Emergency exploratory laparotomy in a COVID-19 patient - A case report -
- Author:
Seong Su LEE
1
;
Ji Hyun PARK
;
Gunn Hee KIM
;
Mi Young KWON
;
Hee Yeong KIM
;
Yeon Jin MOON
;
Su Jin KIM
;
Mi Jung YUN
Author Information
- Publication Type:Case Report
- From:Anesthesia and Pain Medicine 2020;15(4):498-504
- CountryRepublic of Korea
- Language:English
-
Abstract:
Background:Surgeries in patients with coronavirus disease 2019 (COVID-19) put medical staff at a high risk of infection. We report the anesthetic management and infection control of a mechanically ventilated COVID-19 patient who underwent exploratory laparotomy for suspected duodenal ulcer perforation.Case: A 73-year-old man, mechanically ventilated for confirmed COVID-19, showed clinical and radiographic signs of a perforated duodenal ulcer, and he was transferred under sedation and intubation to a negative-pressure operating room. The operating and assistant staff wore personal protective equipment. High-efficiency particulate absorbing (HEPA) filters were inserted into the expiratory circuits of the anesthesia machine and portable ventilator. No participating staff contracted COVID-19, although the patient later died due to pneumonia.
Conclusions:This report can contribute to establishing clinical guidelines for the surgical management and operation room setting of COVID-19 patients.
