item: #1 of 41 id: cord-011656-zln7zmn9 author: Subedi, Asish title: Medical Ethics Versus Healthcare Workers’ Rights: Fight-or-Flee Response date: 2020-06-16 words: 861 flesch: 59 summary: This report highlights the importance of psychological well-being of health care workers involved during the COVID-19 tsunami. To overcome the mental stress, the government should provide social securities and incentives to health care workers, and moral support to reassure how important we are to the country and the sacrifices we are doing at this crisis. keywords: care; covid-19; ppes cache: cord-011656-zln7zmn9.txt plain text: cord-011656-zln7zmn9.txt item: #2 of 41 id: cord-012459-tge08va0 author: Matthews, Laura J. title: Airway Alert Bracelets: Enhancing Safety in the Coronavirus Disease 2019 Era date: 2020-08-18 words: 627 flesch: 41 summary: We are concerned that potential key information about patients with difficult airways can be missed. The presence of this bracelet on a patient prompts a review of the electronic intubation notes before undertaking any procedure where the airway could be at risk, and appropriate measures to be put in place-for example, a senior anesthetist with the relevant equipment present when airway alert patients are proned or deproned. keywords: airway; patients cache: cord-012459-tge08va0.txt plain text: cord-012459-tge08va0.txt item: #3 of 41 id: cord-253281-95ubt4k1 author: Wilson, Lauren A. title: Return to Normal: Prioritizing Elective Surgeries With Low Resource Utilization date: 2020-05-04 words: 763 flesch: 26 summary: We therefore evaluated intensive care unit (ICU) utilization and mechanical ventilation following common elective surgical procedures to (1) determine which procedures are the least resource intensive and (2) which patient populations are less likely to require postoperative ICU admission or ventilation. Outside of cardiac procedures, postoperative ventilation was relatively uncommon, indicating that limiting elective procedures is primarily beneficial in maximizing ICU capacity rather than freeing up ventilators. keywords: icu; ventilation cache: cord-253281-95ubt4k1.txt plain text: cord-253281-95ubt4k1.txt item: #4 of 41 id: cord-254266-6ca2d79d author: Loftus, Randy W. title: In Response: "Perioperative COVID-19 Defense: An Evidence-Based Approach for Optimization of Infection Control and Operating Room Management" date: 2020-04-20 words: 1128 flesch: 40 summary: Anesth Analg Perioperative COVID-19 defense: an evidence-based approach for optimization of infection control and operating room management The epidemiology of Staphylococcus aureus transmission in the anesthesia work area High-risk Staphylococcus aureus transmission in the operating room: a call for widespread improvements in perioperative hand hygiene and patient decolonization practices The anesthetists' role in perioperative infection control: what is the action plan? Improving basic preventive measures in the perioperative arena to reduce S. aureus transmission and surgical site infections, a randomized trial Rapid and effective virucidal activity of povidone-iodine products against Middle East Respiratory Syndrome Coronavirus (MERS-CoV) and Modified Vaccinia Virus Ankara (MVA) Infectious disease management and control with povidone iodine In vitro virucidal effectiveness of a 0.12%-chlorhexidine gluconate mouthrinse Coronaviruses: an overview of their replication and pathogenesis Bactericidal and virucidal activity of povidoneiodine and chlorhexidine gluconate cleansers in an in vivo hand hygiene clinical simulation Study Surgical hand preparation with chlorhexidine soap or povidone iodine: new methods to increase immediate and residual effectiveness, and provide a safe alternative to alcohol solutions Epidemic keratoconjunctivitis: prevention strategies in the clinic Povidone-Iodine Solution 5% w/w [0.5% available iodine] USP) key: cord-254266-6ca2d79d authors: Loftus, Randy W.; Dexter, Franklin; Parra, Michelle C.; Brown, Jeremiah R. title: In Response: Perioperative COVID-19 Defense: An Evidence-Based Approach for Optimization of Infection Control and Operating Room Management date: 2020-04-20 journal: Anesth Analg DOI: 10.1213/ane.0000000000004854 sha: doc_id: 254266 cord_uid: 6ca2d79d nan D r Maguire 1 considers the use of patient decolonization to aide in the prevention of perioperative viral transmission. keywords: chlorhexidine; covid-19; iodine; patient cache: cord-254266-6ca2d79d.txt plain text: cord-254266-6ca2d79d.txt item: #5 of 41 id: cord-254861-lpzx878m author: Saggese, Nicholas P. title: An Interim Solution to the Decreased Availability of Respirators Against COVID-19 date: 2020-04-22 words: 924 flesch: 53 summary: N95 respirators vs medical masks for preventing influenza among health care personnel: a randomized clinical trial COVID-19 and the risk to health care workers: a case