Anesthesia
Parsing COVID-19 transmission routes informs levels of protection needed
Information about COVID-19 transmission and treatment has evolved between the time this infectious disease first emerged and now. As evidence-based knowledge grows and protocols change, and as populations are vaccinated to develop herd immunity, there is increasing optimism about the ability to combat the virus. Meanwhile, it is important to…
Joint Commission approves four new EPs for office-based surgery
Editor's Note The Joint Commission, on January 13, announced that it had approved four new elements of performance (EPs) for office-based surgery practices that prescribe medication. The EPs for Medication Management Standard MM.04.01.01, which will become effective July 1, address the following: Having a written policy that identifies specific medication…
Effect of intubation barrier devices on aerosol exposure
Editor's Note Barrier devices used for intubation may reduce operator exposure to infectious droplets and aerosols, but there is wide variation in aerosol containment, this study finds. Fully enclosed barrier devices reduced vapor and aerosol content in the area of the operator. If no barrier device was used, aerosol content…
ASA, APSF issue guidance on surgery, anesthesia for COVID-19 patients who have recovered
Editor's Note The American Society of Anesthesiologists (ASA) and Anesthesia Patient Safety Foundation (APSF) issued a joint statement December 8 on performing elective surgery and anesthesia on COVID-19 patients who have recovered from the virus. The statement notes that: In general, all non-urgent procedures should be delayed until the patient…
Patient-preference playlists improve pre- and postop experiences
Streaming music apps and access to music through smartphones and similar devices make it easy to provide many different genres of music and modalities that can ease surgical patients’ fears. The use of music in both pre- and postoperative settings has been extensively researched, but less is known about how…
Effect of elective surgery cancellation on ICU capacity in New York State
Editor's Note Suspension of elective surgical procedures in response to the COVID-19 pandemic in New York State had only a minor effect on ICU capacity, this study finds. State authorities suspended all elective surgical procedures in mid-March 2020 to increase hospital and ICU bed capacity. However, the effect of canceling…
Consider a PSH as a post-pandemic strategy
Across the US, surgical services are estimated to comprise around 20% of national health spending and typically generate up to 70% of total health system revenue.1, 2 That makes surgical services the largest revenue generator for a hospital, supporting access to numerous other healthcare services. Considering the average hospital has…
Study finds significantly less risk of COVID-19 transmission from anesthetic procedures
Editor's Note In this study, researchers from the University of Bristol in the UK, find that intubation and extubation of patients during general anesthesia may produce only a fraction of the aerosols previously thought, much less than that produced during a regular cough. The researchers conducted real-time, high-resolution environmental monitoring…
COVID-19 testing of all children before anesthesia saves PPE
Editor's Note Universal COVID-19 testing of children before they have general anesthesia promotes efficient use of personal protective equipment (PPE), finds this study presented October 3 at the Anesthesiology 2020 annual meeting. Overall, 1,033 children who had anesthesia at Children’s Hospital of Philadelphia between March 26 and May 11, 2020,…
Efficacy of povidone-iodine nasal antiseptic for rapid inactivation of SARS-CoV-2
Editor's Note This controlled, in-vitro study investigates the minimum contact time for povidone-iodine nasal antiseptic to inactivate the SARS-CoV-2 virus. All laboratory work was conducted in biosafety level 3 laboratories at the Institute for Antiviral Research at Utah State University, Logan. Povidone-iodine was tested at diluted concentrations of 0.5%, 1.25%,…
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