Dataset Information

Guidelines: Anaesthesia in the context of COVID-19 pandemic.

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.

SUBMITTER: Velly L

PROVIDER: S-EPMC7274119 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature

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Guidelines: Anaesthesia in the context of COVID-19 pandemic.

Velly Lionel L Gayat Etienne E Quintard Hervé H Weiss Emmanuel E De Jong Audrey A Cuvillon Philippe P Audibert Gérard G Amour Julien J Beaussier Marc M Biais Matthieu M Bloc Sébastien S Bonnet Marie Pierre MP Bouzat Pierre P Brezac Gilles G Dahyot-Fizelier Claire C Dahmani Souhayl S de Queiroz Mathilde M Di Maria Sophie S Ecoffey Claude C Futier Emmanuel E Geeraerts Thomas T Jaber Haithem H Heyer Laurent L Hoteit Rim R Joannes-Boyau Olivier O Kern Delphine D Langeron Olivier O Lasocki Sigismond S Launey Yoan Y le Saché Frederic F Lukaszewicz Anne Claire AC Maurice-Szamburski Axel A Mayeur Nicolas N Michel Fabrice F Minville Vincent V Mirek Sébastien S Montravers Philippe P Morau Estelle E Muller Laurent L Muret Jane J Nouette-Gaulain Karine K Orban Jean Christophe JC Orliaguet Gilles G Perrigault Pierre François PF Plantet Florence F Pottecher Julien J Quesnel Christophe C Reubrecht Vanessa V Rozec Bertrand B Tavernier Benoit B Veber Benoit B Veyckmans Francis F Charbonneau Hélène H Constant Isabelle I Frasca Denis D Fischer Marc-Olivier MO Huraux Catherine C Blet Alice A Garnier Marc M

Anaesthesia, critical care & pain medicine 20200605 3

<h4>Objectives</h4>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.<h4>Methods</h4>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/r ...[more]

PMID: 32512197

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Project description:AimsIndividuals taking immunosuppressants are at increased susceptibility to viral infections in general. However, due to the novel nature of the COVID-19, there is a lack of evidence about the specific risks of the disease in this patient group. This systematic review aims to summarize the current international clinical guidelines to highlight areas where research is needed through critical appraisal of the evidence base of these guidelines.MethodsWe conducted a systematic review of clinical practice guidelines about the usage of immunosuppressants during the COVID-19 pandemic. Electronic databases including MEDLINE and the websites of relevant professional bodies were searched for English language guidelines that were published or updated between March 2020 and May 2020 in this area. We assessed the quality and consistency of guidelines. The evidence base underpinning these guidelines was critically appraised using GRADE criteria.ResultsTwenty-three guidelines were included. Most guidelines (n = 15, 65.2%) informed and updated evidence based on expert opinion. The methodological quality of the guidelines varied, ranging from 'very low' to 'moderate'. Guidelines consistently recommended that high-risk patients, including those who are taking high doses of steroids for more than a month, or a combination of two or more immunosuppressants, should be shielding during the outbreak. Most guidelines stated that steroids usage should not be stopped abruptly and advised on individualized risk-benefit analysis considering the risk of the effect of COVID-19 infection and the relapse of the autoimmune condition in patients.DiscussionClinical practice guidelines on taking immunosuppressants during the COVID-19 outbreak vary in quality. The level of evidence informing the available guidelines was generally low. Given the novel nature of COVID-19, the guidelines draw on existing knowledge and data, refer to the use of immunosuppressants and risks of serious infections of other aetiologies and have extrapolated these to form their evidence base.

Dataset Information

Guidelines: Anaesthesia in the context of COVID-19 pandemic.

Publications

Guidelines: Anaesthesia in the context of COVID-19 pandemic.

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