report Surgical mask brace: a solution designed by mechanical engineers at fix the mask Second, the authors mention that surgical masks are suboptimal, 1 which is controversial and may not be true. keywords: covid-19; mask; respirator cache: cord-254861-lpzx878m.txt plain text: cord-254861-lpzx878m.txt item: #6 of 41 id: cord-257729-s0vo7dlk author: Bauer, Melissa title: Obstetric Anesthesia During the Coronavirus Disease 2019 Pandemic date: 2020-04-20 words: 4289 flesch: 28 summary: In principle, the clinical characteristics reported in pregnant women with confirmed COVID-19 infection in China have been consistent with those reported among nonpregnant adults, with better maternal and neonatal outcomes with COVID-19 infection compared with the 2002-2003 severe acute respiratory syndrome (SARS) outbreak from SARS CoV 1 infection. It is imperative to establish a back-up team to care for patients without COVID-19 infection due to the time-intensive tasks of donning/doffing PPE, transporting the patient, providing anesthetic care, and performing surgery in patients with active COVID-19 infection. keywords: anesthesia; care; cesarean; coronavirus; covid-19; delivery; infection; labor; patients; women cache: cord-257729-s0vo7dlk.txt plain text: cord-257729-s0vo7dlk.txt item: #7 of 41 id: cord-258071-amkfz940 author: Brown, Sarah title: Barrier System for Airway Management of COVID-19 Patients date: 2020-04-22 words: 615 flesch: 41 summary: We propose an inexpensive clear plastic drape on bag barrier system made from materials that are ubiquitous in the hospital (Figure) . The patient could be later extubated under the clear drape, and the drape can then be removed and placed in the drawstring bag along with disposable airway equipment such as the suction catheter and stylet. keywords: airway; drape cache: cord-258071-amkfz940.txt plain text: cord-258071-amkfz940.txt item: #8 of 41 id: cord-263087-fhn4m2zc author: Yang, Yao-Lin title: Adaptation to the Plastic Barrier Sheet to Facilitate Intubation During the COVID-19 Pandemic date: 2020-05-04 words: 1046 flesch: 41 summary: Adaptation to plastic sheet to facilitate endotracheal intubation. key: cord-263087-fhn4m2zc authors: Yang, Yao-Lin; Huang, Ching-Hsuan; Luk, Hsiang-Ning; Tsai, Phil B. title: Adaptation to the Plastic Barrier Sheet to Facilitate Intubation During the COVID-19 Pandemic date: 2020-05-04 journal: Anesth Analg DOI: 10.1213/ane.0000000000004923 sha: doc_id: 263087 cord_uid: fhn4m2zc nan To the Editor W e read with interest the recent article by Brown et al, 1 titled Barrier System for Airway Management of COVID-19 Patients which described the use of a plastic drape attached to a plastic bag as a protective measure during endotracheal intubation and extubation. keywords: intubation; plastic; sheet cache: cord-263087-fhn4m2zc.txt plain text: cord-263087-fhn4m2zc.txt item: #9 of 41 id: cord-265233-v5sq5epy author: Cassorla, Lydia title: Decontamination and Reuse of N95 Filtering Facepiece Respirators: Where Do We Stand? date: 2020-10-15 words: 6260 flesch: 41 summary: 39 Science to guide N95 FFR decontamination is scarce due to longstanding government and manufacturer recommendations for disposal following single use. Steris (Mentor, OH) developed a customized autoclave cycle for N95 FFR decontamination that limits heat to 65 ± 5 °C × 30 minutes at 50%-80% RH held at 533 mm Hg pressure. keywords: cov-2; covid-19; cycles; decontamination; ffr; fit; function; heat; methods; n95; pandemic; respirators; reuse; sars cache: cord-265233-v5sq5epy.txt plain text: cord-265233-v5sq5epy.txt item: #10 of 41 id: cord-273737-t6j3leec author: Poeran, Jashvant title: Cancellation of Elective Surgery and Intensive Care Unit Capacity in New York State: A Retrospective Cohort Analysis date: 2020-06-30 words: 2286 flesch: 46 summary: Overall, ICU admissions in New York State were seen in 10.1% of all hospitalizations (n = 1,232,986/n = 12,251,617) and remained stable over a 5-year period from 2011 to 2015. Among n = 1,232,986 ICU stays, sources of ICU admission included elective surgery (13.4%, n = 165,365), emergent/urgent admissions/trauma surgery (28.0%, n = 345,094), and medical admissions (58.6%, n = 722,527). keywords: admissions; icu; surgery; trauma cache: cord-273737-t6j3leec.txt plain text: cord-273737-t6j3leec.txt item: #11 of 41 id: cord-273884-dm73zgt8 author: Ludwin, Kobi title: Cardiopulmonary Resuscitation in the Prone Position: A Good Option for Patients With COVID-19 date: 2020-06-16 words: 671 flesch: 40 summary: Prone positioning in severe acute respiratory distress syndrome In-hospital cardiac arrest outcomes among patients with COVID-19 pneumonia in Wuhan Optimizing prone cardiopulmonary resuscitation: identifying the vertebral level correlating with the largest left ventricle cross-sectional area via computed tomography scan Cardiopulmonary