id author title date pages extension mime words sentences flesch summary cache txt cord-279480-nqp1pc9v Ring, Laurence E. What Obstetricians should know about Obstetric Anesthesia during the COVID-19 pandemic 2020-08-26 .txt text/plain 2783 144 39 Suggested modifications include an added emphasis on avoiding general anesthesia, a strong encouragement to infected individuals to opt for early neuraxial analgesia, and the prevention of emergent cesarean delivery, whenever possible. Compared to standard care in noninfected patients, the anesthesiologist may be more likely to replace a questionably functional epidural catheter in COVID-19 infected patients, in hopes to avoid urgent situations that may increase the odds for patient adverse outcomes (e.g. accidental dural puncture during a replacement of epidural catheter, or general anesthesia if urgent cesarean delivery) or avoidable exposures for healthcare providers (rushed replacement of neuraxial analgesia/anesthesia or general anesthesia in the operating room). If there does need to be a cesarean delivery on a patient who does not have an epidural catheter and is COVID-19 positive, the anesthesia team will need to weigh the risk of general anesthesia, including the risk staff exposure, to the possible risk of delay due to placement of a neuraxial block (typically a single shot spinal). ./cache/cord-279480-nqp1pc9v.txt ./txt/cord-279480-nqp1pc9v.txt