Anestesia regional como alternativa para procedimentos médicos na pandemia da COVID-19

Autores

DOI:

https://doi.org/10.33448/rsd-v10i7.16636

Palavras-chave:

Anestesia local; Anestésicos locais; COVID-19; SARS-CoV-2.

Resumo

A pandemia de coronavírus (SARS-CoV-2) impactou significativamente os sistemas de saúde e desafiou a equipe multidisciplinar, sendo considerado um problema de saúde pública global. Diversas estratégias foram sugeridas visando a segurança e minimizar a exposição dos profissionais de saúde e pacientes hospitalizados ao vírus, sendo uma destas evitar procedimentos geradores de aerossóis durante os procedimentos cirúrgicos, como o manejo das vias aéreas. Diante disto, a anestesias regional e local tornaram-se como uma alternativa viável, eficaz e segura a anestesia geral, desempenhando um papel importante durante o surto da COVID-19, quando aplicável. Dentre as vantagens pode-se citar a não geração de aerossóis, analgesia pós-operatória, redução de náuseas e vômitos e também, de complicações cardiorrespiratórias. Este estudo objetiva investigar a aplicação da anestesia regional nas diversas especialidades médicas durante a pandemia de coronavírus avaliando os resultados do emprego desta. Foi realizada uma busca nas bases de dados Pubmed, Web of Science (todas as bases de dados), Scopus, Embase e Cochrane Library utilizando os termos de busca “SARS-CoV-2”, “COVID-19”, “Anesthesia, Local” e “Anesthetics, Local” onde 49 referências foram incluídas. Os estudos demonstram bons resultatos nas técnicas empregadas e possibilitam uma alternativa de tratamento em diversos campos cirúrgicos de maneira segura. Dessa forma a anestesias regional e local são adequadas e viáveis para procedimentos médicos cirúrgicos e constituem uma boa alternativa a anestesia geral podendo ser aplicadas em diferentes especialidades cirúrgicas.

Referências

Ahmad, N., Zahoor, A., Ahmad, A., & El Dawlatly, A. (2020). Anesthesia management of ophthalmic surgery for patient with suspected/confirmed COVID-19 -Saudi Anesthesia Society guidelines-. Saudi Journal of Anaesthesia, 14(3), 355. https://doi.org/10.4103/sja.SJA_260_20

Anadani, M., Audibert, G., & Gory, B. (2021). Conscious Sedation versus Local Anesthesia During Thrombectomy for Acute Ischemic Stroke, Do We Have a Winner? World Neurosurgery, 146, 383–384. https://doi.org/10.1016/j.wneu.2020.12.001

Ashokka, B., Chakraborty, A., Subramanian, B. J., Karmakar, M. K., & Chan, V. (2020). Reconfiguring the scope and practice of regional anesthesia in a pandemic: the COVID-19 perspective. Regional Anesthesia & Pain Medicine, 45(7), 536–543. https://doi.org/10.1136/rapm-2020-101541

Association of Anesthetists, Royal College of Anesthetists, 2020. (2020). Guidance on potential changes to anaesthetic drug usage and administration during pandemic emergency pressures. https://icmanaesthesiacovid-19.org/drug-demand-supply-anaesthetic-drug-usage-and-administration

Ayhan, E., Tuna, Z., & Oksuz, C. (2021). Getting Better Results in Flexor Tendon Surgery and Therapy. Plastic and Reconstructive Surgery - Global Open, 9(2), e3432. https://doi.org/10.1097/GOX.0000000000003432

Balgaith, M., Arifi, A., Ahmed, D., & Metwally, A. M. (2020). The Impact of COVID-19 Pandemic on the Hospital Management of TAVI Patients: TAVI team Thoughts and Recommendation. Journal of the Saudi Heart Association, 32(5), 11–15. https://doi.org/10.37616/2212-5043.1030