resuscitation in prone position: a simplified method for outpatients Reverse CPR: a pilot study of CPR in the prone position Prone positioning improves oxygenation in spontaneously breathing nonintubated patients with hypoxemic acute respiratory failure: a retrospective study ARDS patients are placed in prone position for several hours, while COVID-19 ARDS patients for even 12-18 hours or more. keywords: patients; position cache: cord-273884-dm73zgt8.txt plain text: cord-273884-dm73zgt8.txt item: #12 of 41 id: cord-274819-xp5q9f0r author: Lai, Yu Yung title: A Carton-Made Protective Shield for Suspicious/Confirmed COVID-19 Intubation and Extubation During Surgery date: 2020-04-20 words: 564 flesch: 35 summary: The importance of COVID-19 extubation should be emphasized to minimize the potential virus infection during a surgery. After preoxygenation, the laryngoscopist should perform a rapid sequence induction and intubation following COVID-19 perioperative management recommendations for the local institution. keywords: intubation; shield cache: cord-274819-xp5q9f0r.txt plain text: cord-274819-xp5q9f0r.txt item: #13 of 41 id: cord-280794-k591vqji author: Bauer, Melissa E. title: Neuraxial Procedures in COVID-19–Positive Parturients: A Review of Current Reports date: 2020-04-20 words: 842 flesch: 31 summary: Before performing a neuraxial procedure in these patients, it would be advisable to review a recent platelet count given that one-third of patients with COVID-19 infection have been reported to have thrombocytopenia compared with 7%-12% of patients during pregnancy alone. Because anesthesiologists must take into account the risk of meningitis or encephalitis associated with neuraxial procedures in the setting of untreated viremia, we reviewed publications reporting outcomes in COVID-19-positive pregnant women in the current pandemic in an attempt to address this concern. keywords: covid-19; patients; procedures cache: cord-280794-k591vqji.txt plain text: cord-280794-k591vqji.txt item: #14 of 41 id: cord-282026-839jc5wp author: Tsui, Ban C. H. title: Coronavirus Disease 2019: Epidemiological Factors During Aerosol-Generating Medical Procedures date: 2020-06-16 words: 1087 flesch: 35 summary: Despite these isolation measures, extensive contamination of environmental surfaces is found in the rooms of COVID-19 patients. Available at Re-purposing a face tent as a disposable aerosol evacuation system to reduce contamination in COVID-19 patients: a simulated demonstration Beware of the second wave of COVID-19 keywords: agmps; covid-19; environment; ifs cache: cord-282026-839jc5wp.txt plain text: cord-282026-839jc5wp.txt item: #15 of 41 id: cord-287553-yev5i6hu author: Babazade, Rovnat title: Additional Barrier to Protect Healthcare Workers During Intubation date: 2020-04-27 words: 444 flesch: 43 summary: key: cord-287553-yev5i6hu authors: Babazade, Rovnat; Khan, Ejaz S.; Ibrahim, Mohamed; Simon, Michelle; Vadhera, Rakesh B. title: Additional Barrier to Protect Healthcare Workers During Intubation date: 2020-04-27 journal: Anesth Analg DOI: 10.1213/ane.0000000000004904 sha: doc_id: 287553 cord_uid: yev5i6hu nan To the Editor W ith an impending shortage of personal protective equipment (PPE) and rising infection among health care providers, novel coronavirus transmission via aerosolization is promoting new barrier discoveries for provider protection. B, Artificial manual breathing unit through a crosscut. keywords: crosscut; sheet cache: cord-287553-yev5i6hu.txt plain text: cord-287553-yev5i6hu.txt item: #16 of 41 id: cord-288569-sitxa2ul author: Smereka, Jacek title: Role of Mask/Respirator Protection Against SARS-CoV-2 date: 2020-04-20 words: 716 flesch: 53 summary: There are currently many types of masks/respirators available, ranging from simple surgical masks designed to protect wearers from microorganism transmission and fit loosely to the user's face, through N95 masks used to prevent users from inhaling small airborne particles. The potential of face masks to reduce the spread of respiratory infections could be useful. keywords: face; masks; respirators cache: cord-288569-sitxa2ul.txt plain text: cord-288569-sitxa2ul.txt item: #17 of 41 id: cord-289806-6ihptx6n author: Martinez, Rebecca title: Critical Obstetric Patients During the Coronavirus Disease 2019 Pandemic: Operationalizing an Obstetric Intensive Care Unit date: 2020-10-07 words: 3190 flesch: 35 summary: These paradigms are not unique to nursing; operating outside ones' scope of practice results in the delivery of care that is not as seamless as within teams that consistently work together with critical care patients. Leadership from the departments of anesthesia technicians, central venous access, extracorporeal membrane oxygenation (ECMO), facilities maintenance, ICU triage (adult and pediatric), nursing, nutrition, occupational and physical