Anesthetic management of a patient with COVID-19 in incubation period undergoing total hip arthroplasty
10.3760/cma.j.cn131073.20200215.00311
- VernacularTitle:新型冠状病毒肺炎潜伏期患者全髋关节置换术麻醉处理1例
- Author:
Jingli CHEN
1
;
Pu MA
;
Chang LIU
;
Hong YAN
Author Information
1. 华中科技大学同济医学院附属武汉市中心医院麻醉科 430014
- From:
Chinese Journal of Anesthesiology
2020;40(3):302-304
- CountryChina
- Language:Chinese
-
Abstract:
One of the characteristics of coronavirus disease 2019 (COVID-19) epidemiology is that asymptomatic infection is also a source of infection. There was no fever and/or respiratory symptoms in this patient before the operation, and the results of routine blood test showed decreased lymphocyte count and lymphocyte percentage, and novel coronavirus pathogen detection was not carried out in the hospital, and the detection was not performed, chest imaging examination showed no obvious ground glass shadow, so viral pneumonia was not considered. The medical staff involved in the operation all adopted standard secondary medical protection measures. Five days after the operation, the patient was tested positive for novel coronavirus nucleic acid, which was a confirmed case of COVID-19. The results of epidemiological investigation and analysis showed that the patient was in the incubation period of COVID-19 before operation, however, none of the medical staff involved in surgical anesthesia and none of the patients in the next operation were infected. The reason is that the author′s hospital has strict training for all staff in infection control, and surgical anesthesiology medical staff have mastered the relevant basic knowledge and operation skills, have a good sense of infection control in the operating room, and can standardize the implementation. This case also suggested that attention should be paid to the patients with significant preoperative simple lymphocyte level decline, and measures should be taken to identify asymptomatic infection early.
