Infection Prevention Precautions for Routine Anesthesia Care During the SARS-CoV-2 Pandemic.

  title={Infection Prevention Precautions for Routine Anesthesia Care During the SARS-CoV-2 Pandemic.},
  author={Andrew Bowdle and Srdjan Jelacic and Sonia Shishido and L. Silvia Munoz-Price},
  journal={Anesthesia \& Analgesia},
Many health care systems around the world continue to struggle with large numbers of SARS-CoV-2-infected patients, while others have diminishing numbers of cases following an initial surge. There will most likely be significant oscillations in numbers of cases for the foreseeable future, based on the regional epidemiology of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Less affected hospitals and facilities will attempt to progressively resume elective procedures and surgery… 

Figures and Tables from this paper

[Bundle care - prevention of pneumonia in patients mechanically ventilated in COVID-19 pandemia - a challenge for patients and personnel safety].

An overview of the optimization of patient care and staff safety within the so-called "bundle care" in the COVID-19 pandemic is presented.

Perioperative Management During the COVID-19 Pandemic: Strategies at Three General Hospitals in Japan and a Narrative Review.

Standard anesthetic practice, surgery scheduling, and approaches to appropriate management of the operating room to protect both patients and medical personnel against COVID-19 transmission need to be reviewed and appropriately modified.

COVID-19 pandemic: potential phase III vaccines in development

The SARS-CoV-2 replication mechanism and potential vaccine candidates in phase III COVID-19 clinical trials are discussed with an update on possible new drug targets or strategies to fight off the virus.

Reply to letter to editor.

The recommendation to wear double gloves during airway management and discard the outer layer of gloves following intubation or supraglottic airway placement and the application of ABHR on widely available nitrile examination gloves does not hamper glove integrity and allows safe performance of anesthesia practices are included.

Difficult lung separation. An insight into the challenges faced during COVID-19 pandemic

A systematic approach for management of difficult lung separation is centered around securing the airway and providing adequate ventilation using either a blocker or double-lumen tube.

Universal Gloving and Hand Hygiene With Gloves On: Concerns

It is believed that the choice between percutaneous or surgical tracheostomy is equally important and the proposal of safety barriers with plastic elements could be an additional option in particular circumstances especially related to local conditions.

Recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic: a scoping review

The recommendations mapped in this scoping review present the best practices produced so far and serve as a basis for planning and implementing good practices to ensure safe hospital care, during and after COVID-19.

Elastomeric Respirators for COVID-19 and the Next Respiratory Virus Pandemic: Essential Design Elements

Reusable elastomeric respirators offer potential advantages compared to disposable filtering facepiece respirators and require further development to improve their suitability for this application.

"Test and Standard Precautions"-Is it Enough to Protect Us from False Negative SARS-CoV-2 Test Results?

A test result that indicates a person is not infected when in fact they are infected, and the proportion of negative test results that are false-negative results, varies with prevalence.

Evaluation of the conventional and modified aerosol boxes during tracheal intubation in normal and difficult airways: a randomized, crossover, manikin simulation study

The use of conventional or modified aerosol boxes significantly extended the mouth-to-mouth distances compared to not using an aerosol box during tracheal intubation with each laryngoscope, and the distances were not different between the conventional and modified boxes in normal and difficult airways.



Practical recommendations for critical care and anesthesiology teams caring for novel coronavirus (2019-nCoV) patients

  • R. WaxM. Christian
  • Medicine
    Canadian Journal of Anesthesia/Journal canadien d'anesthésie
  • 2020
Important considerations regarding patient screening, environmental controls, personal protective equipment, resuscitation measures, and critical care unit operations planning are summarized as the authors prepare for the possibility of new imported cases or local outbreaks of 2019-nCoV.

Preparing for a COVID-19 pandemic: a review of operating room outbreak response measures in a large tertiary hospital in Singapore

Simulation was valuable in evaluating the feasibility of new operating room set-ups or workflow and how the hierarchy of controls can be used as a framework to plan the necessary measures during each phase of a pandemic.

Preventing Infection of Patients and Healthcare Workers Should Be the New Normal in the Era of Novel Coronavirus Epidemics

This editorial represents the opinions of the authors at the time it was written when there is much still unknown about COVID-19 and readers are urged to utilize multiple sources of information including those offered by various professional organizations and government agencies, and to carefully consider differing opinions.

Personal protective equipment (PPE) for anesthesiologists: the need for national guidelines

  • D. Bainbridge
  • Medicine
    Canadian Journal of Anesthesia/Journal canadien d'anesthésie
  • 2020
In this issue of the Journal, Lockhart et al. present a clear and concise approach to personal protective equipment (PPE) for the anesthesiologist and other airway managers. In particular, their

Infection Prevention Measures for Surgical Procedures during a Middle East Respiratory Syndrome Outbreak in a Tertiary Care Hospital in South Korea

The experience with setting up a temporary negative-pressure operation room and the conservative approach for managing MERS-related patients can be referred in cases of future unexpected MERS outbreaks in non-endemic countries.

Social distancing: implications for the operating room in the face of COVID-19

  • M. PrinK. Bartels
  • Medicine
    Canadian Journal of Anesthesia/Journal canadien d'anesthésie
  • 2020
This article aims to add to the discussion of occupational safety with a focus on how anesthesiologists and other operating room (OR) personnel can apply social-distancing practices at work to reduce the risk of COVID-19 transmission.

Aerodynamic analysis of SARS-CoV-2 in two Wuhan hospitals

It is proposed that room ventilation, open space, sanitization of protective apparel, and proper use and disinfection of toilet areas can effectively limit the concentration of SARS-CoV-2 RNA in aerosols, although the infectivity of the virus RNA was not established in this study.

Aerosol Generating Procedures and Risk of Transmission of Acute Respiratory Infections to Healthcare Workers: A Systematic Review

It is suggested that some procedures potentially capable of generating aerosols have been associated with increased risk of SARS transmission to HCWs or were a risk factor for transmission, with the most consistent association across multiple studies identified with tracheal intubation.

Nosocomial Transmission of Emerging Viruses via Aerosol-Generating Medical Procedures

The mechanisms of aerosol-generating medical procedures, as well as the transmission pathways and characteristics of highly pathogenic viruses associated with nosocomial transmission, are explored and how research could advance current infection control guidelines are proposed.

Particle sizes of infectious aerosols: implications for infection control

  • K. Fennelly
  • Medicine, Environmental Science
    The Lancet Respiratory Medicine
  • 2020