Chest CT Scan or RT-PCR: Which One is Appropriate for Screening of COVID-19 among the Surgical Patients in the Preoperative Period? A Case Report

hamid rahmani; Mostafa Mohammadi

doi:10.22037/jcma.v6i2.32896

Journal of Cellular & Molecular Anesthesia

Journal Information Editors & Boards Indexing and Listing Sources Journal Metrics Open Peer Review (OPR)Publication Ethics and Malpractice Statement New Publisher Announcement Reviewer and AE Registration Form Contact Us Support

APC

Authors Guide Submit Manuscript

https://doi.org/10.22037/jcma.v6i2.32896

Chest CT Scan or RT-PCR: Which One is Appropriate for Screening of COVID-19 among the Surgical Patients in the Preoperative Period? A Case Report

Author(s):

hamid rahmani^1,*,

Mostafa Mohammadi

²

1Department of Pharmacotherapy, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran

2Department of Anesthesiology and Intensive Care Unit, Imam Khomeini Hospital Complex, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran

Journal of Cellular & Molecular Anesthesia:Vol. 6, issue 2; e149663

Published online:Apr 16, 2021

Article type:Case Report

How to Cite:hamid rahmaniMostafa MohammadiChest CT Scan or RT-PCR: Which One is Appropriate for Screening of COVID-19 among the Surgical Patients in the Preoperative Period? A Case Report.J Cell Mol Anesth.6(2):e149663.https://doi.org/10.22037/jcma.v6i2.32896.

Abstract

Coronavirus disease 2019 (COVID-19) is associated with high morbidity and mortality. It has been a significant impact on the surgical care of the patients. There is still no consensus on elective surgeries under time epochs with national partial control of the disease. The objective is to report the clinical course of the surgical patient who was eventually diagnosed with COVID-19 despite preoperative screening. A 69 years old woman was referred to the surgical ward for elective low anterior resection (LAR). The complete preoperative workup was performed with acceptable results. Reverse transcriptase-polymerase chain reaction (RT-PCR) of SARS-COV-2 was not performed because the patient was asymptomatic and the surgical procedure was scheduled during the time of country's partial pandemic control; the nadir of the curve in daily reported COVID-19 patients. Following the surgery, the patient?s clinical status was stable for about 8 hours; however, the patient became anuric and hypotensive, receiving a variety of treatments for a list of differential diagnosis, including fresh lung CT scan and RT-PCR test; both of the latter were positive for COVID-19. Despite COVID-19 management and respiratory support, the patient died on day 15 of hospitalization. It seems that postponing elective surgeries if possible and general screening with RT-PCR in situations where delay in surgeries is not possible, are rationale strategies for surgical management of the patients during the COVID-19 pandemic, even when daily situation of the pandemic seems stable.

Keywords

References

1.
References are in the PDF file of the article.

comments

Crossmark

Checking

Share on

Comments

Number of Comments:0

Cited by

CrossRef 0

Metrics

Get Permission (article level)

Purchasing Reprints

Copyright Clearance Center (CCC) handles bulk orders for article reprints for Brieflands. To place an order for reprints, please click here ( https://www.copyright.com/landing/reprintsinquiryform/ ). Clicking this link will bring you to a CCC request form where you can provide the details of your order. Once complete, please click the ‘Submit Request’ button and CCC’s Reprints Services team will generate a quote for your review.

Search Relations

Author(s):

hamid rahmani:[PubMed][Scholar]
Mostafa Mohammadi:[PubMed][Scholar]