Regional Anesthesia In A Covid Pandemic

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| By Joy Ferrer

Joy Ferrer

Community Contributor

Quizzes Created: 2 | Total Attempts: 4,046

Questions: 12 | Attempts: 83 | Updated: Mar 16, 2023

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Regional Anesthesia In A Covid Pandemic - Quiz

Regional Anesthesia and Covid19

Questions and Answers

1.

The transmission of respiratory infection is 6x lesser during non-tracheal intubation vs tracheal intubation
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
Exposure to intubation is 6.6x greater in transmitting acute respiratory infection compared to non-tracheal intubation

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2.

Avoid neuraxial anesthesia in covid patients who have thrombocytopenia
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
Same contraindication with neuraxial anesrhesia applies for both covid and non-covid patients

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3.

It is better to start with general anesthesia if the duration of surgery is long and complex
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
Unplanned convertion to GA is undesirable so better start with GA if the probability is high

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4.

The dose of local anesthetic must be lesser than the usual
- A.
  
  True
- B.
  
  False
Correct Answer
B. False

Explanation
No dose adjustment is needed because reducing the dose may lead to GA convertion

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5.

Use of nasal cannula is preferred over O2 mask in covid patients
- A.
  
  True
- B.
  
  False
Correct Answer
B. False

Explanation
O2 mask is preferred and should be kept to minimum to maintain O2 saturation

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6.

All cases maybe presumed covid positive if there is widespread community transmission
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
Once there is significant and widespread community transmission, all cases must be presumed covid positive

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7.

The CSF should be allowed to drip freely to determine the correct neuraxial placement
- A.
  
  True
- B.
  
  False
Correct Answer
B. False

Explanation
The virus are isolated in the CSF of patients with covid encephalitis

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8.

It is best to give prophylactic vasopressors in covid patients during neuraxial anesthesia
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
Yes, to prevent hypotension and eventual airway manipulation in case of high spinal

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9.

No dose adjustment is needed for both sedatives and opioids in covid patients
- A.
  
  True
- B.
  
  False
Correct Answer
B. False

Explanation
No dose adjustment for adjuvant opioids but sedatives must be reduced because deep sedation may increase the need for oxygenation and possible airway manipulation and intervention

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10.

NSAIDs can be given as pain reliever in patients with Covid who are asymptomatic or with mild symptoms
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
Still with no robust study yet that NSAIDs are contraindicated in covid patients. It can be use postop for mild and asymptomatic patients since opioids poses more clinical risk

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11.

The most experienced anesthesiologist should perform the regional anesthesia technique in both covid and non-covid patients
- A.
  
  True
- B.
  
  False
Correct Answer
B. False

Explanation
In covid positive and PUI cases only. If possible avoid new trainees in direct care of covid patients

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12.

Anesthesia cart and chart should be placed outside the operating room
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
This is to avoid exposure to the virus

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Regional Anesthesia In A Covid Pandemic

The transmission of respiratory infection is 6x lesser during non-tracheal intubation vs tracheal intubation

Avoid neuraxial anesthesia in covid patients who have thrombocytopenia

It is better to start with general anesthesia if the duration of surgery is long and complex

The dose of local anesthetic must be lesser than the usual

Use of nasal cannula is preferred over O2 mask in covid patients

All cases maybe presumed covid positive if there is widespread community transmission

The CSF should be allowed to drip freely to determine the correct neuraxial placement

It is best to give prophylactic vasopressors in covid patients during neuraxial anesthesia

No dose adjustment is needed for both sedatives and opioids in covid patients

NSAIDs can be given as pain reliever in patients with Covid who are asymptomatic or with mild symptoms

The most experienced anesthesiologist should perform the regional anesthesia technique in both covid and non-covid patients

Anesthesia cart and chart should be placed outside the operating room