Bastianpillai, J., Khan, S., Acharya, V., Tanna, R., & Pal, S. (2020). How COVID-19 Changed Our Management of Nasal Bone Fractures and Its Impact on Patient Outcomes—A Retrospective Study. Ear, Nose & Throat Journal, 014556132098143. https://doi.org/10.1177/0145561320981439

Batistaki, C., Galarioti, V., Vasiliadou, S., Soulioti, E., Kostopanagiotou, G., & Matsota, P. (2020). Lessons learned from first case of Cesarean delivery in a COVID-19 positive parturient in Greek region. Journal of Anaesthesiology Clinical Pharmacology, 36(5), 121. https://doi.org/10.4103/joacp.JOACP_157_20

Batt, J., Cook, N., Nadeem, M., & Sahu, A. (2020). Dilutional local anaesthetic techniques in oncoplastic breast surgery and potential benefits during the COVID-19 pandemic and beyond. Journal of Perioperative Practice, 30(9), 277–282. https://doi.org/10.1177/1750458920944080

Bauer, M. E., Chiware, R., & Pancaro, C. (2020). Neuraxial Procedures in COVID-19–Positive Parturients: A Review of Current Reports. Anesthesia & Analgesia, 131(1), e22–e24. https://doi.org/10.1213/ANE.0000000000004831

Bhatia, K., Columb, M., Bewlay, A., Eccles, J., Hulgur, M., Jayan, N., Lie, J., Verma, D., & Parikh, R. (2021). The effect of COVID‐19 on general anaesthesia rates for caesarean section. A cross‐sectional analysis of six hospitals in the north‐west of England. Anaesthesia, 76(3), 312–319. https://doi.org/10.1111/anae.15313

Cadili, L., DeGirolamo, K., McKevitt, E., Brown, C. J., Prabhakar, C., Pao, J.-S., Dingee, C., Bazzarelli, A., & Warburton, R. (2021). COVID-19 and breast cancer at a Regional Breast Centre: our flexible approach during the pandemic. Breast Cancer Research and Treatment, 186(2), 519–525. https://doi.org/10.1007/s10549-020-06008-3

Cesur, S., Aksu, C., & Kuş, A. (2020). Regional Anesthesia Practices in Turkey During the COVID-19 Pandemic. Cureus, 12(8), e10135. https://doi.org/10.7759/cureus.10135

Chen, R., Zhang, Y., Huang, L., Cheng, B., Xia, Z., & Meng, Q. (2020). Safety and efficacy of different anesthetic regimens for parturients with COVID-19 undergoing Cesarean delivery: a case series of 17 patients. Canadian Journal of Anesthesia/Journal Canadien d’anesthésie, 67(6), 655–663. https://doi.org/10.1007/s12630-020-01630-7

Chin, K. J., Mariano, E. R., & El‐Boghdadly, K. (2021). Advancing towards the next frontier in regional anaesthesia. Anaesthesia, 76(S1), 3–7. https://doi.org/10.1111/anae.15321

Coulthard, P. (2020). Dentistry and coronavirus (COVID-19) - moral decision-making. British Dental Journal, 228(7), 503–505. https://doi.org/10.1038/s41415-020-1482-1

Dendramis, G., & Brugada, P. (2020). Intensive care and anesthetic management of patients with Brugada syndrome and COVID‐19 infection. Pacing and Clinical Electrophysiology, 43(10), 1184–1189. https://doi.org/10.1111/pace.14044

Días, R., Mendes, Â. B., Lages, N., & Machado, H. (2021). Bloqueos del plano fascial ecoguiados, como única técnica anestésica para mastectomía total en la era de la COVID-19: caso clínico. Revista Española de Anestesiología y Reanimación. https://doi.org/10.1016/j.redar.2020.09.010

Fakhr Yasseri, A., & Aghamir, S. M. K. (2020). Urinary stone management during the COVID-19 pandemic: a suggested approach and review of literature. Therapeutic Advances in Urology, 12, 175628722093951. https://doi.org/10.1177/1756287220939513