therapy, pharmacy, phlebotomy, respiratory therapy and social work committed to providing 24/7 coverage for OBICU patients should needs arise. keywords: anesthesia; attending; care; critical; nursing; obicu; obstetric; patients; team cache: cord-289806-6ihptx6n.txt plain text: cord-289806-6ihptx6n.txt item: #18 of 41 id: cord-291137-09a3tblt author: Chow, Jonathan H. title: Angiotensin II for the Treatment of COVID-19–Related Vasodilatory Shock date: 2020-04-20 words: 1553 flesch: 39 summary: Coronavirus disease (COVID-19) outbreak Angiotensin I and angiotensin II concentrations and their ratio in catecholamine-resistant vasodilatory shock Sensitivity to angiotensin II dose in patients with vasodilatory shock: a prespecified analysis of the ATHOS-3 trial Effect of disease severity on survival in patients receiving angiotensin II for vasodilatory shock ATHOS-3) Outcomes in patients with vasodilatory shock and renal replacement therapy treated with intravenous angiotensin II Baseline angiotensin levels and ACE effects in patients with vasodilatory shock treated with angiotensin II The acute respiratory distress syndrome Angiotensin converting enzyme defects in shock: implications for future therapy Reversal of vasodilatory shock: current perspectives on conventional, rescue, and emerging vasoactive agents for the treatment of shock Renin as a marker of tissue-perfusion and prognosis in critically ill patients Bradykinin, angiotensin-(1-7), and ACE inhibitors: how do they interact? keywords: ace; ang-2; angiotensin; shock cache: cord-291137-09a3tblt.txt plain text: cord-291137-09a3tblt.txt item: #19 of 41 id: cord-293473-32jx8j5g author: Maier, Cheryl L. title: Falsely Low Fibrinogen Levels in COVID-19 Patients on Direct Thrombin Inhibitors date: 2020-05-12 words: 823 flesch: 32 summary: Unbeknownst to clinicians, this affected our laboratory's method for measuring fibrinogen levels, causing them to be vastly underestimated. The Figure provides an example of how large a difference this can make on the measurement of fibrinogen levels. keywords: fibrinogen; levels; thrombin cache: cord-293473-32jx8j5g.txt plain text: cord-293473-32jx8j5g.txt item: #20 of 41 id: cord-295495-leyasj3d author: Wong, Patrick title: Supraglottic Airway–Guided Intubation During the COVID-19 Pandemic: A Closed Technique date: 2020-05-12 words: 758 flesch: 54 summary: Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults Awake supraglottic airway guided flexible bronchoscopic intubation in patients with anticipated difficult airways: a case series and narrative review Novel airway devices: spoilt for choice? Airtight seals are made by taping the proximal end of the probe cover and plait and taping the filter inserted near the distal end. The bronchoscope and probe cover are then carefully discarded together as a single unit. keywords: cover; probe cache: cord-295495-leyasj3d.txt plain text: cord-295495-leyasj3d.txt item: #21 of 41 id: cord-296186-ltdhgtdl author: Verdiner, Ricardo E. title: Coronavirus Disease–Activated Emergency Scaling of Anesthesiology Responsibilities Intensive Care Unit date: 2020-05-12 words: 6303 flesch: 32 summary: Basing respiratory management of coronavirus on physiological principles Acute lung injury and the acute respiratory distress syndrome: four decades of inquiry into pathogenesis and rational management Beyond low tidal volume ventilation: treatment adjuncts for severe respiratory failure in acute respiratory distress syndrome Acute respiratory distress syndrome: advances in diagnosis and treatment COVID-19: what has been learned and to be learned about the novel coronavirus disease Incidence and outcomes of acute lung injury High-flow nasal cannula for COVID-19 patients: low risk of bio-aerosol dispersion High-flow nasal cannula may be no safer than non-invasive positive pressure ventilation for COVID-19 patients Staff safety during emergency airway management for COVID-19 in Hong Kong Exhaled air dispersion during high-flow nasal cannula therapy versus CPAP via different masks New York Presbyterian Guidelines for Respiratory Support of Suspected or Confirmed COVID-19 Patient: Non-invasive Ventilation, High Flow Nasal Cannula Oxygen, Invasive Ventilation and Patients with Tracheostomies Oxygenation and Ventilation of COVID-19 Patients Prone positioning improves oxygenation in spontaneously breathing nonintubated patients with hypoxemic acute respiratory failure: a retrospective study Critical Care Western Research Group. The Coronavirus Disease-Activated Emergency Scaling of Anesthesiology Responsibilities in the Intensive Care Unit (CAESAR-ICU) program is a joint initiative of American Society of Anesthesiologists (ASA), Society of Critical Care Medicine (SCCM), Anesthesia Patient Safety Foundation (APSF), and Society of Critical Care Anesthesiologists (SOCCA) and is intended to create a survival guide