Emergency Exploratory Laparotomy in a COVID-19 Patient - A Case Report

Overview

Journal Anesth Pain Med (Seoul)

Specialty Anesthesiology

Date 2020 Dec 17

PMID 33329855

Citations 2

Authors

Seong Su Lee

Ji Hyun Park

Gunn Hee Kim

Mi Young Kwon

Hee Yeong Kim

Yeon Jin Moon

Su Jin Kim

Mi Jung Yun

Affiliations

Soon will be listed here.

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 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.

Citing Articles

Duodenal tropism of SARS-CoV-2 and clinical findings in critically ill COVID-19 patients.

Neuberger M, Jungbluth A, Irlbeck M, Streitparth F, Burian M, Kirchner T Infection. 2022; 50(5):1111-1120.

PMID: 35182354 PMC: 8857399. DOI: 10.1007/s15010-022-01769-z.

COVID 19 and the risk of gastro-intestinal perforation: A case series and literature review.

Bulte J, Postma N, Beukema M, Inberg B, Stegeman A, van der Hoeven H J Crit Care. 2021; 67:100-103.

PMID: 34741961 PMC: 8562067. DOI: 10.1016/j.jcrc.2021.10.020.

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