J Cardiothorac Vasc Anesth. Anesthesia Management and Perioperative Infection Control in Patients With the Novel Coronavirus

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J Cardiothorac Vasc Anesth. 2020 Mar 29. pii: S1053-0770(20)30284-6. doi: 10.1053/j.jvca.2020.03.035. [Epub ahead of print]
Anesthesia Management and Perioperative Infection Control in Patients With the Novel Coronavirus.


Li W¹, Huang J², Guo X³, Zhao J⁴, Mandell MS⁵.

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Abstract

Anesthesiologists have a high risk of infection with COVID-19 during perioperative care and as first responders to airway emergencies. The potential of becoming infected can be reduced by a systematic and integrated approach that assesses infection risk. The latter leads to an acceptable choice of materials and techniques for personal protection and prevention of cross-contamination to other patients and staff. The authors have presented a protocolized approach that uses diagnostic criteria to clearly define benchmarks from the medical history along with clinical symptoms and laboratory tests. Patients can then be rapidly assigned into 1 of 3 risk categories that direct the choice of protective materials and/or techniques. Each hospital can adapt this approach to develop a system that fits its individual resources. Educating medical staff about the proper use of high-risk areas for containment serves to protect staff and patients.
Copyright ? 2020 The Authors. Published by Elsevier Inc. All rights reserved.



KEYWORDS:

COVID-19; anesthesia; infection; safety


PMID:32279934DOI:10.1053/j.jvca.2020.03.035