COVID-19

NEW Health Canada supports FDA Guidance for repurpose of Anesthesia machines as ICU ventilators

NEW A systematic review of Personal Protective Equipment for Preventing Highly Infectious Diseases Due to Exposure to Contaminated Body Fluids in Healthcare Staff (external link)

NEW  FDA Document on Medical Gowns (external link)

Perioperative Considerations for the 2019 Novel Coronavrius (COVID-19) from Anesthesia Patient Safety Foundation (external link)

CJA's Practical recommendations for critical care and anesthesiology teams caring for novel coronavirus (2019-nCoV) patients (PDF 665 KB)

Monitor Worldwide Cases (external link)

World Federation of Societies of Anaesthesiologists guidance for coronavirus and anesthesia (external link)

Safety Precautions from the University of Toronto (external link)

Health Canada Travel Advisory (external link)

NEW - November 10, 2020 - In reply: The criteria used to justify endotracheal intubation of patients with COVID-19 are worrisome (external link)

NEW - November 10, 2020 - The criteria used to justify endotracheal intubation of patients with COVID-19 are worrisome (external link)

October 9, 2020 - Does endotracheal tube clamping during intubation of COVID-19 patients increase the risk of negative pressure pulmonary edema? (external link)

October 9, 2020 - Impact of aerosol box on intubation during COVID-19: a simulation study of normal and difficult airways (external link)

September 16, 2020 - Early experience with critically ill patients with COVID-19 in Montreal (external link)

September 8, 2020 - A prospective, observational, cohort study of airway management of patients with COVID-19 by specialist tracheal intubation teams (external link)

August 12, 2020 - Tolerability and safety of awake prone positioning COVID-19 patients with severe hypoxemic respiratory failure (external link)

August 12, 2020 - In reply: Personal protective equipment during the COVID-19 pandemic (Letters #1 and #2) (external link)

August 12, 2020 - An uncomplicated and safe technique for preventing endotracheal tube cuff damage during tracheostomy using pressure-controlled ventilation: the PCV method (external link)

August 12, 2020 - Personal protective equipment during the COVID-19 pandemic (Letter #2) (external link)

August 10, 2020 - Personal protective equipment during the COVID-19 pandemic (Letter #1) (external link)

August 4, 2020 - In reply: Potential risks associated with intensive care unit aerosol isolation hood use (external link)

August 4, 2020 - Potential risks associated with intensive care unit aerosol isolation hood use (external link)

July 28, 2020 - Efficacy and safety of decontamination for N95 respirator re-use: a systematic literature search and narrative synthesis (external link)

July 28, 2020 - Estimating the risk of SARS-CoV-2 transmission to pediatric anesthesiologists: a microsimulation model (external link)

July 28, 2020 - Efficacy and safety of decontamination for N95 respirator re-use: a systematic literature search and narrative synthesis (external link)

July 17, 2020 - Re-visiting preoperative SARS-CoV-2 testing using a Bayesian approach (external link)

July 15, 2020 - Applying the precautionary principle to personal protective equipment (PPE) guidance during the COVID-19 pandemic: did we learn the lessons of SARS? (external link)

June 26, 2020 - Calculation of air change rates and post-aerosol pause times for a COVID-19 airway management enclosure (external link)

June 26, 2020 - Physical health risks during simulation-based COVID-19 pandemic readiness training (external link)

June 24, 2020 - Preoperative SARS-CoV-2 screening: Can it really rule out COVID-19? (external link)

June 16, 2020 - High-flow nasal cannula for acute hypoxemic respiratory failure in patients with COVID-19: systematic reviews of effectiveness and its risks of aerosolization, dispersion, and infection transmission (external link)

June 15, 2020 - Positive tracheal SARS-CoV-2 RNA test after three negative SARS-CoV-2 RNA tests in a patient with COVID-19 (external link)

June 15, 2020 - The use of continuous perineural catheters and other practices to optimize regional anesthesia in COVID-19 patients (external link)

