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Journal of Clinical Anesthesia and Intensive Care

ISSN: 2767-3367

Short Communication Open Access
Volume 2 | Issue 2 | DOI: https://doi.org/10.46439/anesthesia.2.014

Anesthetic considerations for previously COVID-19 positive patients: design and rapid implementation of a perioperative surgical home (PSH) program

Neil Shah MD1, Elena Chung MD1, Mark Feng MD2, Vimal N. Desai MD1, Vu T. Nguyen MD1, Deepak Sonthalia MD3, Mildred Lopez MPA1, Chunyuan Qiu MD, MS1,*
  • 1Department of Anesthesiology, Kaiser Permanente Baldwin Park Medical Center, Baldwin Park, California 91706, United States
  • 2Department of Urology, Kaiser Permanente Baldwin Park Medical Center, Baldwin Park, California 91706, United States
  • 3Department of Anesthesiology, Kaiser Permanente San Diego Medical Center, San Diego, California, 92120, United States
+ Affiliations - Affiliations

Corresponding Author

Chunyuan Qiu MD, MS, Chunyuan.x.qiu@kp.org

Received Date: June 04, 2021

Accepted Date: July 27, 2021

Citation:

Shah N, Chung E, Feng M, Desai VN, Nguyen VT, Sonthalia D, et al. Anesthetic considerations for previously COVID-19 positive patients: design and rapid implementation of a perioperative surgical home (PSH) program.. J Clin Anesth Intensive Care. 2021; 2(2): 61-66.


Copyright: © 2021 Bost SJ, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

The COVID-19 pandemic presents unprecedented challenges for anesthesia professionals and their surgical patients. Beyond managing infection risk, positive COVID-19 surgical patients add additional challenges to their perioperative care, where its perioperative risk are superimposed onto an already baseline anesthesia risk in real-time with an unknown and unpredictable fashion. Recent evidence suggests that surgical procedures for both current and recovered COVID-19 patients are associated with elevated morbidity and mortality. These risks must be well managed. However, the anesthetic risk aside from transmission is yet to be fully understood. As such, fast dissemination, and effective implementation of the latest evidence into practice is essential. However, the traditional “knowledge to action gap” of 17 years or more in healthcare is a hinderance [1,2]. We herein designed and implemented a new but simple perioperative criterion for previous COVID-19 patients based on the principle of the perioperative surgical home (PSH) within the Consolidated Framework for Implementation Research (CFIR). This platform allows us to implement and/or de-implement components of the PSH clinical pathway with ease in accordance with the fast-evolving COVID-19 pandemic knowledge and experience base.

Keywords

COVID-19, Surgery, Evaluation, Implementation, Perioperative surgical Home, Anesthesiology, Sequalae

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Anesthetic considerations for previously COVID-19 positive patients: design and rapid implementation of a perioperative surgical home (PSH) program

The COVID-19 pandemic presents unprecedented challenges for anesthesia professionals and their surgical patients. Beyond managing infection risk, positive COVID-19 surgical patients add additional challenges to their perioperative care, where its perioperative risk are superimposed onto an already baseline anesthesia risk in real-time with an unknown and unpredictable fashion.

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