American Society of Anesthesiologists (ASA)

Strategies for health care response to COVID-19 shared by Chinese anesthesiologists

Special article series published in ANESTHESIOLOGY, the peer-reviewed journal of the American Society of Anesthesiologists

Newswise — Anesthesiologists treating patients at the forefront of the coronavirus (COVID-19) outbreak in Wuhan, China, share valuable lessons for other practitioners as the wave of coronavirus infections rolls through other countries. Their first-hand accounts are combined with scholarly review articles in a special article series published today in ANESTHESIOLOGY, the peer-reviewed medical journal of the American Society of Anesthesiologists (ASA).

“Anesthesiologists may encounter and care for patients with COVID-19 through their roles as experts in emergent airway management, acute and intensive care, and perioperative anesthesia,” said Evan D. Kharasch, M.D., Ph.D., editor-in-chief of ANESTHESIOLOGY. “We specifically acknowledge our colleagues who have been and are providing care to patients in China and elsewhere. It is hoped that the experiences and lessons learned and shared by Chinese anesthesiologists can provide worldwide benefit.”

“Coronavirus presents novel and unusual health care challenges, because of the ease of spread, the risk of severe disease, and the substantial threat of infection to the very providers caring for affected patients” explained Dr. Kharasch.

The articles include:

  • Perioperative Management of Patients Infected with the Novel Coronavirus

The Chinese Society of Anesthesiology and the Chinese Association of Anesthesiologists present recommendations based on their experiences to help anesthesiologists and other health care workers optimize patient care, while protecting patients, providers and the public from being infected. They provide insights into: COVID-19 itself; precautions for infection in general; precautions when caring for patients with suspected or confirmed COVID-19, including anesthesia management; emergency intubation of suspected or confirmed COVID-19 patients; and surveillance of anesthesia providers after caring for infected patients.

Perioperative Management of Patients Infected with the Novel Coronavirus: Recommendation from the Joint Task Force of the Chinese Society of Anesthesiology and Chinese Association of Anesthesiologists

  • Intubation and ventilation best practices

Chinese anesthesiologists and intensivists found that timely – but not premature – intubation and ventilation was most effective. It helped open collapsed lungs, improve oxygenation, decrease the strain on lungs and help the lungs heal. The article also underscores the importance of health care workers using strict self-protection precautions while caring for infected patients. Only a small percentage of patients infected with COVID-19 need to be admitted to the intensive care unit for ventilatory support (breathing assistance). 

Intubation and Ventilation Amid the COVID-19 Outbreak: Wuhan’s Experience

  • Providing resources and support 

A variety of efforts to provide support for the approximately 1,000 physician anesthesiologists treating COVID-19 patients in Wuhan and Hubei Province were implemented including free mental health counseling for the providers and an online Q&A forum to answer questions about infection control. The authors report the response to COVID-19 was more efficient than to the 2003 SARS outbreak, but also recommend that providers need to prepare better for future outbreaks by conducting preparedness simulations and drills.

The Response of Chinese Anesthesiologists to the COVID-19 Outbreak

  • Setting up a temporary hospital

The number of affected people in China rapidly overwhelmed the capacity of the existing health care system.  The Chinese response was to rapidly and emergently establish temporary hospitals to manage patients suspected of infection, similar to mobile medical units used during wartime. The authors relay their experience in setting up the first temporary hospital in Wuhan. The hospitals immediately admit all patients suspected of COVID-19, an approach that helps limit costs, and ease fear and anxiety by containing the source of infection. They detail the importance of following strict infection control standards, smooth coordination and staff management, standardizing procedures and policies, providing education including for implementation of infection control measures, and supply preparation and logistics management. 

Establishing and Managing a Temporary Coronavirus Disease 2019 Specialty Hospital in Wuhan, China

  • COVID-19 overview

Authors from University of California, San Francisco provide a comprehensive summary of the clinical and research evidence to date about coronavirus and COVID-19. They review disease presentation, management of respiratory failure, therapeutic interventions, and other viral epidemics and guidelines from various organizations. This article provides a comprehensive summary of evidence available to guide management of critically ill patients with COVID-19.

COVID-19 Infection: Implications for Perioperative and Critical Care Physicians

In addition to these five articles, the following letter and editorials provide more insight and context about the pandemic.

Precautions for Intubating Patients with COVID-19 Infections

Novel Coronavirus 2019 and Anesthesiology

Preventing Infection of Patients and Health Care Workers Should be the New Normal in the Era of Novel Coronavirus Epidemics

“We are experiencing unprecedented times and as care providers are asked to respond in new and novel ways,” Dr. Kharasch said. “Our goal is to bring trusted evidence on Coronavirus Disease (COVID-19) to our readers which is why we are sharing these unedited proofs and making them freely available.”

