Pituitary tumor resection in a patient with SARS-CoV-2 (COVID-19) infection. A case report and suggested airway management guidelines
Copyright © 2020 Sociedade Brasileira de Anestesiologia. Publicado por Elsevier Editora Ltda. All rights reserved..
The 2020 pandemic caused by the novel coronavirus, COVID-19, had its headquarters in China. It causes Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) and presents a broad spectrum of clinical manifestations, ranging from entirely asymptomatic through severe acute respiratory failure and death. Presuming a significant quantity of ventilator-dependent patients, several institutions strategically delayed elective surgeries. Particularly procedures performed involving the nasal mucosa, such as a transsphenoidal approach of the pituitary gland, considering the tremendous level of viral shedding. Nevertheless, critical cases demand expeditious resolution. Those situations are severe pituitary apoplexy, declining consciousness level, or risk of acute visual loss. This case presents a successful urgent perioperative management of a 47 year-old male COVID-19 positive patient who presented to the Emergency Department with a left frontal headache that culminated with diplopia, left eye ptosis, and left visual acuity loss after 5 days. Transsphenoidal hypophysectomy was uneventfully performed, and the patient was discharged from the hospital on postoperative day four. It additionally describes in detail the University of Mississippi Medical Center airway management algorithm for patients infected with the novel coronavirus who need emergent surgical attention.
Medienart: |
E-Artikel |
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Erscheinungsjahr: |
2020 |
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Erschienen: |
2020 |
Enthalten in: |
Zur Gesamtaufnahme - volume:70 |
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Enthalten in: |
Brazilian journal of anesthesiology (Elsevier) - 70(2020), 2 vom: 10. März, Seite 165-170 |
Sprache: |
Portugiesisch |
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Weiterer Titel: |
Assistência perioperatória de paciente com infecção pelo SARS‐CoV‐2 (COVID‐19) submetido a ressecção de tumor de hipófise urgente. Relato de caso e diretrizes para manejo de via aérea |
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Beteiligte Personen: |
Santos, Christiano Dos Santos E [VerfasserIn] |
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Links: |
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Themen: |
Airway management |
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Anmerkungen: |
Date Completed 10.08.2020 Date Revised 27.05.2021 published: Print-Electronic Citation Status MEDLINE |
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doi: |
10.1016/j.bjan.2020.06.001 |
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funding: |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
NLM311837948 |
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245 | 1 | 0 | |a Pituitary tumor resection in a patient with SARS-CoV-2 (COVID-19) infection. A case report and suggested airway management guidelines |
246 | 3 | 3 | |a Assistência perioperatória de paciente com infecção pelo SARS‐CoV‐2 (COVID‐19) submetido a ressecção de tumor de hipófise urgente. Relato de caso e diretrizes para manejo de via aérea |
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520 | |a Copyright © 2020 Sociedade Brasileira de Anestesiologia. Publicado por Elsevier Editora Ltda. All rights reserved. | ||
520 | |a The 2020 pandemic caused by the novel coronavirus, COVID-19, had its headquarters in China. It causes Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) and presents a broad spectrum of clinical manifestations, ranging from entirely asymptomatic through severe acute respiratory failure and death. Presuming a significant quantity of ventilator-dependent patients, several institutions strategically delayed elective surgeries. Particularly procedures performed involving the nasal mucosa, such as a transsphenoidal approach of the pituitary gland, considering the tremendous level of viral shedding. Nevertheless, critical cases demand expeditious resolution. Those situations are severe pituitary apoplexy, declining consciousness level, or risk of acute visual loss. This case presents a successful urgent perioperative management of a 47 year-old male COVID-19 positive patient who presented to the Emergency Department with a left frontal headache that culminated with diplopia, left eye ptosis, and left visual acuity loss after 5 days. Transsphenoidal hypophysectomy was uneventfully performed, and the patient was discharged from the hospital on postoperative day four. It additionally describes in detail the University of Mississippi Medical Center airway management algorithm for patients infected with the novel coronavirus who need emergent surgical attention | ||
650 | 4 | |a Case Reports | |
650 | 4 | |a Airway management | |
650 | 4 | |a Anestesia | |
650 | 4 | |a Infecção por SARS‐CoV‐2 (COVID‐19) | |
650 | 4 | |a Pituitary tumor | |
650 | 4 | |a SARS‐CoV‐2 infection (COVID‐19) | |
650 | 4 | |a Tumor pituitário | |
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700 | 1 | |a Santos, Cristiane A Tuma |e verfasserin |4 aut | |
700 | 1 | |a Neill, James S |e verfasserin |4 aut | |
700 | 1 | |a Vale, Henrique F |e verfasserin |4 aut | |
700 | 1 | |a Kurnutala, Lakshmi N |e verfasserin |4 aut | |
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