Recommendations for local-regional anesthesia during the COVID-19 pandemic

• Main Author: Lima,Rodrigo Moreira e
• Publication Date: 2020
• Other Authors: Reis,Leonardo de Andrade, Lara,Felipe Souza Thyrso de, Dias,Lino Correa, Matsumoto,Márcio, Mizubuti,Glenio Bitencourt, Hamaji,Adilson, Cabral,Lucas Wynne, Mathias,Lígia Andrade da Silva Telles, Lima,Lais Helena Navarro e
• Format: Article
• Language: eng
• Source: Revista Brasileira de Anestesiologia (Online)
• Download full: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942020000200159
• topic: COVID-19; Regional anesthesia; Epidural anesthesia; Spinal anesthesia

Abstract Since the beginning of the COVID-19 pandemic, many questions have come up regarding safe anesthesia management of patients with the disease. Regional anesthesia, whether peripheral nerve or neuraxial, is a safe alternative for managing patients with COVID-19, by choosing modalities that mitigate pulmonary function involvement. Adopting regional anesthesia mitigates adverse effects in the post-operative period and provides safety to patients and teams, as long as there is compliance with individual protection and interpersonal transmission care measures. Respecting contra-indications and judicial use of safety techniques and norms are essential. The present manuscript aims to review the evidence available on regional anesthesia for patients with COVID-19 and offer practical recommendations for safe and efficient performance.