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ORIGINAL ARTICLE
Year : 2021  |  Volume : 7  |  Issue : 2  |  Page : 126-135

The New Normal Anesthesiologist and the Challenging Post-COVID-19 Mucormycosis Patients − Our Experience


1 Department of Anesthesia and Critical Care, Maulana Azad Medical College, New Delhi, India
2 Department of Anesthesia and Critical Care, Lok Nayak Hospital, New Delhi, India

Correspondence Address:
Dr. Sonia Wadhawan
Department of Anesthesia and Critical Care, Maulana Azad Medical College, S-18, Greater Kailash, New Delhi 110048
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/mamcjms.mamcjms_71_21

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Rhino-orbital-cerebral mucormycosis (ROCM) is an aggressive, lethal, angioinvasive fungal infection that has presented as an opportunistic infection in the backdrop of a highly infectious and severe second coronavirus disease 2019 (COVID-19) wave in India. The dominant delta strain during the second wave led to an unprecedented rise in hospital admissions with moderate to severe COVID-19 illness. A working staging system is helpful in triaging these patients to prioritize surgical debridement and liposomal amphotericin B induction therapy. The evaluation and optimization of post-COVID-19 sequelae becomes a cornerstone in achieving a favorable perioperative outcome. As anesthesiologists, we share our experience in managing this novel subset of patients. Post-COVID-19 sequelae with a prothrombotic state and multisystem involvement, challenging and shared airway, and amphotericin B-related complications are being the key concerns.


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