Brazilian Journal of Anesthesiology
Brazilian Journal of Anesthesiology
Narrative Review

Recommendations for local-regional anesthesia during the COVID-19 pandemic

Recomendações para realização de anestesia loco-regional durante a pandemia de COVID-19

Rodrigo Moreira e Lima, Leonardo de Andrade Reis, Felipe Souza Thyrso de Lara, Lino Correa Dias, Márcio Matsumoto, Glenio Bitencourt Mizubuti, Adilson Hamaji, Lucas Wynne Cabral, Lígia Andrade da Silva Telles Mathias, Lais Helena Navarro e Lima

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Since the beginning of the COVID-19 pandemic, many questions have come up regarding safe anesthesia management of patients with the disease. Regional anesthesia, whether peripheral nerve or neuraxial, is a safe alternative for managing patients with COVID-19, by choosing modalities that mitigate pulmonary function involvement. Adopting regional anesthesia mitigates adverse effects in the post-operative period and provides safety to patients and teams, as long as there is compliance with individual protection and interpersonal transmission care measures. Respecting contra-indications and judicial use of safety techniques and norms are essential. The present manuscript aims to review the evidence available on regional anesthesia for patients with COVID-19 and offer practical recommendations for safe and efficient performance.


COVID-19,  Regional anesthesia,  Epidural anesthesia,  Spinal anesthesia


Desde o início da pandemia de COVID-19, muitas questões surgiram referentes à segurança do manejo anestésico de pacientes acometidos pela doença. A anestesia regional, seja esta periférica ou neuroaxial, é alternativa segura no manejo do paciente COVID-19, desde que o emprego de modalidades que minimizam o comprometimento da função pulmonar seja escolhido. A adoção desta técnica anestésica minimiza os efeitos adversos no pós-operatório e oferece segurança para o paciente e equipe, desde que sejam respeitados os cuidados com proteção individual e de contágio interpessoal. Respeito às contraindicações e emprego criterioso das técnicas e normas de segurança são fundamentais. Este manuscrito tem por objetivo revisar as evidências disponíveis sobre anestesia regional em pacientes com COVID-19 e oferecer recomendações práticas para sua realização segura e eficiente.


COVID-19,  Anestesia regional,  Anestesia peridural,  Raquianestesia


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