Pre-eclampsia in Un-booked COVID-19

Image

The recent SARS CoVID19 (Severe Acute Respiratory Syndrome caused by Corona Virus of 2019) pandemic is rapidly raising, with numerous new cases and number of deaths daily. Due to the excess number of cases, the diagnosis of COVID19 disease keeps delaying, say for instance at least it takes a day for the whole process of sample collection from the patient to the report being received in the hand. RTPCR (Real Time Polymerase Chain Reaction) has been largely employed in mass diagnosis of COVID-19. But still the need for rapid diagnosis and results delivery is highly on the rise. Say for instance, surgeries like caesarean section, emergency laparotomy for perforation or obstruction demands emergency surgeries and exploration for saving lives as well as in decreasing the mortality. In the current scenario, most of the individuals are home isolated for their own safety purposes. Because of this many remain as an asymptomatic carrier or have mild to moderate symptoms. When the home bound individuals face emergencies like obstructed labor or severe preeclampsia or eclampsia, they would be needing emergency surgeries despite the unknown COVID-19 status. The ongoing lockdown and home quarantine also impede the regular antenatal care in some population. In such cases, taking proper precaution for oneself and providing care to the patient would be the main concern for any health care worker fighting to combat COVID. This is particularly of much importance when comes to anesthetic management for any emergency surgeries. We have been providing anesthetic care and emergency support continuously for the past 4-5 months in our hospital, un-accounting the presence or absence of proper COVID-19 test report. To accept this is the current scenario in any emergency set up all over India. Anesthetists are more prone for aerosol generated infection even in normal cases, while handling intubation as well as extubation. The scholar journal uses editorial manager system for maintaining quality of the whole process of manuscript submission, peer review and tracking. Journal of Surgery and Anesthesia aims to maintain a rapid editorial procedure and a rigorous peer-review system for all the submitted manuscripts. The submitted articles are peer-reviewed within 21 days of submission and the accepted articles are published immediately. Acceptance of any manuscript for publication requires approval of at least two independent reviewers and the editor. Submit manuscripts as an e-mail attachment to manuscripts@longdom.org