دورية أكاديمية
Zika Virus: Obstetric and Pediatric Anesthesia Considerations.
| العنوان: | Zika Virus: Obstetric and Pediatric Anesthesia Considerations. |
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| المؤلفون: | Tutiven JL; From *Department of Anesthesiology, University of Miami Miller School of Medicine, Miami, Florida; †Jackson Memorial Hospital, Miami, Florida; ‡Department of Radiology, University of Miami Miller School of Medicine, Miami, Florida; §Division of Infectious Diseases, Department of Medicine, University of Miami, Miami Miller School of Medicine, Miami, Florida; and ‖UM-JMH Center for Patient Safety, Department of Anesthesiology, University of Miami Miller School of Medicine, Miami, Florida., Pruden BT, Banks JS, Stevenson M, Birnbach DJ |
| المصدر: | Anesthesia and analgesia [Anesth Analg] 2017 Jun; Vol. 124 (6), pp. 1918-1929. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 1310650 Publication Model: Print Cited Medium: Internet ISSN: 1526-7598 (Electronic) Linking ISSN: 00032999 NLM ISO Abbreviation: Anesth Analg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 1998- : Baltimore, Md. : Lippincott Williams & Wilkins Original Publication: Cleveland, International Anesthesia Research Society. |
| مواضيع طبية MeSH: | Parturition*, Anesthesia, Obstetrical/*methods , Central Nervous System Viral Diseases/*therapy , Infectious Disease Transmission, Vertical/*prevention & control , Microcephaly/*therapy , Neonatology/*methods , Pregnancy Complications, Infectious/*therapy , Zika Virus Infection/*therapy, Age Factors ; Anesthesia, Obstetrical/adverse effects ; Animals ; Central Nervous System Viral Diseases/diagnostic imaging ; Central Nervous System Viral Diseases/virology ; Female ; Florida/epidemiology ; Hospitals, University ; Humans ; Infant, Newborn ; Male ; Microcephaly/diagnostic imaging ; Microcephaly/virology ; Pregnancy ; Pregnancy Complications, Infectious/diagnosis ; Pregnancy Complications, Infectious/virology ; Risk Assessment ; Risk Factors ; Zika Virus Infection/diagnosis ; Zika Virus Infection/transmission ; Zika Virus Infection/virology |
| مستخلص: | As of November 2016, the Florida Department of Health (FDH) and the Centers for Disease Control and Prevention have confirmed more than 4000 travel-related Zika virus (ZIKV) infections in the United States with >700 of those in Florida. There have been 139 cases of locally acquired infection, all occurring in Miami, Florida. Within the US territories (eg, Puerto Rico, US Virgin Islands), >30,000 cases of ZIKV infection have been reported. The projected number of individuals at risk for ZIKV infection in the Caribbean and Latin America approximates 5 million. Similar to Dengue and Chikungunya viruses, ZIKV is spread to humans by infected Aedes aegypti mosquitoes, through travel-associated local transmission, via sexual contact, and through blood transfusions. South Florida is an epicenter for ZIKV infection in the United States and the year-round warm climate along with an abundance of mosquito vectors that can harbor the flavivirus raise health care concerns. ZIKV infection is generally mild with clinical manifestations of fever, rash, conjunctivitis, and arthralgia. Of greatest concern, however, is growing evidence for the relationship between ZIKV infection of pregnant women and increased incidence of abnormal pregnancies and congenital abnormalities in the newborn, now medically termed ZIKA Congenital Syndrome. Federal health officials are observing 899 confirmed Zika-positive pregnancies and the FDH is currently monitoring 110 pregnant women with evidence of Zika infection. The University of Miami/Jackson Memorial Hospital is uniquely positioned just north of downtown Miami and within the vicinity of Liberty City, Little Haiti, and Miami Beach, which are currently "hot spots" for Zika virus exposure and transmissions. As the FDH works fervently to prevent a Zika epidemic in the region, health care providers at the University of Miami and Jackson Memorial Hospital prepare for the clinical spectrum of ZIKV effects as well as the safe perioperative care of the parturients and their affected newborns. In an effort to meet anesthetic preparedness for the care of potential Zika-positive patients and perinatal management of babies born with ZIKA Congenital Syndrome, this review highlights the interim guidelines from the Centers for Disease Control and Prevention and also suggest anesthetic implications and recommendations. In addition, this article reviews guidance for the evaluation and anesthetic management of infants with congenital ZIKV infection. To better manage the perioperative care of affected newborns, this article also reviews the comparative anesthetic implications of babies born with related congenital malformations. |
| تواريخ الأحداث: | Date Created: 20170520 Date Completed: 20170814 Latest Revision: 20180105 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1213/ANE.0000000000002047 |
| PMID: | 28525510 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1526-7598 |
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| DOI: | 10.1213/ANE.0000000000002047 |