2020 · ANAESTHESIA CRITICAL CARE & PAIN MEDICINE

Guidelines: Anaesthesia in the context of COVID-19 pandemic

Velly, Lionel, Gayat, Etienne, Quintard, Herve, Weiss, Emmanuel, De Jong, Audrey, Cuvillon, Philippe, Audibert, Gerard, Amour, Julien, Beaussier, Marc, Biais, Matthieu, Bloc, Sebastien, Bonnet, Marie Pierre, Bouzat, Pierre, Brezac, Gilles, Dahyot-Fizelier, Claire, Dahmani, Souhayl, de Queiroz, Mathilde, Di Maria, Sophie, Ecoffey, Claude, Futier, Emmanuel, Geeraerts, Thomas, Jaber, Haithem, Heyer, Laurent, Hoteit, Rim, Joannes-Boyau, Olivier, Kern, Delphine, Langeron, Olivier, Lasocki, Sigismond, Launey, Yoan, le Sache, Frederic, Lukaszewicz, Anne Claire, Maurice-Szamburski, Axel, Mayeur, Nicolas, Michel, Fabrice, Minville, Vincent, Mirek, Sebastien, Montravers, Philippe, Morau, Estelle, Muller, Laurent, Muret, Jane, Nouette-Gaulain, Karine, Orban, Jean Christophe, Orliaguet, Gilles, Perrigault, Pierre Francois, Plantet, Florence, Pottecher, Julien, Quesnel, Christophe, Reubrecht, Vanessa, Rozec, Bertrand, Tavernier, Benoit, Veber, Benoit, Veyckmans, Francis, Charbonneau, Helene, Constant, Isabelle, Frasca, Denis, Fischer, Marc-Olivier, Huraux, Catherine, Blet, Alice, Garnier, Marc

Journal
ANAESTHESIA CRITICAL CARE & PAIN MEDICINE
Année
2020
Volume
39
Numéro
3
Pages
395-415
Mois
JUN
DOI
10.1016/j.accpm.2020.05.012

Abstract

Objectives: The world is currently facing an unprecedented healthcare crisis caused by the COVID-19 pandemic. The objective of these guidelines is to produce a framework to facilitate the partial and gradual resumption of intervention activity in the context of the COVID-19 pandemic. Methods: The group has endeavoured to produce a minimum number of recommendations to highlight the strengths to be retained in the 7 predefined areas: (1) protection of staff and patients; (2) benefit/risk and patient information; (3) preoperative assessment and decision on intervention; (4) modalities of the preanaesthesia consultation; (5) specificity of anaesthesia and analgesia; (6) dedicated circuits and (7) containment exit type of interventions. Results: The SFAR Guideline panel provides 51 statements on anaesthesia management in the context of COVID-19 pandemic. After one round of discussion and various amendments, a strong agreement was reached for 100% of the recommendations and algorithms. Conclusion: We present suggestions for how the risk of transmission by and to anaesthetists can be minimised and how personal protective equipment policies relate to COVID-19 pandemic context. (C) 2020 The Author(s). Published by Elsevier Masson SAS on behalf of Societe francaise d'anesthesie et de reanimation (Sfar).

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