for the practicing anesthesiologist who may be called on to provide early management and stabilization of COVID-19 patients. keywords: acute; angiotensin; ards; care; coronavirus; covid-19; disease; distress; icu; injury; lung; management; patients; risk; sedation; syndrome; ventilation cache: cord-296186-ltdhgtdl.txt plain text: cord-296186-ltdhgtdl.txt item: #22 of 41 id: cord-296725-ecy0rie9 author: Landau, Ruth title: Lessons Learned From First COVID-19 Cases in the United States date: 2020-04-20 words: 672 flesch: 27 summary: Our case emphasizes that in labor and delivery units managing parturients from communities with a high prevalence of COVID-19 infection, in the absence of universal testing before cesarean delivery, all patients, even those initially asymptomatic on admission, should be treated as PUI when inducing general anesthesia. Neuraxial procedures in COVID-19 positive parturients: a review of current reports Novel Coronavirus (COVID-19) Anesthesia Resource Center Society for Obstetric Anesthesia and Perinatology (SOAP) Interim Considerations for Obstetric Anesthesia Care Related to COVID-19 keywords: anesthesia; covid-19 cache: cord-296725-ecy0rie9.txt plain text: cord-296725-ecy0rie9.txt item: #23 of 41 id: cord-302112-l74s05s0 author: Laosuwan, Prok title: Acrylic Box Versus Plastic Sheet Covering on Droplet Dispersal During Extubation in COVID-19 Patients date: 2020-05-12 words: 984 flesch: 48 summary: 2, 3 Therefore, we compared the effectiveness and spreading patterns of acrylic boxes and plastic sheets as protective barriers compared to noncoverage technique under fluorescent condition. We demonstrated the differences of overall droplet dispersion between 3 acrylic box models (3.3%-19.0%), plastic sheet (2.8%), and noncoverage technique (26.3%) during tracheal extubation. keywords: contamination; plastic; sheet cache: cord-302112-l74s05s0.txt plain text: cord-302112-l74s05s0.txt item: #24 of 41 id: cord-305066-g042y51w author: Abd-Elsayed, Alaa title: Utility of Substandard Face Mask Options for Health Care Workers During the COVID-19 Pandemic date: 2020-04-20 words: 1578 flesch: 39 summary: Interestingly, the benefit of either mask was significantly dependent on adherence of face mask use. Moreover, Aiello et al 13 observed that the risk reduction of viral contraction with surgical face mask use was significant with concomitant hand washing practices. keywords: face; masks; respirators; use cache: cord-305066-g042y51w.txt plain text: cord-305066-g042y51w.txt item: #25 of 41 id: cord-310104-1c7q9m06 author: Sasangohar, Farzan title: Provider Burnout and Fatigue During the COVID-19 Pandemic: Lessons Learned From a High-Volume Intensive Care Unit date: 2020-04-20 words: 3254 flesch: 38 summary: While business is booming in health care, all indicators point to a likely sustained overall economic downturn. • The national and regional disaster mitigation plans for future epidemics have to incorporate mechanisms to allow rapid and agile transformation of relevant industry to support massively increased demand for disinfectants, cleaning supplies, PPE, and other medical equipment for health care and community use. keywords: care; covid-19; fatigue; health; hmh; icu; pandemic; ppe; stress; system; workers cache: cord-310104-1c7q9m06.txt plain text: cord-310104-1c7q9m06.txt item: #26 of 41 id: cord-311372-g34gquid author: Zmijewski, Jaroslaw W. title: Human Leukocyte Antigen-DR Deficiency and Immunosuppression-Related End-Organ Failure in Severe Acute Respiratory Syndrome Coronavirus 2 Infection date: 2020-07-20 words: 1644 flesch: 23 summary: 3,6-8 Thus, reduced amounts of HLA-DR can also place COVID-19 patients at high risk of secondary and severe bacterial nosocomial infections. This observation is consistent with a clinical report of secondary bacterial infections and end-organ injury among COVID-19 patients requiring ICU care. keywords: covid-19; hla; immunosuppression; patients cache: cord-311372-g34gquid.txt plain text: cord-311372-g34gquid.txt item: #27 of 41 id: cord-317602-ftcs7fvq author: O’Reilly-Shah, Vikas N. title: The COVID-19 Pandemic Highlights Shortcomings in US Health Care Informatics Infrastructure: A Call to Action date: 2020-05-12 words: 3072 flesch: 34 summary: Specifically in the United States, although efforts have been made to secure the interoperability of health care data, countervailing forces have undermined these efforts for myriad reasons. Integration of health care data with nonhealthcare source data is currently an impossibility in the United States due to lack of a universal health care identifier. keywords: care; covid-19; data; health; information; pandemic; public; sharing; systems cache: cord-317602-ftcs7fvq.txt plain text: cord-317602-ftcs7fvq.txt item: #28 of 41 id: cord-318519-8sny5uq1 author: Hagan, Katherine B. title: To the Editor date: 2020-05-12 