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Total 1456 results found since Jan 2013.
Preventing Contamination During Transesophageal Echocardiography in the Face of the COVID-19 Pandemic
As the world sees an exponential rise in cases of Coronavirus disease (COVID-19), caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2),1 we are continually innovating and developing new ways to prevent exposure as well as contamination of healthcare providers. The American Society of Echocardiography recently developed guidelines for safely performing echocardiography on patients suspected of having or are positive for COVID-19.2 The guidelines speak on “who to image,” “where to image,” and “how to image,” with the goal of protecting the physician performing the transesophageal echocardiogram ...
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 29, 2020 Category: Anesthesiology Authors: Ankit Jain Tags: Letter to the Editor Source Type: research
COVID-19 Infection Implications for Perioperative and Critical Care Physicians
Healthcare systems worldwide are responding to Coronavirus Disease 2019 (COVID-19), an emerging infectious syndrome caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) virus. Patients with COVID-19 can progress from asymptomatic or mild illness to hypoxemic respiratory failure or multisystem organ failure, necessitating intubation and intensive care management. Healthcare providers, and particularly anesthesiologists, are at the frontline of this epidemic, and they need to be aware of the best available evidence to guide therapeutic management of patients with COVID-19 and to keep themselves safe whi...
Source: Anesthesiology - May 13, 2020 Category: Anesthesiology Source Type: research
AP PHOTOS: Recovered Filipino doctor back helping patients
Uncertainties over the coronavirus remain, but there have been heartwarming anecdotes too, like the acts of courage and sacrifice of people helping deal with the unprecedented crisis at their life’s peril.
In the Philippines, 41-year-old anesthesiologist Manuel Sotelo III knew the risks but kept working in a hospital in a Manila coronavirus hotspot. He has to live apart from his family as an agonizing safeguard.
As he feared, he got infected. Although he didn’t show any of the dreadful symptoms, death was constantly on his mind and he struggled with isolation in an apartment. At one point while on quarantine,...
Source: ABC News: Health - May 19, 2020 Category: Consumer Health News Tags: Health Source Type: news
Anesthetic concerns for pediatric patients in the era of COVID-19.
This article addresses specific concerns for the anesthetic management of the pediatric population with COVID-19.
PMID: 32438527 [PubMed - as supplied by publisher]
Source: Paediatric Anaesthesia - May 20, 2020 Category: Anesthesiology Authors: Soneru CN, Nunez K, Petersen TR, Lock R Tags: Paediatr Anaesth Source Type: research
COVID-19 Outbreak in France: Setup and Activities of a Mobile Extracorporeal Membrane Oxygenation Team During the First 3 Weeks
The severe acute respiratory syndrome coronavirus-2 –related disease, coronavirus-2019 (COVID-19), mainly is characterized by respiratory manifestations, with approximately 15% to 30% of patients developing acute respiratory distress syndrome (ARDS).1 The World Health Organization guidelines recommend to proceed to venovenous extracorporeal membran e oxygenation (ECMO) for eligible patients with COVID-19–related ARDS only in centers with “sufficient case volume to ensure clinical expertise.”2 The Amiens ECMO center received many calls from several hospitals in the region about refractory ARDS secondary to COVID-19 ...
Source: Journal of Cardiothoracic and Vascular Anesthesia - May 23, 2020 Category: Anesthesiology Authors: Guillaume Haye, Alex Fourdrain, Osama Abou-Arab, Pascal Berna, Yazine Mahjoub Tags: Letter to the Editor Source Type: research
Considerations and recommendations for obstetric anesthesia care during COVID-19 pandemic - Saudi anesthesia society guidelines
Conclusion: There are several anesthetic considerations in the care of pregnant women with COVID-19 due to their unique physiological changes. We provide considerations and recommendations for departmental and institutional leadership as well as the obstetric anesthesia providers. These recommendations may apply and can be edited, for future droplet or airborne based pandemics. The rapidly evolving literature makes it important to get updates directly from the relevant medical societies' websites.
Source: Saudi Journal of Anaesthesia - May 29, 2020 Category: Anesthesiology Authors: Omar Alyamani Ibrahim Abushoshah Nasser A Tawfeeq Fatma Al Dammas Fahd A Algurashi Source Type: research
Asymptomatic carriage and transmission of SARS-CoV-2: What do we know?
CONCLUSION: Viral transmission from patients exhibiting no symptoms in the operating room is plausible and efforts to reduce risk to healthcare providers include reducing aerosolization and wearing appropriate personal protective equipment, the feasibility of which will vary based on geographic risk and equipment availability.
PMID: 32488493 [PubMed - as supplied by publisher]
Source: Canadian Journal of Anaesthesia - June 1, 2020 Category: Anesthesiology Authors: Lee S, Meyler P, Mozel M, Tauh T, Merchant R Tags: Can J Anaesth Source Type: research
Benign prostatic hyperplasia management during COVID-19 pandemia.
CONCLUSIONS: The diagnosis and prescription of treatment for BPH during the COVID-19 pandemic should be based on telemedicine and joint protocols for primary care attention and urology. Elective surgical treatment can be delayed until we are in phases I or II, individualizing the surgical and anaesthetic technique of choice to minimize risks.
