Spinal anesthesia in pregnant women with COVID-19: integrative review

Abstract

Objective: To identify available scientific evidence in the national and international literature on spinal anesthesia in pregnant women with COVID-19. Methods: Integrative literature review, carried out between March and June 2022, in the VHL, PubMed, LILACS, SciELO and Google Scholar databases, based on the following descriptors: “Highrisk pregnancy and anesthesia and COVID-19” and “Pregnancy and anesthesia and COVID-19”, in Portuguese, English and Spanish. Results: The corpus of this study consisted of a total of 12 studies, out of the 167 initially screened, which denote the feasibility of spinal anesthesia as a preferred alternative in pregnant patients affected by COVID-19. Conclusion: Spinal anesthesia is safe in asymptomatic patients or with little or moderate symptoms. If the patient is not in a critical condition or is gradually worsening, it is advisable to wait at least ten days (quarantine period) for delivery.

Keywords

• pregnancy
• anesthesia
• covid-19