words: 505 flesch: 12 summary: We would join Drs Rah and Platovsky 1 in arguing that endoscopy is especially high risk for several reasons: (1) upper and lower endoscopies are aerosolgenerating procedures (AGPs) 2 ; (2) these procedures involve bodily fluids that are known to carry the virus 3,4 ; (3) the procedure requires the gastroenterologist, technologist, and, at times, anesthesia provider to stand in close proximity to the site of aerosolization, 5 and, in the case of upper endoscopy, this places all 3 providers well within the 2-m zone for aerosolization; (4) many therapeutic procedures last ≥2 hours, with COVID-19 well-documented in upper airway secretions and feces 3, 4 ; and (5) increased infectious risk to faculty and staff in the GI suite due to the higher case volumes and prolonged AGPs in these areas. Furthermore, as highly sensitive diagnostic tests (RT-PCR) for COVID-19 become widely available for routine use, we urge institutions to be cognizant of the risks associated with GI procedures and endeavor to institute testing of asymptomatic patients in these areas. keywords: covid-19; procedures cache: cord-318519-8sny5uq1.txt plain text: cord-318519-8sny5uq1.txt item: #29 of 41 id: cord-322784-eqfjrceq author: Li, Yunping title: Adaptation of an Obstetric Anesthesia Service for the Severe Acute Respiratory Syndrome Coronavirus-2 Pandemic: Description of Checklists, Workflows, and Development Tools date: 2020-10-15 words: 3335 flesch: 37 summary: Debriefings following neuraxial labor analgesia procedures with COVID-19 patients were performed with the director of obstetric anesthesia and frontline clinicians. Our L&D operating room preparation process drew from the perioperative COVID-19 pathways under development for the general operating rooms at our institution by the Division of Quality, Safety, and Innovation of the Anesthesia Department, and in consultation with Infection Control. Preparation for operative procedures in patients with COVID-19 included dividing isolation space for infected patients into distinct work zones (clean area, transition anteroom, and contaminated procedure room) that minimized the risk of contamination. keywords: anesthesia; care; covid-19; patients; procedure; room; supplies cache: cord-322784-eqfjrceq.txt plain text: cord-322784-eqfjrceq.txt item: #30 of 41 id: cord-324388-onc441uw author: Siddiqui, Urooj title: Same-Day Consent for Regional Anesthesia Clinical Research Trials: It’s About Time date: 2020-08-12 words: 3589 flesch: 28 summary: Unfortunately, however, this long-standing workaround is fraught with challenges in appropriate recruitment of participants in that patients attending PACs are likely to be sicker and thus ineligible for study inclusion than those fitter patients who do not attend PAC 15 and are more likely eligible for regional anesthesia clinical research. Yet, our current understanding of patients' ability to provide same-day consent, 16, 17 the lack of evidence of perceived or actual coercion, the perceived value of the fiduciary relationship with the physician performing the procedure, [16] [17] [18] and its low-risk nature would seem to mandate a reconsideration of the absolute prohibition on obtaining same-day consent for regional anesthesia clinical research instead of seeking to create more workaround solutions which may be more disruptive to patients and generate more patient anxiety. keywords: anesthesia; consent; day; patients; research; time; trials cache: cord-324388-onc441uw.txt plain text: cord-324388-onc441uw.txt item: #31 of 41 id: cord-327388-26ot3cuy author: Lu, Amy title: The Tipping Point of Medical Technology: Implications for the Postpandemic Era date: 2020-06-16 words: 2351 flesch: 24 summary: key: cord-327388-26ot3cuy authors: Lu, Amy; Cannesson, Maxime; Kamdar, Nirav title: The Tipping Point of Medical Technology: Implications for the Postpandemic Era date: 2020-06-16 journal: Anesth Analg DOI: 10.1213/ane.0000000000005040 sha: doc_id: 327388 cord_uid: 26ot3cuy nan T he unprecedented challenges of Coronavirus Disease 2019 (COVID-19) have pushed the limits of medicine and health care over the tipping point of what we thought imaginable, forcing solutions to problems that previously mired rapid progress. Whereas classic infectioncontrol and public health measures were used during the severe acute respiratory syndrome (SARS) epidemic in 2003, COVID-19 provides the opportunity to explore the potential of new digital technologies, including big data analytics, artificial intelligence, blockchain technology, and the Internet of Things. keywords: care; covid-19; data; health; pandemic; patients; technology; telehealth cache: cord-327388-26ot3cuy.txt plain text: cord-327388-26ot3cuy.txt item: #32 of 41 id: cord-336423-rs4bma9b author: Endersby, Ryan Vincent William title: Barrier Devices for Reducing Aerosol and Droplet