Covid-19: Moleküler ve Klinik Yaklaşım

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DOI :10.26650/BB/CH22.2020.008.15   IUP :10.26650/BB/CH22.2020.008.15    Tam Metin (PDF)

COVID-19 (SARS-CoV-2) Pandemisinde Anestezi

Nazan Atalan Özlen

2019 Aralık ayında Çin’de Wuhan şehrinde ortaya çıkan Şiddetli Akut Solunum Sendromu - Koronavirüs-2 (SARS-CoV-2) virüsü Koronavirüs 2019 (COVID-19) pandemisine (küresel salgın) neden olmuştur. Klinikte, COVID-19 sıklıkla viral pnömoni olarak seyretmektedir. Bu nedenle ağır enfeksiyonlu olgularda trakeal entübasyon ve kontrollü ventilasyon gibi aerosol üreten hava yolu müdahaleleri gerekli olabilmektedir. Anestezistlerin rutin klinik çalışmaları onları hastanın havayoluna yaklaştırmakta ve aerosol haline gelmiş solunum yollarının enfekte sekresyonlarına karşı duyarlı hale getirmektedir. Aerosol oluşturma riski olan prosedürlerin uygulanması sırasında kişisel koruyucu ekipman (KKE) kullanımının damlacık ve temas iletimini sınırlamada oldukça etkili olduğu kabul edilmektedir. Bu nedenle anestezi uzmanları, tam KKE giymelidir. Ayrıca, COVID-19 tanısı konulan veya şüpheli vakalarda acil ve elektif anestezi prosedürlerinin belirlenmesi de çok büyük önem taşımaktadır. Küresel salgın sürecinde hastanelerin operasyonel kapasitelerinin ve sağlık personelinin güvenliğinin korunması son derece önemlidir. Bu nedenle; anesteziyologların, sürekli güncellenen kanıta dayalı kılavuzları ve araştırmaları izleyerek kendilerine, diğer sağlık uzmanlarına ve hastalarına viral bulaşma riskini en aza indiren destekleyici bakım sağlamaları gerekmektedir. Bu makalede; kesin tanılı veya şüpheli COVID-19 hastasına anestezi yaklaşımı, hava yolu yönetimi, sağlık personelinin korunması ve çalışan güvenliği konuları tartışılmaktadır.


Anahtar Kelimeler: COVID-19, anestezi, çalışan güvenliği
DOI :10.26650/BB/CH22.2020.008.15   IUP :10.26650/BB/CH22.2020.008.15    Tam Metin (PDF)

Anesthesia in COVID-19 (SARS-CoV-2) Pandemic

Nazan Atalan Özlen

In December 2019, the Severe Acute Respiratory Syndrome-Coronavirus-2 (SARS-CoV-2) virus caused the Coronavirus 2019 (COVID-19) pandemic, which originated in Wuhan, China. COVID-19 often progresses as a viral pneumonia. Therefore, aerosol producing airway interventions such as tracheal intubation and controlled ventilation are required in severely infected cases. The routine clinical practice of anaesthesiologists bring them closer to the patient’s airway, making them susceptible to aerosolised infected respiratory secretions. Adherence to the use of personal protective equipment (PPE) during aerosol generating procedures is considered highly effective in limiting droplet and contact transmission. For this reason, anesthesiologists must wear full PPE. On the other hand, determining emergency and elective anesthesia procedures in cases with a diagnosis of COVID-19 or suspected cases is also of great importance. In the pandemic process, it is extremely important to protect the operational capacities of hospitals and health personnel’s safety. Anesthesiologists are required to provide supportive care to themselves, other healthcare professionals and their patients, by following constantly updated evidence-based guidelines and research, which minimise the risk of viral transmission. In this article; the anesthetic approach and airway management for the confirmed or suspected COVID-19 patients is discussed in terms of health personnel protection and employee safety.


Anahtar Kelimeler: COVID-19, anesthesia, employee safety

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