Editor's Note The overall incidence of COVID-19 in children who had preoperative screening was less than 1%; however, this varied greatly between regions, ranging from 0.22% to 2.65%. Included in the study were pediatric patients presenting for surgery at Children’s Hospital of Philadelphia, Texas Children’s Hospital in Houston, and Seattle…

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Editor's Note The Joint Commission on June 3 announced that it supports the following positions for healthcare organizations to prevent nosocomial COVID-19 infections as they resume routine patient care. Organizations should continue to follow CDC recommendations for universal masking of staff, patients, and visitors. Personnel should wear filtering facepiece (N95)…

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Editor's Note Patients having surgery after contracting COVID-19 are at greatly increased risk of postoperative death, this study finds. Researchers examined data for 1,128 patients from 235 hospitals in 24 countries. Overall 30-day postoperative mortality was 23.8%. Mortality was high across all subgroups including: elective surgery, 18.9% emergency surgery, 25.6%…

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Editor's Note In this study, researchers found that a pediatric adaptation of the adult Medically Necessary Time-Sensitive (MeNTS) risk stratification system was a valuable decision tool that helped them prioritize surgical procedures in children during the COVID-19 pandemic. The researchers tested the pediatric MeNTS (pMeNTS) in 101 patients scheduled for…

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Editor's Note The Centers for Disease Control and Prevention (CDC) on May 20 posted two new resources to help states reopen. The first is a 60-page document that includes information on general and healthcare surveillance and continuing guidance on infection control, contact tracing, and testing. It also includes a standardized…

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Editor's Note As states begin to ease restrictions imposed by COVID-19, physicians, nurse leaders, and administrators face a momentous challenge in resuming elective surgical procedures. Cincinnati Children’s Hospital Medical Center developed a model that made best use of available data (eg, case logs, forecasts, etc). Adoption of an agile methodology—a…

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Editor's Note While responding to demands of the COVID-19 pandemic, perioperative leaders also are busy preparing staff and departments for life after the initial shock subsides. Chief among their preparations are strategies to address the increased demand for surgery because of postponement of elective and nonessential surgical procedures. The sterile…

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Elective surgical procedures that were temporarily suspended in mid-March are now on the table—or soon will be—at some US facilities. The ban, announced on March 18 by the Centers for Medicare & Medicaid Services (CMS), was enacted to free up resources for facilities overwhelmed by surges of COVID-19 patients. On…

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The COVID-19 pandemic is having a major impact on all aspects of healthcare delivery worldwide. For children’s hospitals, the crisis has created unique challenges in ensuring patient and provider safety as well as helping to contain the spread of COVID-19 through their communities. According to the Centers for Disease Control…

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Coronavirus cases in the US topped 1 million in late April. Although total numbers of cases and deaths change daily and vary greatly among urban vs rural regions of the country, it’s safe to say we haven’t yet seen the last of the surges. Despite ongoing shortages of personal protective…

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