Low-dose spinal and opioid-free anesthesia in patient with Severe Aortic Stenosis and SARS-CoV-2 infection: Case report

Antonio Coviello; Marilena Ianniello; Ezio Spasari; Concetta Posillipo; Maria Vargas; Alfredo Maresca; Giuseppe Servillo

doi:10.1002/ccr3.4192

Low-dose spinal and opioid-free anesthesia in patient with Severe Aortic Stenosis and SARS-CoV-2 infection: Case report

Clin Case Rep. 2021 Aug 21;9(8):e04192. doi: 10.1002/ccr3.4192. eCollection 2021 Aug.

Authors

Antonio Coviello¹, Marilena Ianniello¹, Ezio Spasari¹, Concetta Posillipo¹, Maria Vargas¹, Alfredo Maresca¹, Giuseppe Servillo¹

Affiliation

¹ Department of Anesthesiology and Intensive Care Medicine Policlinico - Federico II University Hospital Naples Italy.

Abstract

The best anesthesiologic approach to severe AS patient has not been adequately studied in literature. Although the current guidelines have a cautious attitude in this regard, Combined Spinal-Epidural Anesthesia (CSEA) has proved to be a safe technique. Therefore, we would like to provide our experience with a severe AS and COVID-19 patient.

Keywords: COVID‐19; SARS‐CoV‐2; aortic stenosis; combined spinal‐epidural anesthesia; total knee replacement.

Publication types

Case Reports