Gangakhedkar, G., & Chincholi, I. (2020). Re-inventing anesthesia in times of Covid-19. Journal of Anaesthesiology Clinical Pharmacology, 36(5), 48. https://doi.org/10.4103/joacp.JOACP_189_20

Gökce, M. İ., Yin, S., Sönmez, M. G., Eryildirim, B., Kallidonis, P., Petkova, K., Guven, S., Kiremit, M. C., de Lorenzis, E., Tefik, T., Villa, L., Zeng, G., & Sarica, K. (2020). How does the COVID-19 pandemic affect the preoperative evaluation and anesthesia applied for urinary stones? EULIS eCORE–IAU multicenter collaborative cohort study. Urolithiasis, 48(4), 345–351. https://doi.org/10.1007/s00240-020-01193-8

Herman, J. A., Urits, I., Kaye, A. D., Urman, R. D., & Viswanath, O. (2020). COVID-19: Recommendations for regional anesthesia. Journal of Clinical Anesthesia, 65, 109885. https://doi.org/10.1016/j.jclinane.2020.109885

Holmes, D. R. (2020). Breast cancer care during a pandemic: an opportune time for cryoablation? Breast Cancer Research and Treatment, 182(3), 515–521. https://doi.org/10.1007/s10549-020-05724-0

Hotta, K. (2021). Regional anesthesia in the time of COVID-19: a minireview. Journal of Anesthesia, 35(3), 341–344. https://doi.org/10.1007/s00540-020-02834-3

Krishan, A., Bruce, A., Khashaba, S., Abouelela, M., & Ehsanullah, S. A. (2021). Safety and Efficacy of Transurethral Resection of Bladder Tumor Comparing Spinal Anesthesia with Spinal Anesthesia with an Obturator Nerve Block: A Systematic Review and Meta-analysis. Journal of Endourology, 35(3), 249–258. https://doi.org/10.1089/end.2020.1054

Mendes, A. B., Penedos, C., Vaz Rodrigues, L., Varandas, J. S., Lages, N., & Machado, H. (2021). Coagulation concerns in patients with COVID-19 proposed for regional anesthesia. Regional Anesthesia & Pain Medicine, 46(5), 457.1-457. https://doi.org/10.1136/rapm-2020-101676

Mercer, S. T., Agarwal, R., Dayananda, K. S. S., Yasin, T., & Trickett, R. W. (2020). A comparative study looking at trauma and orthopaedic operating efficiency in the COVID-19 era. Perioperative Care and Operating Room Management, 21, 100142. https://doi.org/10.1016/j.pcorm.2020.100142

Moll, V., Mariano, E. R., Kitzman, J. M., O’Reilly-Shah, V. N., & Jabaley, C. S. (2021). Regional anesthesia educational material utilization varies by World Bank income category: A mobile health application data study. PLOS ONE, 16(2), e0244860. https://doi.org/10.1371/journal.pone.0244860

Moreira, R., Andrade, L. De, Bitencourt, G., Hamaji, A., & Wynne, L. (2020). Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID- 19 . The COVID-19 resource centre is hosted on Elsevier Connect , the company ’ s public news and information . January.

Okunlola, A. I. (2021). Awake craniotomy in a Covid-19 positive patient: The challenges and outcome. Interdisciplinary Neurosurgery: Advanced Techniques and Case Management, 24. https://doi.org/10.1016/j.inat.2020.101064

Oliveira, F. J. D. de, Costa, L. L., Sousa, L. C. de, Amancio, A. de M., Silva, G. G. da, Pinheiro, J. C., Silva Filho, P. S. F. da, Brasil, G. M. L. C. ., Jales, J. M. R. ., Oliveira, D. J. D. de, & Paiva, D. F. F. (2020). Valor prognóstico do SOX2 em Carcinomas Epidermóides de Cabeça e Pescoço: Revisão sistemática. Research, Society and Development, 9(9), e587997722. https://doi.org/10.33448/rsd-v9i9.7722

