Guidelines: Anaesthesia in the context of COVID-19 pandemic

被引：47

作者：

Velly, Lionel ^{[1
,2
]}

Gayat, Etienne ^{[3
,4
]}

Quintard, Herve ^{[5
]}

Weiss, Emmanuel ^{[6
,7
]}

De Jong, Audrey ^{[8
,9
]}

Cuvillon, Philippe ^{[10
]}

Audibert, Gerard ^{[11
]}

Amour, Julien ^{[12
]}

Beaussier, Marc ^{[13
]}

Biais, Matthieu ^{[14
,15
]}

Bloc, Sebastien ^{[16
]}

Bonnet, Marie Pierre ^{[17
,18
,19
]}

Bouzat, Pierre ^{[20
]}

Brezac, Gilles ^{[21
]}

Dahyot-Fizelier, Claire ^{[22
,23
]}

Dahmani, Souhayl ^{[24
]}

de Queiroz, Mathilde ^{[25
]}

Di Maria, Sophie ^{[26
]}

Ecoffey, Claude ^{[27
]}

Futier, Emmanuel ^{[28
,29
]}

Geeraerts, Thomas ^{[30
]}

Jaber, Haithem ^{[31
,32
]}

Heyer, Laurent ^{[33
]}

Hoteit, Rim ^{[8
]}

Joannes-Boyau, Olivier ^{[34
]}

Kern, Delphine ^{[35
,36
]}

Langeron, Olivier ^{[37
]}

Lasocki, Sigismond ^{[38
]}

Launey, Yoan ^{[39
]}

le Sache, Frederic ^{[40
,41
,42
]}

Lukaszewicz, Anne Claire ^{[43
,44
]}

Maurice-Szamburski, Axel ^{[45
]}

Mayeur, Nicolas ^{[46
]}

Michel, Fabrice ^{[47
]}

Minville, Vincent ^{[48
,49
]}

Mirek, Sebastien ^{[50
,51
]}

Montravers, Philippe ^{[52
,53
]}

Morau, Estelle ^{[54
]}

Muller, Laurent ^{[55
,56
]}

Muret, Jane ^{[57
]}

Nouette-Gaulain, Karine ^{[58
]}

Orban, Jean Christophe ^{[59
]}

Orliaguet, Gilles ^{[60
,61
]}

Perrigault, Pierre Francois ^{[62
]}

Plantet, Florence ^{[63
]}

Pottecher, Julien ^{[64
,65
]}

Quesnel, Christophe ^{[53
,66
]}

Reubrecht, Vanessa ^{[26
]}

Rozec, Bertrand ^{[67
]}

Tavernier, Benoit ^{[68
]}

机构：

[1] Aix Marseille Univ, Univ Hosp Timone, AP HM, Dept Anaesthesiol & Crit Care Med, F-13005 Marseille, France

[2] Aix Marseille Univ, Inst Neurosci Timone, UMR7289, CNRS, Marseille, France

[3] Univ Paris, Lariboisiere Hosp, AP HP Nord, DMU Parabol,Dept Anaesthesiol & Crit Care, Paris, France

[4] Univ Paris, Cardiovasc Markers Stress Condit MASCOT, Inserm UMR S 942, Paris, France

[5] Reg Univ Hosp Montpellier, Dept Anaesthesia & Intens Care Unit, St Eloi Hosp, Montpellier, France

[6] Univ Montpellier, CNRS UMR 9214, Inserm U1046, PhyMedExp, Montpellier, France

[7] Ctr Hosp Univ Nice, Intens Care Unit, Pasteur Hosp 2, Nice, France

[8] Beaujon Hosp, AP HP Nord, DMU Parabol, Dept Anaesthesiol & Crit Care, Paris, France

[9] Univ Paris, INSERM, Inserm UMR S1149, Paris, France

[10] CHU Caremeau, Dept Anaesthesiol, Beaujon Hosp, Nimes, France

[11] Lorraine Univ, Nancy Univ Hosp, Dept Anaesthesia & Intens Care, F-54000 Nancy, France

[12] Hop Prive Jacques Cartier, Cardiovasc & Thorac Surg Dept, F-91300 Massy, France

[13] Inst Mutualiste Montsouris, Dept Anesthesie, F-75014 Paris, France

[14] CHU Bordeaux, Dept Anaesthesiol & Crit Care, Pellegrin Hosp, Bordeaux, France

[15] Bordeaux Univ, Biol Cardiovasc Dis, Inserm UMR S 1034, Bordeaux, France

[16] CMC Ambroise Pare, Dept Anesthesie, F-92200 Neuilly Sur Seine, France

[17] Armand Trousseau Univ Hosp, Assistance Publ Hop Paris, Dept Anaesthesiol & Crit Care, Paris, France

