• Best Pract Res Clin Anaesthesiol · Oct 2021

    Review

    Patients, procedures, and PPE: Safe office-based anesthesia recommendations in the COVID-19 era.

    • Steven Young, Brian M Osman, Richard D Urman, and Fred E Shapiro.
    • Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, USA.
    • Best Pract Res Clin Anaesthesiol. 2021 Oct 1; 35 (3): 415424415-424.

    AbstractThe growth of office-based surgery (OBS) has been due to ease of scheduling and convenience for patients; office-based anesthesia safety continues to be well supported in the literature. In 2020, the Coronavirus Disease 19 (COVID-19) has resulted in dramatic shifts in healthcare, especially in the office-based setting. The goal of closing the economy was to flatten the curve, impacting office-based and ambulatory practices. Reopening of the economy and the return to ambulatory surgery and OBS and procedures have created a challenge due to COVID-19 and the infectious disease precautions that must be taken. Patients may be more apt to return to the outpatient setting to avoid the hospital, especially with the resurgence of COVID-19 cases locally, nationally, and worldwide. This review provides algorithms for screening and testing patients, selecting patients for procedures, choosing appropriate procedures, and selecting suitable personal protective equipment in this unprecedented period.Copyright © 2020 Elsevier Ltd. All rights reserved.

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