Ponde, V., Diwan, S., Gopal, T. S., Subramanian, Jb., & Danish, M. (2020). Regional anesthesia in the coronavirus disease (COVID-19) pandemic: Clinical guidelines by AORA, India. Journal of Anaesthesiology Clinical Pharmacology, 36(5), 109. https://doi.org/10.4103/joacp.JOACP_277_20

Rajput, V. K., Tuvar, S., Bhalsing, S. S. S., & Bhalsing, S. S. S. (2021). Resurgence of combined intravenous Ketamine and regional anesthesia in pediatric ocular surgery in COVID-19 pandemic. Indian Journal of Ophthalmology, 69(2), 395–399. https://doi.org/10.4103/ijo.IJO_2839_20

Goldhoorn, R., Bernsen, M., Hofmeijer, J., Martens, J., Lingsma, H., Dippel, D., Lugt, A., Buhre, W., Roos, Y., Majoie, C., Vos, J., oiten, J., Bart Emmer, R. J. van O. (n.d.). Anesthetic management during endovascular treatment of acute ischemic stroke in the MR CLEAN registry. Neurology. https://doi.org/10.1212 / WNL.0000000000008674

Romanzi, A, Galletti, M., Macchi, L., Putortì, A., Rossi, F., Scolaro, R., & Vannelli, A. (2020). Awake laparotomy: is locoregional anesthesia a functional option for major abdominal surgeries in the COVID-19 era? European Review for Medical and Pharmacological Sciences, 24(9), 5162–5166. https://doi.org/10.26355/eurrev_202005_21211

Romanzi, A., Boleso, N., Di Palma, G., La Regina, D., Mongelli, F., Milanesi, M., Putortì, A., Rossi, F., Scolaro, R., Zanardo, M., & Vannelli, A. (2021). Awake Major Abdominal Surgeries in the COVID-19 Era. Pain Research and Management, 2021, 1–6. https://doi.org/10.1155/2021/8763429

Rossi, G., Ferrari, S. A., Sommaruga, S., Muzzarelli, L., & Piconi, S. (2020). An infection-oriented approach for thoracic endovascular aortic repair in a SARS-CoV-2 positive patient. A case report. Annali Italiani Di Chirurgia, 91, 273–276. http://www.ncbi.nlm.nih.gov/pubmed/32877380

Sabino-silva, R., Carolina, A., Jardim, G., & Siqueira, W. L. (2020). Sabino-Silva2020_Article_CoronavirusCOVID-19ImpactsToDe.pdf. 1619–1621.

Sadr, M. A. H., Gardiner, M. S., Burr, M. N., Nikkhah, M. D., & Jemec, M. B. (2020). Managing Hand Trauma during the COVID-19 pandemic using a One-Stop Clinic. Journal of Plastic, Reconstructive & Aesthetic Surgery, 73(7), 1357–1404. https://doi.org/10.1016/j.bjps.2020.05.026

Saha, S., Dash, S., Ansari, M. T., Bichupuriya, A. D., Gupta, A. K., & Singhal, M. (2021). Optimising Hand Surgery during COVID-19 Pandemic. The Journal of Hand Surgery (Asian-Pacific Volume), 26(01), 84–91. https://doi.org/10.1142/S2424835521500132

Sarkar, S., Banerji, A., Chattopadhyaya, A., & Banerjee, S. (2021). Lumbar spine instrumented fusion surgery under spinal anaesthesia versus general anaesthesia-A retrospective study of 239 cases. Journal of Clinical Orthopaedics and Trauma, 18, 205–208. https://doi.org/10.1016/j.jcot.2021.04.026

Shih, M., Swearingen, B., & Rhee, R. (2020). Ruptured Abdominal Aortic Aneurysm Treated with Endovascular Repair in a Patient with Active COVID-19 Infection during the Pandemic. Annals of Vascular Surgery, 66, 14–17. https://doi.org/10.1016/j.avsg.2020.05.001

Sorbo, G., Gagliano, S., La Tessa, C., Ferrarini, R., Galluzzo, V., & Cucchi, M. C. (2020). Breast unit Efficacy with the relocation of the surgical breast team during the COVID‐19 pandemic. The Breast Journal, 26(8), 1613–1614. https://doi.org/10.1111/tbj.13934

Thomas, V., Maillard, C., Barnard, A., & Snyman, L. (2020). Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID- 19. The COVID-19 resource centre is hosted on Elsevier Connect, the company’ s public news and information . January.