June 5, 2020 - The case for routine screening for SARS-CoV-2 before surgery (external link)

June 3, 2020 - Asymptomatic carriage and transmission of SARS-CoV-2. What do we know? (external link)

June 2, 2020 - Extracorporeal membrane for respiratory failure in COVID-19 patients: outcome and time-course of clinical and biological parameters (external link)

May 27, 2020 - Intensive care unit isolation hood decreases risk of aerosolization during noninvasive ventilation with COVID-19 (external link)

May 27, 2020 - Therapeutic alternatives and strategies for drug conservation in the intensive care unit during times of drug shortage: a report of the Ontario COVID-19 ICU Drug Task Force (external link)

May 22, 2020 - A proposed lung ultrasound and phenotypic algorithm for the care of COVID-19 patients with acute respiratory failure (external link)

May 22, 2020 - A simple negative-pressure protective barrier for extubation of COVID-19 patients (external link)

May 19, 2020 - Making transesophageal echocardiography safer during COVID-19: is there a role for probe protective equipment (PPE)? (external link)

May 18, 2020 - In reply: Making transesophageal echocardiography safer during COVID-19: is there a role for probe protective equipment (PPE)? (external link)

May 18, 2020 - Optimal sleep health amongst frontline healthcare workers during the COVID-19 pandemic (external link)

May 13, 2020 - In reply: Clear plastic drapes for aerosol generating medical procedures in COVID-19 patients: questions still remain (external link)

May 12, 2020 - End-of-life care in patients with a highly transmissible respiratory virus: implications for COVID-19 (external link)

May 12, 2020 - Physical distancing or social distancing, that is the question (external link)

May 12, 2020 - In reply: Physical distancing or social distancing, that is the question (external link)

May 12, 2020 - Corticosteroids for critically ill COVID-19 patients with cytokine release syndrome: a limited case series (external link)

May 12, 2020 - Clear plastic drapes for aerosol generating medical procedures in COVID-19 patients: questions still remain (external link)

May 12, 2020 - An innovative endotracheal tube clamp for use in COVID-19 disease (external link)

May 7, 2020 - Post-exposure prophylaxis or pre-emptive therapy with hydroxychloroquine for SARS-CoV-2: protocol for a randomized controlled trial (external link)

May 1, 2020 - Re-purposing a face tent as a disposable aerosol evacuation system to reduce contamination in COVID-19 patients: a simulated demonstration (external link)

April 30, 2020 - Perioperative personal protective equipment stewardship (POPPiES) (external link)

April 29, 2020 - Personal protective equipment for anesthesiologists: the need for national guidelines (external link)

April 28, 2020 - Spinal anesthesia for Cesarean delivery in women with COVID-19 infection: questions regarding the cause of hypotension (external link)

April 28, 2020 - In reply: Spinal anesthesia for Cesarean delivery in women with COVID-19 infection: questions regarding the cause of hypotension (external link)

April 28, 2020 - Video laryngoscopy in COVID-19 patients: a word of caution (external link)

April 27, 2020 - The ‘’piecework anesthetists” solution to the lack of ventilators during the COVID-19 pandemic (external link)

April 23, 2020 - Personal protective equipment (PPE) for both anesthesiologists and other airway managers: principles and practice during the COVID-19 pandemic (external link)

April 22, 2020 - Safer intubation and extubation of patients with COVID-19 (external link)

April 21, 2020 - Patient self-proning with high-flow nasal cannula improves oxygenation in COVID-19 pneumonia (external link)

April 8, 2020 - Safe(r) transesophageal echocardiography and COVID-19 (external link)

April 7, 2020 - Keeping trainees safe in a pandemic: the evolving role of medical simulation training (external link)

March 25, 2020 - Common breaches in biosafety during donning and doffing of protective personal equipment used in the care of COVID-19 patients (external link)

Mental health advice for frontline healthcare providers caring for patients with COVID-19 (external link)

Social distancing: implications for the operating room in the face of COVID-19 (external link)

COVID-19 pandemic: the 3R’s (reduce, refine, and replace) of personal protective equipment (PPE) sustainability (external link)

