Tamas Vegh
- Department of Anesthesiology and Intensive Care, University of Debrecen, Debrecen, Hungary
| | - Patrick Wouters
- Anesthesia and Perioperative Medicine, Ghent University, Ghent, Belgium
| | - Davud Yapici
- Mersin University School of Medicine, Mersin, Turkey
| | - Fabio Guarracino
- Department of Anesthesia and Critical Care Medicine, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy
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