Tognù, A., Barbara, E., Pacini, I., & Bosco, M. (2021). Proximal humeral fracture surgery in the COVID-19 pandemic: advocacy for regional anesthesia. Regional Anesthesia & Pain Medicine, 46(4), 375–376. https://doi.org/10.1136/rapm-2020-101626

Tonyali, S., Haberal, H. B., Ergul, R., & Dursun, M. (2020). Management of Patients Who Seek Urologic Care in Covid-19 Pandemic Era. Urology Journal, 17(5), 548–554. https://doi.org/10.22037/uj.v16i7.6285

Turcotte, J. J., Petre, B. M., Jones, C. M., & Gelfand, J. M. (2020). Maintaining Access to Orthopaedic Surgery During Periods of Operating Room Resource Constraint: Expanded Use of Wide-Awake Surgery During the COVID-19 Pandemic. JAAOS: Global Research and Reviews, 4(12), e20.00100. https://doi.org/10.5435/JAAOSGlobal-D-20-00100

Ung, N., & Bonnet, M. P. (2020). Anesthésie de la femme enceinte dans le contexte de la pandémie de COVID-19. Le Praticien En Anesthésie Réanimation, 24(4), 196–201. https://doi.org/10.1016/j.pratan.2020.07.005

Uppal, V., Sondekoppam, R. V, Landau, R., El‐Boghdadly, K., Narouze, S., & Kalagara, H. K. P. (2020). Neuraxial anaesthesia and peripheral nerve blocks during the COVID‐19 pandemic: a literature review and practice recommendations. Anaesthesia, 75(10), 1350–1363. https://doi.org/10.1111/anae.15105

Varandas, J. S., Dias, R., Mendes, A. B., Lages, N., & Machado, H. (2021). New indication for an old anesthetic technique: could we consider now rapid sequence spinal anesthesia in a COVID-19 time? Regional Anesthesia & Pain Medicine, 46(2), 191.1-191. https://doi.org/10.1136/rapm-2020-101572

Verikokos, C., Lazaris, A. M., & Geroulakos, G. (2020). Doing the right thing for the right reason when treating ruptured abdominal aortic aneurysms in the COVID-19 era. Journal of Vascular Surgery, 72(1), 373–374. https://doi.org/10.1016/j.jvs.2020.04.009

Wade, S., Nair, G., Ayeni, H. A., & Pawa, A. (2020). A Cohort Study of Emergency Surgery Caseload and Regional Anesthesia Provision at a Tertiary UK Hospital During the Initial COVID-19 Pandemic. Cureus, 12(6). https://doi.org/10.7759/cureus.8781

Zhong, Q., Liu, Y. Y., Luo, Q., Zou, Y. F., Jiang, H. X., Li, H., Zhang, J. J., Li, Z., Yang, X., Ma, M., Tang, L. J., Chen, Y. Y., Zheng, F., Ke, J. J., & Zhang, Z. Z. (2020). Spinal anaesthesia for patients with coronavirus disease 2019 and possible transmission rates in anaesthetists: retrospective, single-centre, observational cohort study. British Journal of Anaesthesia, 124(6), 670–675. https://doi.org/10.1016/j.bja.2020.03.007

Downloads

Publicado

25/06/2021

Como Citar

SEGUNDO, F. T. M. .; PAVANELLO, L.; PAIVA, D. F. F. Anestesia regional como alternativa para procedimentos médicos na pandemia da COVID-19. Research, Society and Development, [S. l.], v. 10, n. 7, p. e37810716636, 2021. DOI: 10.33448/rsd-v10i7.16636. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/16636. Acesso em: 17 jul. 2024.

Edição

Seção

Ciências da Saúde