Two years of the COVID-19 pandemic: an anesthesiology perspective

Schmidt, André; Módolo, Norma Sueli Pinheiro; Amorim, Célio Gomes de; Simões, Cláudia Marquez; Kraychette, Durval C; Joaquim, Eduardo G; Lineburger, Eric Benedet; Papa, Fábio de Vasconcelos; Fernandes, Fátima Carneiro; Mendes, Florentino Fernandes; Guimarães, Gabriel Magalhães Nunes; Barros, Guilherme Antônio Moreira de; Júnior, João Manoel Silva; Lima, Laís Helena Navarro e; Azi, Liana Maria Torres de Araujo; Carvalho, Lorena I M de; Stefani, Luciana Paula Cadore; Garcia, Luís Vicente; Malbouisson, Luíz Marcelo Sá; Salgado‐Filho, Marcello Fonseca; Nascimento, Paulo do; Alves, Rodrigo Leal; Carvalho, Vanessa Henriques; Quintão, Vinícius Caldeira; Carmona, Maria José Carvalho

doi:10.1016/j.bjane.2022.02.004

Cited by 2 publications

(2 citation statements)

References 27 publications

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“…The COVID-19 pandemic has had significant effects on health systems worldwide ( 1 ). Millions of elective surgeries were canceled or delayed during the initial peak disruption, and elective surgery case volumes were projected to decline even further for numerous reasons ( 2 , 3 ).…”

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confidence: 99%

Positive SARS-CoV-2 detection on intraoperative nasopharyngeal viral testing is not associated with worse outcomes for asymptomatic elective surgical patients

2022

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BackgroundIt has been demonstrated that surgical patients with COVID-19 are at increased risk for postoperative complications. However, this association has not been tested in asymptomatic elective surgical patients.MethodsA retrospective cohort study among elective gynecological and spine surgery patients at a single tertiary medical center from July 2020 through April 2022 (n = 1,130) was performed. The primary endpoint was prolonged (>75th percentile for the corresponding surgical service) length of stay. Secondary endpoints included postoperative respiratory complications, duration of supplemental oxygen therapy, and other major adverse events. The association between SARS-CoV-2 detection and the above outcomes was investigated with univariate and multivariable analyses.FindingsOf 1,130 patients who met inclusion criteria, 30 (2.7%) experienced intraoperative detection of SARS-CoV-2. Those with intraoperative viral detection did not experience an increased incidence of prolonged length of stay [16.7% vs. 23.2%; RR, 0.72 (95% CI, 0.32–1.61); P = 0.531] nor did they have a longer mean length of stay (4.1 vs. 3.9 days; P = 0.441). Rates of respiratory complications [3.3% vs. 2.9%; RR, 1.15 (95% CI, 0.16–8.11); P = 0.594] and mean duration of supplemental oxygen therapy (9.7 vs. 9.3 h; P = 0.552) were similar as well. All other outcomes were similar in those with and without intraoperative detection of SARS-CoV-2 (all P > 0.05).InterpretationAsymptomatic patients with incidental detection of SARS-CoV-2 on intraoperative testing do not experience disproportionately worse outcomes in the elective spine and gynecologic surgical population.

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Section: Introductionmentioning

confidence: 99%

Positive SARS-CoV-2 detection on intraoperative nasopharyngeal viral testing is not associated with worse outcomes for asymptomatic elective surgical patients

2022

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“…The clarification of clinical skills possessed by future anaesthesiologists must be delineated, as we are seen to be equally adaptable to caring for patients in the operating theatre, intensive care unit, or even in the emergency department. 7 The government must therefore plan to train increasing numbers of anaesthesiologists in the future.…”

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confidence: 99%

Transitioning into the postpandemic era in anaesthesia: a reflection of lessons learnt

Shariffuddin

Fathil²,

Chan

2022

MYJA

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The recent COVID-19 pandemic has significantly impacted the country's anaesthesia and critical care services. Cancellation and postponement of elective surgical cases to curb the spread of infection and redeployment of manpower plus resources for the creation of critical care beds were our main focus. 1 The subsequent human resource challenge to safely staff the beds and the psychological stress suffered by providers due to the hazardous nature of the work dominated the thrust of the administrators during the full force of the pandemic.Anaesthesiologists at the forefront of safety saw to a rapid proliferation of guidelines produced in record time by our fraternity to protect ourselves and our patients from being infected by the SARS-CoV-2 virus. The Malaysian Society of Anaesthesiologists and College of Anaesthesiologists, Academy of Medicine Malaysia (MSA/CoA, AM) produced recommendations on the appropriate protection during aerosol-generating procedures (AGPs), including the use of powered air-purifying respirators whenever available.2 Being a precious commodity during the pandemic, the safety of the anaesthesiologist became a priority. Even in the event of a deteriorating COVID-19 patient, the anaesthesiologist was advised to don full personal protection equipment (PPE) before attending to the patient. Successful intubation at the first attempt has never been more critical. It became obvious that anaesthesiologists could not change the circumstances, but still had

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Two years of the COVID-19 pandemic: an anesthesiology perspective

Cited by 2 publications

References 27 publications

Positive SARS-CoV-2 detection on intraoperative nasopharyngeal viral testing is not associated with worse outcomes for asymptomatic elective surgical patients

Positive SARS-CoV-2 detection on intraoperative nasopharyngeal viral testing is not associated with worse outcomes for asymptomatic elective surgical patients

Transitioning into the postpandemic era in anaesthesia: a reflection of lessons learnt

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