新型冠状病毒肺炎老年患者麻醉管理与感染控制建议

Recommendations for anesthesia management and infection control in elderly patients with COVID-19

新型冠状病毒肺炎流行期间,老年人群感染疾病将使临床诊疗、转归和管理面临巨大挑战。结合老年患者麻醉特点和新型冠状病毒肺炎对肺功能损害的病理生理学特征,中华医学会麻醉学分会组织专家制订了"新型冠状病毒肺炎老年患者麻醉管理与感染控制建议"。该建议对新型冠状病毒肺炎老年患者的术前访视与感染控制、麻醉管理方案、麻醉监测、麻醉诱导/气管插管术、麻醉维持和感染控制、术中肺保护策略、抗应激与抗炎管理、血流动力学优化、麻醉苏醒期感染控制、术后镇痛进行了阐述,为新型冠状病毒肺炎疫情防控期间安全有效实施老年患者麻醉管理提供参考。

During the epidemic of coronavirus disease 2019(COVID-19),the infection of the elderly population will bring great challenges to clinical diagnosis and treatment,outcome and management.Combined with the characteristics of anesthesia and the pathophysiological characteristics of COVID-19 on lung function impairment in elderly patients,Chinese Society of Anesthesiology formulated the"Recommendations for anesthesia management and infection control in elderly patients with COVID-19″.This recommendation expounds preoperative visit and infection control,anesthesia management protocol,anesthesia monitoring,anesthesia induction/endotracheal intubation,anesthesia maintenance and infection control,intraoperative lung protection strategy,anti-stress and anti-inflammatory management,hemodynamic optimization,infection control during emergence from anesthesia,and postoperative analgesia in elderly patients with COVID-19,and provides the reference for the safe and effective implementation of anesthesia management in elderly patients during the prevention and control of COVID-19 epidemic.