Background and Aim: The anaesthesiologists are at the highest risk of contracting infection of coronavirus disease 2019 (COVID-19) in emergency room, operation theatres and intensive care units. This overwhelming situation can make them prone for psychological stress leading to anxiety and insomnia. Materials and Methods We did an online self-administered questionnaire-based observational cross-sectional study amongst anaesthesiologists across India. The objectives were to find out the main causes for anxiety and insomnia in COVID-19 pandemic. Generalised Anxiety Disorder-7 (GAD-7) scale and Insomnia Severity Index (ISI) were used for assessing anxiety and insomnia. Results: Of 512 participants, 74.2% suffered from anxiety and 60.5% suffered from insomnia. The age

COVID-19 pandemic: Psychological impact on anaesthesiologists

Association of propofol induction dose and severe pre-incision hypotension among surgical patients over age 65.

Editor—Monkeypox is a viral zoonosis endemic to certain parts of Africa. As with other diseases caused by pox viruses, its principal manifestations are fever and skin lesions. However, a minor portion of patients may develop severe disease with multisystemic involvement, often proving fatal. Monkeypox has recently gained international interest and concern as a result of a sudden outbreak of cases detected outside its endemic zone. The monkeypox virus is an enveloped double-stranded DNA virus of the Poxviridae family and is closely related to the smallpox (variola) virus. 

http://www.bjanaesthesia.org/article/S0007091222003051/pdf

Monkeypox and its pandemic potential: what the anaesthetist should know

https://www.tandfonline.com/doi/pdf/10.1080/11101849.2021.1891704

Occupational stress and burnout among frontline Egyptian anesthesiologists during COVID-19 outbreak in Egypt

The COVID-19 intubation experience in Wuhan.

Role of anaesthesiologists during the COVID-19 outbreak in China.

Electroacupuncture pretreatment induces ischemic tolerance by neuronal TREM2-mediated enhancement of autophagic flux

Abstract Background Postoperative cognitive complications are major challenges for postoperative recovery. Acupuncture-related techniques have been used for treating neurocognitive dysfunctions. However, whether they help to prevent postoperative cognitive complicationss remains unclear. We intend to evaluate the effect of acupuncture-related techniques on the incidence of postoperative cognitive complications (PCC) in patients undergoing surgery under general anesthesia. Methods Based on PRISMA guidelines, a search of PubMed, EMBASE, Web of Science, and the Cochrane Central Register of Controlled Trials and ClinicalTrials.gov was performed to identify eligible trials published from inception to June 6, 2021. The search was performed in June 2021. The inclusion criteria were prospective, randomized, controlled clinical trials that compared acupuncture-related techniques with other techniques or non-acupuncture treatment in patients undergoing surgery under general anesthesia. Pooled odds ratios (ORs), 95% CIs, and P values were estimated for end points using fixed and random effects statistical models. Results The analysis included 12 studies with 1058 patients. Compared with patients not receiving acupuncture, patients treated with acupuncture-related techniques had a lower incidence of PCCs (OR, 0.44; 95% CI, 0.33 to 0.59; P &lt; 0.001; n = 968) and lower levels of biomarkers, including IL-6, TNF-α, and S100β. Acupuncture with needles and without needles showed similar effects on the prevention of PCCs. The effects of acupuncture-related techniques on PCCs were observed in both English and non-English articles. Subgroup analyses showed that both agitation and/or delirium (OR, 0.51; 95% CI, 0.34 to 0.76; P &lt; 0.001; n = 490) and delayed cognitive recovery (OR, 0.33; 95% CI, 0.21 to 0.51; P &lt; 0.001; n = 478) were reduced after treatment with acupuncture-related techniques. In adult studies evaluating MMSE scores, the scores were not different between groups (SMD, − 0.71; 95% CI, − 1.72 to 0.3; P = 0.17; n = 441). Conclusions Acupuncture-related techniques, including needle techniques and electrical techniques, are associated with fewer postoperative cognitive complications, suggesting that acupuncture could be considered a potential option in the perioperative setting. Additional research is needed to develop higher-quality evidence and optimal regimens. Trial registration PROSPERO (CRD42021258378). 

https://perioperativemedicinejournal.biomedcentral.com/counter/pdf/10.1186/s13741-023-00303-5

Acupuncture-related techniques for postoperative cognitive complications: a systemic review and meta-analysis

Aphasia could be a manifestation of postoperative psychoemotional disorder. Early differential diagnosis is important.

Transient aphasia following general anesthesia in patient undergoing laparoscopic gynecologic surgery: A case report and literature review.

INTRODUCTION: Anesthetic management of parturients with COVID-19 is a big challenge to anesthesiologists. Limited data are available about COVID-19 during pregnancy; however, information on illnesses associated with SARS and MERS might provide insights into COVID-19's effects during pregnancy. EVIDENCE ACQUISITION: Evidence from previous reports from SARS and MERS, and from COVID-19 cases were reviewed. Concepts from guidelines from the government and academic societies were collected as well. EVIDENCE SYNTHESIS: The evidences were described and summarized. CONCLUSIONS: Principles to minimize the risk of infection as well as optimize patients' safety during obstetric anesthesia were found to include careful evaluation, tight protection, and multi-discipline-based strategy. Though vertical transmission of COVID-19 still needs more definitive evidences, strict isolation is necessary for the newborn of COVID-19 mothers. Psychological support for the parturients is also an important issue during COVID-19 pandemic.

Pregnancy and COVID-19: what anesthesiologists should know?

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