Indian society of anaesthesiologists (ISA national) advisory and position statement regarding COVID-19

Malhotra, Naveen; Joshi, Meera; Datta, Rashmi; Bajwa, Sukhminder Jit Singh; Mehdiratta, Lalit

doi:10.4103/ija.ija_288_20

Cited by 133 publications

(185 citation statements)

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“…4), thus preventing cross-infection. Operation room and its preparations would follow a standard set protocol published in literature [1,21,22]. Air-conditioning system is again switched off at least 10 minutes prior to the completion of surgery.…”

Section: Methodsmentioning

confidence: 99%

Evaluating the Strategies for Orthopedic and Spine Surgeries during COVID-19 Pandemic in India- a Retrospective Analysis of 24 Patients in a Multispecialty Hospital- Are We Heading to a New Normal?

Modi¹,

Shrestha²,

Desai³

et al. 2020

Preprint

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Study Design: Retrospective study.Purpose: To present precautionary measures for the orthopedic and spine surgery patients, operating them as per the protocol and analyze findings that can be implemented in non-urgent surgeries during Covid-19 pandemic. Other aim was to analyze the role of multidisciplinary approach, average hospital stay, additional cost behind investigations and hospital bill to guide the patients.Overview of Literature: The literature mentioned to postpone or delay all non-urgent surgeries related to orthopedic and spine conditions till Covid-19 pandemic continues. However, it is not predicted when will this end. No study focusing to conduct essential but non-urgent orthopedic and spine surgeries during this pandemic. Methods: Between March 11, 2020 and May 8, 2020, information on 24 operated orthopedic and spine surgeries were prospectively collected at our institution. Patients were examined in either designated Flu Clinic or out patient department (OPD) after completing screening protocol for Covid-19. Flu clinic team examined all patients and blood investigations, x-ray chest and additional high resolution CT scan were ordered before admission. Patients with symptoms were investigated with RT-PCR for Covid-19. Standardized protocols using multidisciplinary approach were followed for outpatient clinic, admission, surgery and hospital stay regarding Covid-19. Analysis of patients’ hospital stay, hospital bill, admission time and their results of surgeries were performed.Results: 24 patients were operated for orthopedic and spine surgeries with triage as urgent surgeries. 8 and 16 patients were admitted through flu clinic and OPD, respectively; which caused average admission time 179.4+/-138.5 minutes from presentation to admission. All patients managed orthopedic and spine surgeries with improved VAS from average 8.5+/-0.6 preoperatively to 2.7+/-1.0 postoperatively. There was average increase of 5.4+/-2.4% in the overall cost compared to final bill pertaining to Covid-19 precautionary measures. There was no patient or healthcare worker who developed symptoms related to Covid-19.Conclusions: Surgeries should be conducted during Covid-19 pandemics according to their need either to save lives or to provide improved quality of life. Multidisciplinary approach following strict precautionary measures can make it a new-normal norm for the healthcare providers.

show abstract

Section: Methodsmentioning

confidence: 99%

Evaluating the Strategies for Orthopedic and Spine Surgeries during COVID-19 Pandemic in India- a Retrospective Analysis of 24 Patients in a Multispecialty Hospital- Are We Heading to a New Normal?

Modi¹,

Shrestha²,

Desai³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…All patients should be screened at the outpatient clinic entrance as per the government checklist and any doubtful case should be referred to the COVID-19 clinic. 5,6 2. In a region where community transmission is proven or anticipated, any patient entering the preanesthetic clinic-even if they are asymptomatic-should be considered as a suspect case of COVID-19.…”

Section: Preanesthetic Consultationmentioning

confidence: 99%

“…In a region where community transmission is proven or anticipated, any patient entering the preanesthetic clinic-even if they are asymptomatic-should be considered as a suspect case of COVID-19. 5 3. Telemedicine as a preanesthetic tool has been validated and is an effective and safe method of assessing patients during this crisis.…”

Section: Preanesthetic Consultationmentioning

confidence: 99%

“…The anesthesiologist should wear PPE at all times in the clinic and practice hand hygiene every time he comes in contact with the patient. 5…”

Section: Preanesthetic Consultationmentioning

confidence: 99%

“…Bag mask ventilation, intubation, tracheostomy, extubation, bronchoscopy, nebulization, noninvasive ventilation, chest physiotherapy, coughing/vomiting, bone drilling, laparoscopic, and endoscopic procedures, cavitron ultrasonic surgical aspirator, and craniotomy are some examples of AGP. 5,7 Procedures like invasive line placements, bladder catheterization, regional nerve blocks, lumbar puncture, muscle biopsy, and transthoracic echocardiography are nonaerosol generating.…”

Section: High-risk Procedures For Aerosolization and Droplet Transmismentioning

confidence: 99%

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Finding the Calm in the Chaos: An Institutional Protocol for Anesthetic Management of a Patient for Neurosurgery during Coronavirus Disease 2019 Pandemic

Nedunchezhian

Ajayan

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et al. 2020

JNRP

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Abstract“Coronavirus disease 2019” (COVID-19) transmitted by a novel coronavirus via contact or droplet spread is a highly infectious disease, the containment of which requires vigilance and stringent infection control policies. In the backdrop of hospitals becoming hot zones and an increasing number of health care workers contracting the disease, it is crucial to formulate an approach while administering anesthesia during the testing times of COVID-19 pandemic. In this background, this comprehensive article deals with the perioperative management during this pandemic and includes risk stratification based on an innovative simple scoring system, rationale use of personal protective equipments, and infection prevention protocols. The document of updated literature, though not intended to replace any guidelines, is aimed at providing protocol to health care workers to protect themselves while providing the best care in this pandemic.

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Indian society of anaesthesiologists (ISA national) advisory and position statement regarding COVID-19

Cited by 133 publications

References 0 publications

Evaluating the Strategies for Orthopedic and Spine Surgeries during COVID-19 Pandemic in India- a Retrospective Analysis of 24 Patients in a Multispecialty Hospital- Are We Heading to a New Normal?

Evaluating the Strategies for Orthopedic and Spine Surgeries during COVID-19 Pandemic in India- a Retrospective Analysis of 24 Patients in a Multispecialty Hospital- Are We Heading to a New Normal?

Finding the Calm in the Chaos: An Institutional Protocol for Anesthetic Management of a Patient for Neurosurgery during Coronavirus Disease 2019 Pandemic

Airway Management in Infectious Diseases

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