Learn more. https://anesthesiology.pubs.asahq.org/ss/coronavirus.aspx

THE AMERICAN SOCIETY OF ANESTHESIOLOGISTS

Founded in 1905, the American Society of Anesthesiologists (ASA) is an educational, research and scientific society with more than 54,000 members organized to raise and maintain the standards of the medical practice of anesthesiology. ASA is committed to ensuring physician anesthesiologists evaluate and supervise the medical care of patients before, during and after surgery to provide the highest quality and safest care every patient deserves.

For more information on the field of anesthesiology, visit the American Society of Anesthesiologists online at asahq.org. To learn more about the role physician anesthesiologists play in ensuring patient safety, visit asahq.org/WhenSecondsCount. Like ASA on Facebook, follow ASALifeline on Twitter.

 




Filters close

Showing results

110 of 3327
Newswise: How to Keep Children Safe from COVID-19 this Fall
Released: 18-Sep-2020 4:15 PM EDT
How to Keep Children Safe from COVID-19 this Fall
Rush University Medical Center

With the new school year started and autumn approaching, Colleen Nash, MD, MPH, Rush University Medical Center, pediatric infectious disease specialist, answers questions parents may have about keeping children safe from COVID, social distancing in the classroom and celebrating Halloween.

Released: 18-Sep-2020 4:05 PM EDT
Claims circulating on social media stating that the common cold or flu can be mistaken for COVID-19 are misleading
Newswise

The claims rely on the faulty assumption that there is no method to distinguish COVID-19 from the common cold and the flu.

Released: 18-Sep-2020 3:35 PM EDT
After developing CRISPR test, UConn researchers validate clinical feasibility for COVID-19 testing
University of Connecticut

In March, researchers in the Department of Biomedical Engineering-- a shared department in the schools of Dental Medicine, Medicine, and Engineering--began to develop a new, low-cost, CRISPR-based diagnostic platform to detect infectious diseases, including HIV virus, the novel coronavirus (SARS-CoV-2).

Newswise:Video Embedded blowin-in-the-wind
VIDEO
Released: 18-Sep-2020 3:10 PM EDT
Blowin' in the wind
University of Utah

University of Utah chemical engineers have conducted an air flow study of the venue that the Utah Symphony performs in to determine the best ways to mitigate the spread of COVID-19 through the emissions of wind instrument players.

Newswise: holman1_toned-1-768x512.jpg
Released: 18-Sep-2020 2:50 PM EDT
Study links rising stress, depression in U.S. to pandemic-related losses, media consumption
University of California, Irvine

Irvine, Calif., Sept. 18, 2020 – Experiencing multiple stressors triggered by the COVID-19 pandemic – such as unemployment – and COVID-19-related media consumption are directly linked to rising acute stress and depressive symptoms across the U.S., according to a groundbreaking University of California, Irvine study. The report appears in Science Advances, published by the American Association for the Advancement of Science.

Newswise: 243389_web.jpg
Released: 18-Sep-2020 10:55 AM EDT
Potential new drug to mitigate SARS-CoV-2 infection consequences
University of Malaga

Scientists from the Department of Cell Biology of the University of Malaga (UMA) and the Andalusian Centre for Nanomedicine and Biotechnology (BIONAND) have made progress in finding new rapid implementation therapies to combat the COVID-19 pandemic, identifying a new drug that could prevent or mitigate the consequences derived from SARS-CoV-2 infection.

Newswise: 243400_web.jpg
Released: 18-Sep-2020 10:40 AM EDT
Most homemade masks are doing a great job, even when we sneeze, study finds
University of Illinois at Urbana-Champaign

Studies indicate that homemade masks help combat the spread of viruses like COVID-19 when combined with frequent hand-washing and physical distancing.

access_time Embargo lifts in 2 days
Embargo will expire: 23-Sep-2020 8:00 AM EDT Released to reporters: 18-Sep-2020 10:00 AM EDT

A reporter's PressPass is required to access this story until the embargo expires on 23-Sep-2020 8:00 AM EDT The Newswise PressPass gives verified journalists access to embargoed stories. Please log in to complete a presspass application. If you have not yet registered, please Register. When you fill out the registration form, please identify yourself as a reporter in order to advance to the presspass application form.

Released: 18-Sep-2020 8:30 AM EDT
Immunotherapy Drug Development Pipeline Continues Significant Growth in 2020 Despite Global Pandemic Impact
Cancer Research Institute

Despite the impact of the COVID-19 pandemic across the globe, there has been a resurgence of interest in immuno-oncology (I-O) preclinical and clinical development, bringing hope to cancer patients and physicians who treat them.


Showing results

110 of 3327

close
0.98971