Anesthesia for oral surgeries during the COVID-19 pandemic

Sheila N Myatra, Sushan Gupta, Prathamesh S PaiJournal of Anaesthesiology Clinical Pharmacology 2020 36(5):96-104 The severe acute respiratory syndrome corona virus 2(SARS-Cov2) virus replicates in the nasal cavity, nasopharynx, and the oropharynx. During oral surgery, the risk of viral transmission is high during instrumentation in these areas, while performing airway management procedures, the oral surgery itself, and related procedures. During the corona virus disease 2019 (COVID-19) pandemic, patients with an oral pathology usually present for emergency procedures. However, patients with oral cancer, being a semi-emergency, may also present for diagnostic and therapeutic procedures. When elective surgeries are resumed, these patients will come to the operating room. In asymptomatic patients, the false-negative rate can be as high as 30%. These patients are a source of infection to the healthcare workers and other patients. This mandates universal precautions to be taken for all patients presenting for surgery. Lesions along the airway, distorted anatomy secondary to cancer therapy, shared airway with the surgeon, surgical handling of the airway and the risk of bleeding, make airway management challenging in these patients, especially while wearing personal protective equipment. Airway management procedures, oral surgery, use of cautery, and other powered surgical instruments in the aero digestive tract, along with constant suctioning are a source of significant aeros...
Source: Journal of Anaesthesiology Clinical Pharmacology - Category: Anesthesiology Authors: Source Type: research

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More News: Airway Management | Anatomy | Anesthesia | Anesthesiology | Bleeding | Cancer | Cancer & Oncology | Cancer Therapy | COVID-19 | Drugs & Pharmacology | Emergency Medicine | Nasal Cavity and Paranasal Sinus Cancer | Nasopharyngeal Cancer | Oral Cancer | Oropharyngeal Cancer | Pandemics | Pathology | Respiratory Medicine | SARS