[18] Univ Paris, Inserm INRA, Ctr Epidemiol & Stat Sorbonne Paris Cite CRESS, Obstetr Perinatal & Paediat Epidemiol Res Team EP, Paris, France

[19] Hop Cochin, Assistance Publ Hop Paris, Dept Anaesthesiol & Crit Care, Paris, France

[20] Grenoble Univ Hosp, Dept Anaesthesiol & Intens Care Med, F-38000 Grenoble, France

[21] Lenval Childrens Hosp, Anaesthesiol, F-06200 Nice, France

[22] Univ Hosp Poitiers, Anaesthesia & Intens Care, Poitiers, France

[23] Univ Poitiers, Pharmacol Antiinfect Agents, Inserm UMR1070, Poitiers, France

[24] Robert Debre Univ Hosp, AP HP, Inserm U1141, DHU PROTECT,Dept Anaesthesia & Intens Care, Paris, France

[25] Femme Mere Enfant Hosp, Dept Paediat Anaesthesia & Intens Care, Lyon, France

[26] Hop La Pitie Salpetriere, AP HP, Dept Anaesthesiol & Crit Care, Paris, France

[27] Rennes 1 Univ, CHU Rennes, Dept Anaesthesia & Intens Care, Inserm UMR 991,CIC 1414, Rennes, France

[28] CHU Clermont Ferrand, Dept Anaesthesiol & Crit Care, Estaing Hosp, Clermont Ferrand, France

[29] Univ Clermont Auvergne, CNRS, Inserm U 1103, Clermont Ferrand, France

[30] Univ Toulouse 3 Paul Sabatier, CHU Toulouse, Toulouse Neuroimaging Ctr ToNIC, Pole Anesthesie Reanimat,Inserm,UMR 1214, F-31059 Toulouse, France

[31] Caen Univ Hosp, Dept Anaesthesia, Caen, France

[32] Caen Univ Hosp, Dept Intens Care, Caen, France

[33] Croix Rousse Hosp, Dept Anaesthesiol & Intens Care Med, Intens Care Unit, Lyon, France

[34] Ctr Hosp Univ CHU Bordeaux, Ctr Med Chirurg Magellan, Serv Anesthesie Reanimat Sud, F-33000 Bordeaux, France

[35] Univ Hosp Toulouse, Children Hosp, Dept Anaesthesia, Toulouse, France

[36] Univ Hosp Toulouse, Children Hosp, Dept Intens Care, Toulouse, France

[37] Univ Paris Est Creteil UPEC, Henri Mondor Univ Hosp, Assistance Publ Hop Paris, Dept Anaesthesiol & Crit Care Med, Paris, France

[38] UBL Univ Angers, Dept Anaesthesiol & Crit Care Med, CHU Angers, Angers, France

[39] Ctr Hosp Univ Rennes, Dept Anaesthesiol & Crit Care Med, Rennes, France

[40] 6 Sorbonne Univ, Dept Anaesthesiol & Intens Care, DMU Dream, AP HP, Paris, France

[41] Clin Remusat, F-75016 Paris, France

[42] Clin Jouvenet, F-75016 Paris, France

[43] Univ Lyon, EA 7426 Pathophysiol Injury Induced Immunosuppres, Lyon, France

[44] Hosp Civils Lyon, Neurol Hosp, Dept Anaesthesiol & Crit Care, Lyon, France

[45] Clin Monticelli Velodrome, GDS, Dept Anaesthesia, F-13008 Marseille, France

[46] Clin Pasteur, Anaesthesiol & Intens Care Med, F-31076 Toulouse, France

[47] La Timone Hosp, Dept Paediat Intens Care Unit, Assistance Publ Hop Marseille, Marseille, France

[48] Toulouse Univ Hosp, Dept Anaesthesiol & Intens Care, F-31432 Toulouse, France

[49] Univ Paul Sabatier, I2MC, U1048, INSERM,Inst Metab & Cardiovasc Dis, F-31432 Toulouse, France

[50] Dijon Univ Hosp, Dept Anaesthesiol & Intens Care, F-21079 Dijon, France

来源：

ANAESTHESIA CRITICAL CARE & PAIN MEDICINE | 2020年 / 39卷 / 03期

关键词：

COVID-19; SARS-CoV-2; Airway management; Infection prevention and control; Personal protective equipment; Viruses; CORONAVIRUS DISEASE 2019; RANDOMIZED CLINICAL-TRIAL; N95; RESPIRATORS; MEDICAL MASKS; PREVENTING INFLUENZA; INFECTIONS; OPTIONS;

D O I：

10.1016/j.accpm.2020.05.012

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

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. (C) 2020 The Author(s). Published by Elsevier Masson SAS on behalf of Societe francaise d'anesthesie et de reanimation (Sfar).

引用

页码：395 / 415

页数：21

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