Transmission in Coronavirus Disease 2019 Patients: Advantages, Disadvantages, and Alternative Solutions date: 2020-05-12 words: 644 flesch: 53 summary: Brown et al 1 and Babazade et al 4 describe the use of plastic drapes, whereas Lai and Chang 2 and Tsai 3 describe rigid box designs. Rigid box designs significantly limit forearm and hand movements and might require some practice to achieve competence in use. keywords: plastic cache: cord-336423-rs4bma9b.txt plain text: cord-336423-rs4bma9b.txt item: #33 of 41 id: cord-336973-z8mwzmf6 author: Rubulotta, Francesca title: In Response date: 2020-07-14 words: 1184 flesch: 43 summary: key: cord-336973-z8mwzmf6 authors: Rubulotta, Francesca; Soliman-Aboumarie, Hatem; Filbey, Kevin; Geldner, Goetz; Kuck, Kai; Ganau, Mario; Hemmerling, Thomas M. title: In Response date: 2020-07-14 journal: Anesth Analg DOI: 10.1213/ane.0000000000005121 sha: doc_id: 336973 cord_uid: z8mwzmf6 nan In Response W e thank esteemed colleagues Drs Brull and Kopman, 1 both well-known experts in the field of neuromuscular monitoring and blockade for their interest in our article and their comments. The creation of dedicated anesthesia intubation teams during the COVID-19 crisis as well as the increasing engagement of anesthesiologists in the ICU setting led us to believe that presenting basic principles of neuromuscular monitoring could be of interest for all readers. keywords: covid-19; icu; monitoring; patients cache: cord-336973-z8mwzmf6.txt plain text: cord-336973-z8mwzmf6.txt item: #34 of 41 id: cord-337572-kx5hihnr author: Ludwig, Stephan title: Coronaviruses and SARS-CoV-2: A Brief Overview date: 2020-04-20 words: 2672 flesch: 48 summary: E Characteristics of and important lessons from the Coronavirus Disease 2019 (COVID-19) outbreak in China: summary of a report of 72 314 cases from the Chinese Center for Disease Control and Prevention Available at: https:// talk.ictvonline.org/taxonomy Severe acute respiratory syndrome: identification of the etiological agent Coronavirus diversity, phylogeny and interspecies jumping Coronaviruses: an overview of their replication and pathogenesis Structural insights into coronavirus entry ACE2 receptor expression and severe acute respiratory syndrome coronavirus infection depend on differentiation of human airway epithelia Rates of evolutionary change in viruses: patterns and determinants RNA recombination in animal and plant viruses Cultivation of the virus of infectious bronchitis Animal coronaviruses: what can they teach us about the severe acute respiratory syndrome? Ecology, evolution and classification of bat coronaviruses in the aftermath of SARS A new virus isolated from the human respiratory tract Recovery in tracheal organ cultures of novel viruses from patients with respiratory disease Coronaviruses as the cause of respiratory infections Identification of a novel coronavirus in patients with severe acute respiratory syndrome Hosts and sources of endemic human coronaviruses Isolation of a novel coronavirus from a man with pneumonia in Saudi Arabia MERS coronavirus: diagnostics, epidemiology and transmission China Novel Coronavirus Investigating and Research Team. Identification of severe acute respiratory syndrome in Canada Clinical features of patients infected with 2019 novel coronavirus in Wuhan Clinical characteristics of Coronavirus Disease 2019 in China Management of critically ill adults with COVID-19 A trial of lopinavir-ritonavir in adults hospitalized with severe COVID-19 Hydroxychloroquine and azithromycin as a treatment of COVID-19: results of an open-label non-randomized clinical trial The antiviral compound remdesivir potently inhibits RNAdependent RNA polymerase from Middle East respiratory syndrome coronavirus Prophylactic and therapeutic remdesivir (GS-5734) treatment in the rhesus macaque model of MERS-CoV infection Washington State 2019-nCoV Case Investigation Team. keywords: china; coronavirus; cov; cov-2; covid-19; novel; sars cache: cord-337572-kx5hihnr.txt plain text: cord-337572-kx5hihnr.txt item: #35 of 41 id: cord-342642-qzoowc97 author: García-Méndez, Nayely title: Anesthesiologists and the High Risk of Exposure to COVID-19 date: 2020-05-04 words: 251 flesch: 33 summary: The Joint Commission International (JCI) emphasizes that current status of PPE supplies remains inadequate to achieve minimum standards in most hospitals. Personal protective equipment for care of pandemic powered air purifying respirator Prevención y control de infección en enfermedades respiratorias agudas con tendencia epidémica y pandémica durante la atención sanitaria Pautas. keywords: covid-19; risk cache: cord-342642-qzoowc97.txt plain text: cord-342642-qzoowc97.txt item: #36 of 41 id: cord-343865-wbd0hqqc author: Singh, Ajay title: Real-Time Remote Surveillance of Doffing During COVID-19 Pandemic: Enhancing Safety of Health Care Workers