Coronavirus Tips and Guidelines

CAS Statement on COVID-19 (PDF 92 KB)

UPDATED March 25, 2020 COVID-19 Recommendations During Airway Manipulation (INTERNAL LINK - eblast originally sent to members March 13)

WEBINAR AUDIO - COVID-19, MARCH 22, 2020 (YOUTUBE LINK)

WEBINAR POWERPOINT - COVID-19, MARCH 22, 2020 (PDF file, 2.5 MB)


CAS is taking the spread of coronavirus very seriously. However, we are confident in our preparedness and we continue to be dedicated to ensuring our members and physicians are well informed and safe.

The understanding of the 2019-nCoV virus is evolving, and the lessons learned from prior infectious disease challenges such as Severe Acute Respiratory Syndrome (SARS) will improve our state of readiness regardless of the number of cases we eventually manage in Canada.


Things to know:

- Health Canada is currently monitoring the spread of the disease and provides regular outbreak news on their website
- Currently, Health Canada advises that the potential for transmission in Canada is high. Anesthesiologists caring for patients with 2019-nCoV continue to be at an elevated risk. 
- The predominant mechanism of transmission is contact/drop spread related to respiratory secretions
 

What is CAS doing:

Due to the evolving situation around COVID-19, the CAS Annual Meeting Planning Team has made the decision to move this year’s Meeting to a virtual platform in the best interest of participants and the people we serveLearn More


Additional Resources: ​

Below are some helpful resources to help monitor the virus and increase preparedness.

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)

Canadian Journal of Anesthesia Resources

NEW 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)


Common Issues Group Resources

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

Physician Wellness Resources

These resources have been curated by the CAS Physician Wellness Committee, from an original list curated by Sam Van Horne, senior research associate in the ChristianaCare Center for WorkLife Wellbeing. All articles are in English unless otherwise stated.

NEW Ensuring Our Own Wellbeing as We Care for Others During the COVID-19 Crisis (external link)

NEW Keeping yourself healthy: Resilience and stress inoculation during COVID-19 (external link)

Advice for Sustaining Staff Wellbeing in Critical Care During and Beyond COVID-19 - Intensive Care Society (external link)

The Psychological Impact of Quarantine and How to Reduce It: A Rapid Review of the Evidence - The Lancet (external link)

UW Medicine COVID-19 Support​ - UW School of Medicine (external link)

COVID-19: What UW Medicine Employees Need to Know - UW School of Medicine (external link)

Coronavirus Sanity Guide - Ten Percent Happier (external link)

EM-Power: A Wellness Compendium for EM - Royal College of Emergency Medicine (PDF 410 KB)

Acute Stress and Resilience -  Royal College of Emergency Medicine (external link)

Helping Children Cope Emotionally with the Coronavirus​ - American Academy of Experts in Traumatic Stress (external link)

Coping With Stress During Infectious Disease Outbreaks - Substance Abuse and Mental Health Services Administration (SAMHSA) (PDF 700 KB)

Tips for social distancing, quarantine, and isolation during an infectious disease outbreak - Substance Abuse and Mental Health Services Administration (SAMHSA) (external link)

(ENGLISH) Briefing note on addressing mental health and psychosocial aspects of COVID-19 OutbreakVersion 1.1 - IASC Reference group for Mental Health and Psychosocial Support in Emergency Settings (PDF 900 KB) 

(ARABIC) Briefing note on addressing mental health and psychosocial aspects of COVID-19 OutbreakVersion 1.1 - IASC Reference group for Mental Health and Psychosocial Support in Emergency Settings1.1 (PDF 901 KB)

(CHINESE) Briefing note on addressing mental health and psychosocial aspects of COVID-19 OutbreakVersion 1.1 - Briefing note on addressing mental health and psychosocial aspects of COVID-19 OutbreakVersion 1.1 (PDF 901 KB)

Managing Healthcare Workers’ Stress Associated with the COVID-19 Virus Outbreak - VA National Center for PTSD (PDF 320 KB)

Emergency Responders: Tips for taking care of yourself - Centers for Disease Control and Prevention (external link)

COVID-19 and Healthcare Responder Stress - Minnesota Department of Health (PDF 188 KB)

Taking care of your mental health needs in the face of uncertainty - American Foundation for Suicide Prevention (external link)

Supporting the Health Care Workforce During the COVID-19 Global Epidemic - Journal of the American Medical Association (external link)

Supporting physician wellness: an essential part of CMPA’s assistance - The Canadian Medical Protective Agency (external link)