Martin Kutěj, MD Physician, Department of Anesthesiology, Resuscitation and Intensive care, University Hospital Ostrava, Czech Republic Faculty of Medicine, Ostrava University, Ostrava, Czech Republic Faculty of Medicine, Masaryk University, Brno, Czech Republic
In the context of COVID-19 infection, the problematics of safety of anaesthesia personnel during particular phases of general anaesthesia at the operating room became again very important. Standard practice, particularly anaesthesia induction and awakening, are inadequate and risky in case of COVID-19 positive patient. Each anaesthesia workplace was forced to come with new guidelines and measures almost overnight. Analogically reacted expert societies not only in our country. Thanks to the simplicity of sharing information, each anaesthesiologist received huge amount of information in the last months, about how to deal with COVID-19 positive patient in different situations. However, not always these information resulted in clear recommendations applicable in local conditions.
Algorithm prepared by AKUTNE.CZ team submits to the reader easily and clearly simple approach for anaesthesia maintenance at COVID-19 positive patient. It is based mainly on valid guidelines of our expert societies. Its aim is not to demonstrate correct approach in all possible situations that might happen during general anaesthesia. This should be based on the possibilities of each workplace, anaesthesiologist's experience and application of the recommendations mentioned above.
May this algorithm be an inspiration for leading workers of anaesthesia workplaces while preparing their own guidelines for safe practice for anaesthesiologists, and illustration of anaesthesia practice in difficult conditions for other medical personnel.
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