date: 2020-05-12 words: 502 flesch: 45 summary: Worldwide a significant number of health care workers (HCWs) have been infected till to date with Asia-Pacific region reporting 35 deaths and over 4000 quarantined cases, as on April 3, 2020. World Health Organization recommendations emphasize the importance of appropriate use of PPE, which requires correct and rigorous behavior from health care workers, particularly while doffing. keywords: health; ppe cache: cord-343865-wbd0hqqc.txt plain text: cord-343865-wbd0hqqc.txt item: #37 of 41 id: cord-343904-fjtt3f2e author: Brull, Sorin J. title: Clarifications on Technologies to Optimize Care of Severe COVID-19 Patients date: 2020-07-14 words: 746 flesch: 41 summary: Technologies to optimize the care of severe COVID-19 patients for healthcare providers challenged by limited resources Conceptual and technical insights into the basis of neuromuscular monitoring Neuromuscular monitoring: more than meets the eye ); has received research funding from Merck & Co, Inc (funds to Mayo Clinic) and is a consultant for The myth of rescue reversal in can't intubate, can't ventilate scenarios Sugammadex and rocuronium-induced anaphylaxis Intraoperative neuromuscular monitoring site and residual paralysis key: cord-343904-fjtt3f2e authors: Brull, Sorin J.; Kopman, Aaron F. title: Clarifications on Technologies to Optimize Care of Severe COVID-19 Patients date: 2020-07-14 journal: Anesth Analg DOI: 10.1213/ane.0000000000005120 sha: doc_id: 343904 cord_uid: fjtt3f2e nan To the Editor W e read with great interest the article by Dr Rubulotta et al 1 and we congratulate the authors for their timely information with regard to strategies and technologies designed to optimize care of patients with severe coronavirus disease (COVID-19). keywords: authors; tof cache: cord-343904-fjtt3f2e.txt plain text: cord-343904-fjtt3f2e.txt item: #38 of 41 id: cord-345136-zcd00lcw author: Kapp, Christopher M. title: The Use of Analgesia and Sedation in Mechanically Ventilated Patients With COVID-19 ARDS date: 2020-07-14 words: 1200 flesch: 42 summary: Sedation of mechanically ventilated COVID-19 patients: challenges and special considerations Highfrequency oscillation in early acute respiratory distress syndrome Monitoring sedation status over time in ICU patients: reliability and validity of the Richmond Agitation-Sedation Scale (RASS) Benzodiazepine Equivalents Conversion Calculator Equianalgesic dose ratios for opioids. We compared the quantity of sedation used in this population to the quantity of sedation described in a prior study of patients with ARDS. keywords: patients; sedation cache: cord-345136-zcd00lcw.txt plain text: cord-345136-zcd00lcw.txt item: #39 of 41 id: cord-345610-rx1zmajl author: Boggs, Steven D. title: Calculate the COVID-19 Equation With the People’s Energy as Key Variable date: 2020-04-22 words: 448 flesch: 51 summary: Sophisticated simulations presented in their article guide optimal staffing in intensive care units. key: cord-345610-rx1zmajl authors: Boggs, Steven D. title: Calculate the COVID-19 Equation With the People’s Energy as Key Variable date: 2020-04-22 journal: Anesth Analg DOI: 10.1213/ane.0000000000004892 sha: doc_id: 345610 cord_uid: rx1zmajl nan To the Editor M ascha et al 1 have made a very valuable contribution for those of us trying to determine optimal ICU staffing systems as a consequence of the Coronavirus disease 2019 (COVID-19) pandemic. keywords: people; staffing cache: cord-345610-rx1zmajl.txt plain text: cord-345610-rx1zmajl.txt item: #40 of 41 id: cord-347500-sigm6tos author: Vetter, Thomas R. title: The Response of the Anesthesia & Analgesia Community to Coronavirus Disease 2019 date: 2020-04-27 words: 997 flesch: 43 summary: Disease containment efforts largely failed, and the WHO in March 2020 declared a global pandemic status for this insidious virus and viral disease. For coronavirus disease 2019 (COVID-19), R 0 is currently estimated to be 2-3. keywords: covid-19; disease; health cache: cord-347500-sigm6tos.txt plain text: cord-347500-sigm6tos.txt item: #41 of 41 id: cord-350521-jfd5gd2p author: Bong, Choon-Looi title: The COVID-19 Pandemic: Effects on Low- and Middle-Income Countries date: 2020-04-20 words: 3717 flesch: 56 summary: This will further reduce resources available for health care, not just in managing COVID-19 patients, but also for those with many other major medical conditions. As the global COVID-19 situation unfolds and countries are forced to take unprecedented drastic measure, including border closures, travel bans, and social distancing, we will likely witness the devastating and profound impact of this pandemic not only in health care but also on the world economy. keywords: care; countries; covid-19; disease; health; lmics; pandemic; patients; world cache: cord-350521-jfd5gd2p.txt plain text: cord-350521-jfd5gd2p.txt