Locating and repurposing anesthetic machines as intensive care unit ventilators during the COVID-19 pandemic (external link)

Clear plastic drapes may be effective at limiting aerosolization and droplet spray during extubation: implications for COVID-19 (external link)

In reply: Uncertainty in using chest computed tomography in early coronavirus disease (COVID-19) (external link)

Uncertainty in using chest computed tomography in early coronavirus disease (COVID-19) (external link)

Practical considerations for performing regional anesthesia: lessons learned from the COVID-19 pandemic (external link)

Intubation of Sars Patients, infections and perspectives (PDF 1 MB)

Practical Recommendations for COVID-19 (PDF 1.2 MB

Preparing for a COVID-19 Pandemic (PDF 1.1 MB)

What to do when you have to operate on COVID-19 patient (PDF 877 KB)

Safety and efficacy of different anesthetic regimens for parturients with COVID-19 undergoing Cesarean delivery: a case series of 17 patients (external link)

Lidocaine during intubation and extubation in patients with coronavirus disease (COVID-19) (external link)

The impact of high-flow nasal cannula (HFNC) on coughing distance: implications on its use during the novel coronavirus disease outbreak (external link)

CAS is a member of a "Common Issues Group" of anesthesiology societies around the world including Great Britain and Ireland, Australia, New Zealand and South Africa. Below are links to resources they are curating around COVID-19. Some are replicated among the Societies.

Association of Anaesthetists - Great Britain and Ireland
https://anaesthetists.org/Home/Resources-publications/COVID-19-guidance 

 American Society of Anesthesiologists (ASA)
https://www.asahq.org/in-the-spotlight/coronavirus-covid-19-information

Australian Society of Anaesthetists (ASA) 
https://asa.org.au/covid-19-updates/

South African Society of Anaesthesiologists (SAS)
https://www.sasaweb.com/ContentDetails/ContentDetails#?ContentId=79&SubMenuType=1

These resources have been curated by the CAS Physician Wellness Committee. All articles are in English unless otherwise stated.

Top 5 Articles

1. Vital Signs in Anaesthesia. A guide for anaesthetists seeking help and advice during the COVID crisis
2. Managing Healthcare Workers’ Stress Associated with the COVID-19 Virus Outbreak
3. EM-Power: A Wellness Compendium for EM
4. Ensuring Our Own Wellbeing as We Care for Others During the COVID-19 Crisis
5. "Acute Stress" and Resilience

Other Articles:
Keeping yourself healthy: Resilience and stress inoculation during COVID-19
Coping With Stress During Infectious Disease Outbreaks
Briefing note on addressing mental health and psychosocial aspects of COVID-19 OutbreakVersion 1.1
COVID-19 and Healthcare Responder Stress
Supporting the Health Care Workforce During the COVID-19 Global Epidemic
 
Top websites:

1. Wellbeing & support
2. Physician Wellness
3. UW Medicine COVID-19 Support​
4. Emergency Responders: Tips for taking care of yourself
5. Coronavirus Sanity Guide — Ten Percent Happier
6. https://www.welldocalberta.org/covid-19-updates

Other websites:
Coronavirus
COVID-19 Physician Wellness Resource
How to talk to your kids about COVID-19: Considerations for health care providers
The Happiness Lab:  https://www.happinesslab.fm/
Taking care of your mental health needs in the face of uncertainty -
Supporting physician wellness: an essential part of CMPA’s assistance
Intensive Care Society: Wellbeing and Psychological Resource Library

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A Trial of Lopinavir–Ritonavir in Adults Hospitalized with Severe Covid-19
https://www.nejm.org/doi/full/10.1056/NEJMoa2001282?query=featured_coronavirus
 
Aerosol and Surface Stability of SARS-CoV-2 as Compared with SARS-CoV-1
https://www.nejm.org/doi/full/10.1056/NEJMc2004973?query=featured_home
 
Aerosol Generating Procedures a systematic review. 
https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0035797