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Practice Guideline
. 2020 Jun;39(3):395-415.
doi: 10.1016/j.accpm.2020.05.012. Epub 2020 Jun 5.

Guidelines: Anaesthesia in the context of COVID-19 pandemic

Lionel Velly  1 , Etienne Gayat  2 , Hervé Quintard  3 , Emmanuel Weiss  4 , Audrey De Jong  5 , Philippe Cuvillon  6 , Gérard Audibert  7 , Julien Amour  8 , Marc Beaussier  9 , Matthieu Biais  10 , Sébastien Bloc  11 , Marie Pierre Bonnet  12 , Pierre Bouzat  13 , Gilles Brezac  14 , Claire Dahyot-Fizelier  15 , Souhayl Dahmani  16 , Mathilde de Queiroz  17 , Sophie Di Maria  18 , Claude Ecoffey  19 , Emmanuel Futier  20 , Thomas Geeraerts  21 , Haithem Jaber  22 , Laurent Heyer  23 , Rim Hoteit  24 , Olivier Joannes-Boyau  25 , Delphine Kern  26 , Olivier Langeron  27 , Sigismond Lasocki  28 , Yoan Launey  29 , Frederic le Saché  30 , Anne Claire Lukaszewicz  31 , Axel Maurice-Szamburski  32 , Nicolas Mayeur  33 , Fabrice Michel  34 , Vincent Minville  35 , Sébastien Mirek  36 , Philippe Montravers  37 , Estelle Morau  38 , Laurent Muller  39 , Jane Muret  40 , Karine Nouette-Gaulain  41 , Jean Christophe Orban  42 , Gilles Orliaguet  43 , Pierre François Perrigault  44 , Florence Plantet  45 , Julien Pottecher  46 , Christophe Quesnel  47 , Vanessa Reubrecht  18 , Bertrand Rozec  48 , Benoit Tavernier  49 , Benoit Veber  50 , Francis Veyckmans  51 , Hélène Charbonneau  33 , Isabelle Constant  52 , Denis Frasca  53 , Marc-Olivier Fischer  54 , Catherine Huraux  55 , Alice Blet  56 , Marc Garnier  57
Affiliations
Practice Guideline

Guidelines: Anaesthesia in the context of COVID-19 pandemic

Lionel Velly et al. Anaesth Crit Care Pain Med. 2020 Jun.

Abstract

Objectives: The world is currently facing an unprecedented healthcare crisis caused by the COVID-19 pandemic. The objective of these guidelines is to produce a framework to facilitate the partial and gradual resumption of intervention activity in the context of the COVID-19 pandemic.

Methods: The group has endeavoured to produce a minimum number of recommendations to highlight the strengths to be retained in the 7 predefined areas: (1) protection of staff and patients; (2) benefit/risk and patient information; (3) preoperative assessment and decision on intervention; (4) modalities of the preanaesthesia consultation; (5) specificity of anaesthesia and analgesia; (6) dedicated circuits and (7) containment exit type of interventions.

Results: The SFAR Guideline panel provides 51 statements on anaesthesia management in the context of COVID-19 pandemic. After one round of discussion and various amendments, a strong agreement was reached for 100% of the recommendations and algorithms.

Conclusion: We present suggestions for how the risk of transmission by and to anaesthetists can be minimised and how personal protective equipment policies relate to COVID-19 pandemic context.

Keywords: Airway management; COVID-19; Infection prevention and control; Personal protective equipment; SARS-CoV-2; Viruses.

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Figures

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Scheduled surgery.
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Emergency surgery.
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Suggested patient pathway based on COVID status.
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Interactions of the Multidisciplinary Regulatory Committee.
See this image and copyright information in PMC

Comment in

  • Answer to the letter by Niño et al.
    Garnier M, Velly L. Garnier M, et al. Anaesth Crit Care Pain Med. 2020 Dec;39(6):743-744. doi: 10.1016/j.accpm.2020.09.006. Epub 2020 Oct 2. Anaesth Crit Care Pain Med. 2020. PMID: 33011331 Free PMC article. No abstract available.

References

    1. Greenland J.R., Michelow M.D., Wang L., London M.J. COVID-19 infection: implications for perioperative and critical care physicians. Anesthesiology. 2020:1. doi: 10.1097/ALN.0000000000003303. - DOI - PMC - PubMed
    1. The Lancet COVID-19: protecting healthcare workers. Lancet. 2020;395:922. - PMC - PubMed
    1. Chang D., Xu H., Rebaza A., Sharma L., Dela Cruz C.S. Protecting healthcare workers from subclinical coronavirus infection. Lancet Respir Med. 2020;8:e13. - PMC - PubMed
    1. Food and Drug Administration . 2020. N95 respirators and surgical masks (face masks)https://www.fda.gov/medical-devices/personal-protective-equipment-infect...
    1. MacIntyre C.R., Wang Q., Cauchemez S., Seale H., Dwyer D.E., Yang P. A cluster randomized clinical trial comparing fit-tested and non-fit-tested N95 respirators to medical masks to prevent respiratory virus infection in healthcare workers: RCT of face masks in health workers. Influenza Other Respir Viruses. 2011;5:170–179. - PMC - PubMed

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