PMID: 32538810 [PubMed - in process]
Source: Archivos Espanoles de Urologia - June 17, 2020 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research
Air contamination with SARS-CoV-2 in the operating room
AbstractAngiotensin converting enzyme 2 (ACE2) is a target cell receptor for internalization and proliferation of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). When ACE2-highly expressed tissues are manipulated, SARS-CoV-2 containing aerosols may be generated. Normal breathing and speaking are capable of producing aerosols so mask ventilation, suction of airway tract and bucking during tracheal intubation and extubation are clinical procedures capable of significant aerosol production. Whilst no data have been reported on the distribution of SARS-CoV-2 in the operating room (OR), contamination in the OR...
Source: Journal of Anesthesia - June 18, 2020 Category: Anesthesiology Source Type: research
Aligning difficult airway guidelines with the anesthetic COVID-19 guidelines to develop a COVID-19 difficult airway strategy: a narrative review
AbstractThe coronavirus disease 2019 (COVID-19) pandemic is caused by a coronavirus that is transmitted primarily via aerosol, droplets or direct contact. This may place anesthetists at higher risk of infection due to their frequent involvement in aerosol-generating airway interventions. Many anesthethetic COVID-19 guidelines have emerged, whose underlying management principles include minimizing aerosol contamination and protecting healthcare workers. These guidelines originate from Australia and New Zealand, Canada, China, India, Italy, Korea, Singapore, the United States and the United Kingdom. Hospitalized COVID-19 pat...
Source: Journal of Anesthesia - July 7, 2020 Category: Anesthesiology Source Type: research
Epicardial Echocardiography —A Plausible Alternative Cardiac Imaging Technique in COVID-19 Pandemic
Coronavirus disease 2019 (COVID-19), because of its high infectivity rate, created havoc across the globe.1 Healthcare workers are the most affected community, having high mortality across the world. Severe acute respiratory syndrome coronavirus 2 enters cells through angiotensin- converting enzyme-2 receptors, which are expressed mostly in lung and intestines.2 So, the virus load is increased in aerodigestive tract secretions. Any procedure involving the aerodigestive tract causes aerosolization, which increases the risk of direct and cross-contamination among healthcare workers.
Source: Journal of Cardiothoracic and Vascular Anesthesia - July 8, 2020 Category: Anesthesiology Authors: Kirubanand Senniappan, Srinath Damodaran, Muralidhar Kanchi Tags: Letter to the Editor Source Type: research
COVID-19: review of case reports
AbstractRecently published case reports relating to anesthesia in patients with coronavirus disease (COVID-19) were reviewed. The diagnosis of COVID-19 was confirmed by positive results of reverse transcriptase polymerase chain reaction test for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Numerous reports handled emergency cesarean delivery. Primary symptoms and laboratory data of pregnant women with COVID-19 were similar to those of non-pregnant patients. Although the mortality rate is reported to be high after surgery in patients with COVID-19, cesarean delivery was successfully performed under regional...
Source: Journal of Anesthesia - July 11, 2020 Category: Anesthesiology Source Type: research
Aerosol-Containment Device for Prevention of Aerosol Dispersion During Nebulization in COVID-19 Patients
CORONAVIRUS disease 2019 (COVID-19) is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 and is transmitted primarily through respiratory droplets, contact routes, and aerosol transmission. The selection of respiratory support for patients affected by COVID-19 must balance the clinical benefit of the intervention against the risks of nosocomial spread. Aerosol-generating procedures an d nebulization have the potential for fugitive emissions and carry a higher risk of transmission of the virus to the surrounding environment and should be performed only when absolutely necessary in negative- p...
Source: Journal of Cardiothoracic and Vascular Anesthesia - July 14, 2020 Category: Anesthesiology Authors: Amarjeet Kumar, Abhyuday Kumar, Chandni Sinha, Neeraj Kumar, Ajeet Kumar Tags: Letter to the Editor Source Type: research
Erratum for: Transforming operating rooms into intensive care units and the versatility of the physician anesthesiologist during the COVID-19 crisis
The coronavirus disease (COVID-19) pandemic, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has spread exponentially worldwide. In Brazil, the number of infected people diagnosed has been increasing and, as in other countries, it has been associated with a high risk of contamination in healthcare teams. For healthcare professionals, the full use of personal protective equipment (PPE) is mandatory, such as wearing surgical or filtering facepiece class 2 (FFP2) masks, waterproof aprons, gloves, and goggles, in addition to training in care processes. A reduction in the number of face-to-face visits an...
Source: Clinics - July 23, 2020 Category: General Medicine Source Type: research
Electroconvulsive Therapy Practice Changes in Older Individuals due to COVID-19: Expert Consensus Statement
With over 3.8 million cases in the U.S. alone1, the coronavirus 2019 disease (COVID-19) caused by the novel coronavirus (SARS-CoV-2) has had a profound impact on health care systems. Because COVID-19 primarily presents as a respiratory illness and is transmitted through respiratory droplets, great care must be taken to reduce the risk of transmission during as electroconvulsive therapy (ECT), which involves an aerosol-generating procedure from manual ventilation with a bag mask valve while under anesthesia.
Source: The American Journal of Geriatric Psychiatry - August 6, 2020 Category: Geriatrics Authors: Maria I. Lapid, Steve Seiner, Hannah Heintz, Adriana P. Hermida, Louis Nykamp, Sohag N. Sanghani, Martina Mueller, Georgios Petrides, Brent P. Forester Source Type: research
