Observational studyBritish journal of anaesthesia2020
Spinal anaesthesia for patients with coronavirus disease 2019 and possible transmission rates in anaesthetists: retrospective, single-centre, observational cohort study.
Observational study in British journal of anaesthesia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT04392323 (Incidence of COVID-19 Test Conversion in Post-surgical Patients), which is not on this map. Cited by 63 papers, 5 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Incidence of COVID-19 Test Conversion in Post-surgical Patients
Who cites it
63 citing papers in PubMed, 5 syntheses or guidelines pooled it, 123 citations in OpenAlex.
- Central nervous system manifestations in COVID-19 patients: A systematic review and meta-analysis.Brain and behavior · 2021Pooled it
- Gastroenterology manifestations and COVID-19 outcomes: A meta-analysis of 25,252 cohorts among the first and second waves.Journal of medical virology · 2021Pooled it
- A meta-analysis of accuracy and sensitivity of chest CT and RT-PCR in COVID-19 diagnosis.Scientific reports · 2020Pooled it
- Ventilation Techniques and Risk for Transmission of Coronavirus Disease, Including COVID-19: A Living Systematic Review of Multiple Streams of Evidence.Annals of internal medicine · 2020Pooled it
- Guidelines: Anaesthesia in the context of COVID-19 pandemic.Anaesthesia, critical care & pain medicine · 2020Guideline
- Strategies to Minimize Virus Transmission During Anesthesia Procedures in COVID-19 Patients.Anesthesia and critical care (Houston, Tex.) · 2024Article
- NEW CONCEPT OF FUSION TECHNICS IN REGIONAL ANESTHESIA.Acta clinica Croatica · 2022Review
- Article
- Non-COVID surgical load of operation theatre during COVID-19 pandemic in Armed Forces tertiary care centres: "Snapshot of two timelines".Medical journal, Armed Forces India · 2022Article
- Hemodynamic changes associated with neuraxial anesthesia in pregnant women with covid 19 disease: a retrospective case-control study.BMC anesthesiology · 2022Article
- Turning the page on 2021: an eventful year for the British Journal of Anaesthesia.British journal of anaesthesia · 2022Article
- Perioperative Outcomes in COVID-19 Obstetric Patients Undergoing Spinal Anesthesia for Cesarean Section: A Prospective Observational Study.Healthcare (Basel, Switzerland) · 2021Article
- The effect of respiratory activity, non-invasive respiratory support and facemasks on aerosol generation and its relevance to COVID-19.Anaesthesia · 2021Article
- Anaesthesiology as an oasis amid the crisis of the vital medicine 'Oxygen'- innovations and local modifications.Indian journal of anaesthesia · 2021Article
- Our anesthesia experiences in COVID-19 positive patients delivering by cesarean section: A retrospective single-center cohort study.The journal of obstetrics and gynaecology research · 2021Article
- Time matters for resuscitation and COVID-19: double bind and duty of care.Postgraduate medical journal · 2021Article
- Regional anesthesia in the time of COVID-19: a minireview.Journal of anesthesia · 2021Article
- Anesthesia in the times of COVID-19.Journal of anesthesia · 2021Article
- COVID-19 transmission: a rapid systematic review of current knowledge.Osong public health and research perspectives · 2021Article
- Trends and outcomes for non-elective neurosurgical procedures in Central Europe during the COVID-19 pandemic.Scientific reports · 2021Observational
3 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
15 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe safety of performing spinal anaesthesia for both patients and anaesthetists alike in the presence of active infection with the novel coronavirus disease 2019 (COVID-19) is unclear. Here, we report the clinical characteristics and outcomes for both patients with COVID-19 and the anaesthetists who provided their spinal anaesthesia.
methodsForty-nine patients with radiologically confirmed COVID-19 for Caesarean section or lower-limb surgery undergoing spinal anaesthesia in Zhongnan Hospital, Wuhan, China participated in this retrospective study. Clinical characteristics and perioperative outcomes were recorded. For anaesthesiologists exposed to patients with COVID-19 by providing spinal anaesthesia, the level of personal protective equipment (PPE) used, clinical outcomes (pulmonary CT scans), and confirmed COVID-19 transmission rates (polymerase chain reaction [PCR]) were reviewed.
resultsForty-nine patients with COVID-19 requiring supplementary oxygen before surgery had spinal anaesthesia (ropivacaine 0.75%), chiefly for Caesarean section (45/49 [91%]). Spinal anaesthesia was not associated with cardiorespiratory compromise intraoperatively. No patients subsequently developed severe pneumonia. Of 44 anaesthetists, 37 (84.1%) provided spinal anaesthesia using Level 3 PPE. Coronavirus disease 2019 infection was subsequently confirmed by PCR in 5/44 (11.4%) anaesthetists. One (2.7%) of 37 anaesthetists who wore Level 3 PPE developed PCR-confirmed COVID-19 compared with 4/7 (57.1%) anaesthetists who had Level 1 protection in the operating theatre (relative risk reduction: 95.3% [95% confidence intervals: 63.7-99.4]; P<0.01).
conclusionsSpinal anaesthesia was delivered safely in patients with active COVID-19 infection, the majority of whom had Caesarean sections. Level 3 PPE appears to reduce the risk of transmission to anaesthetists who are exposed to mildly symptomatic surgical patients.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.