Vakhtang Shoshiashvili*, Levan Ratiani and Ketevan Machavariani

Department of Anesthesia and Intensive Care and toxicology, Tbilisi State Medical University, Georgia

*Corresponding Author: Vakhtang Shoshiashvili, Department of Anesthesia and Intensive Care and toxicology, Tbilisi State Medical University, Georgia.

Received: April 01, 2024; Published: May 08, 2024

Abstract

Aims and objectives: Aim of this article was defining the problems related to anesthesia practice during Covid-19 pandemic and understanding the importance of this new experience. For these purposes we reviewed our previously published articles and existing literature which were helpful for comprehensive analysis of anesthesia related problems during Covid-19 pandemic.

The COVID-19 pandemic has posed unprecedented challenges to the field of anesthesiology, impacting patient care, team collaboration, safety protocols, and healthcare provider well-being. This article, explores the lessons learned from navigating the complexities of anesthesia practice during the pandemic. Anesthesiologists have the critical role in caring for severely ill patients, emphasizing the necessity of stringent infection control measures and adaptive patient management protocols. Implementation of safety measures, including preoperative testing, personal protective measures and adapting anesthesia techniques to minimize the risk of viral transmission was critical. Pandemic impacted on surgical scheduling, emphasizing the need for careful risk assessment, delayed surgeries, and tracking postoperative outcomes in COVID-19 survivors. Uncommon complications and presentations, such as hematoma of rectus abdominis muscle, underscore the diagnostic and treatment challenges faced by anesthesiologists. Despite the adaptability and resilience demonstrated by anesthesiologists, the pandemic has taken a toll on their well-being, with a significant increase in burnout rates observed. Most authors underscore the importance of team collaboration, ongoing training, ethical decision-making, mental health support, global collaboration, and technology integration in navigating the challenges posed by the pandemic. In conclusion, the COVID-19 pandemic has not only tested the resilience of the anesthesiology profession but has also provided valuable insights into adapting practices, enhancing patient safety, and promoting provider well-being. These lessons are crucial for building a more resilient and responsive healthcare system in the face of future health crises.

 Keywords: COVID-19 Pandemic; Anesthesiology; Risk; Complications; Critical Role; Lessons

References

1. Aron , et al. “The Impact of COVID-19 on the Status of the Anesthesiologists' Well-Being”. Advances in Anesthesia 39 (2021): 149-167.
2. Bastola P., et al. “The evolution of anesthesiology education: Embracing new technologies and teaching approaches”. Health Science Reports 2 (2024): e1765.
3. Bryant JM., et al. “Association of Time to Surgery After COVID-19 Infection with Risk of Postoperative Cardiovascular Morbidity”. JAMA Network Open12 (2022): e2246922.
4. Chan KKW., et al. “The Impact of COVID-19 on the Training of Anesthesiologists in Hong Kong: Overcoming the Challenge”. Journal of Medical Education and Curricular Development 10 (2023):
5. Chen X., et al. “Perioperative care provider’s considerations in managing patients with COVID-19 infections”. Translational Perioperative and Pain Medicine 7 (2020): 216-224.
6. Cheung JC., et al. “Staff safety during emergency airway management for COVID-19 in Hong Kong”. Lancet Respiratory Medicine (2020).
7. Coccolini F., et al. “Surgery in COVID-19 patients: operational directives”. World Journal of Emergency Surgery 1 (2020): 25.
8. Di Gennaro F., et al. “Coronavirus diseases (COVID-19) current status and future perspectives: a narrative review”. International Journal of Environmental Research and Public Health 8 (2020): 2690.
9. Forrester JD., et al. “Precautions for Operating Room Team Members During the COVID-19 Pandemic”. Journal of the American College of Surgeons 20 (2020): 30303.
10. Kaplan J., et al. “A third of the global population is on coronavirus lockdown - here's our constantly updated list of countries and restrictions”. Business Insider Australia (2020).
11. Koh HK., et al. “Deaths from COVID-19”. JAMA 2 (2021): 133-134.
12. Lauer SA., et al. “The Incubation Period of Coronavirus Disease 2019 (COVID-19) From Publicly Reported Confirmed Cases: Estimation and Application”. Annals of Internal Medicine 9 (2020): 577-582.
13. Mette Baumgarten., et al. “Interprofessional Collaboration Between Nurses and Physicians in the Perioperative Period”. Journal of PeriAnesthesia Nursing5 (2023): 724-731.
14. Mishra Seema., et al. “Role of Telemedicine in Anesthesia: Are We Ready Yet?” Bali Journal of Anesthesiology4 (2021): 230-233.
15. NSW Agency for Clinical Innovation. Timing of surgery after COVID-19 in adults (2023).
16. Aldasoro, E., O’Brien, Á. et al.Ethical values and principles to guide the fair allocation of resources in response to a pandemic: a rapid systematic review”. BMC Medical Ethics 23 (2022):
17. Palmore TN. “Coronavirus disease 2019 (COVID-19): Infection control in health care and home settings (2020).
18. Paterson E., et al. “Mental health and well-being of anaesthetists during the COVID-19 pandemic: a scoping review”. Anaesthesia2 (2023): 197-206.
19. Ratiani L., et al. “Large Hematoma of Rectus Abdominis Muscle as a Rare Surgical Case in A COVID-19 Patient”.International Journal of Progressive Sciences and Technologies1 (2021): 74-78.
20. Wade Ross., et al. “Maximizing the Calm before the Storm: Tiered Surgical Response Plan for Novel Coronavirus (COVID-19)”. Journal of the American College of Surgeons6 (2020): 1080-1091e3.
21. Schmidt AP., et al. “Two years of the COVID-19 pandemic: an anesthesiology perspective”. Brazilian Journal of Anesthesiology 2 (2022): 165-168.
22. Shoshiashvili V., et al. “Operating Room and Personnel During COVID-19 Pandemic in Case, When Clinic is Not Yet on Front-Line”. Journal of Anesthesia and Clinical Research 11 (2021): 951.
23. Vakhtang Shoshiashvili., et al. “Neuraxial Anesthesia for Covid-19 Parturients". Acta Scientific Medical Sciences Special 2 (2022): 03-06.
24. Vakhtang Shoshiashvili. “Coronavirus Disease-19 Pandemic and Undergraduate Medical Students Teaching/Learning”. Acta Scientific Medical Sciences8 (2021): 31-32.
25. Wax RS and Christian MD. “Practical recommendations for critical care and anesthesiology teams caring for novel coronavirus (2019-nCoV) patients”. Canadian Journal of Anesthesia (2020).
26. West CP., et al. “Physician burnout: contributors, consequences and solutions”. Journal of Internal Medicine 6 (2018): 516-529.
27. World Health Organiziation. “Clinical management of severe acute respiratory infection when novel coronavirus (nCoV) infection is suspected”. Interim Guidance Updated (2020).
28. Woolf SH., et al. “COVID-19 as the leading cause of death in the United States”. JAMA 2 (2021): 123-124.
29. Anesthesiologist Burnout Increased Significantly in Two Years Since Onset of COVID-19 Pandemic, Study Finds”. American Society of Anesthesiologists (2023).
30. Number of COVID-19 deaths reported to WHOTop of Form

Citation

Citation: Vakhtang Shoshiashvili., et al. “Lessons Learned from Anesthesiology Practice During the COVID-19 Pandemic”.Acta Scientific Medical Sciences 8.5 (2024): 25-31.

Copyright

Copyright: © 2024 Vakhtang Shoshiashvili., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.