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

Adult Airway Management Analgesia / adverse effects Anesthesia / adverse effects Betacoronavirus COVID-19 COVID-19 Testing Child Clinical Laboratory Techniques Comorbidity Coronavirus Infections / diagnosis Critical Pathways Cross Infection / prevention & control Disinfection Elective Surgical Procedures Equipment Contamination / prevention & control Health Services Accessibility Humans Infection Control / methods Informed Consent Occupational Diseases / prevention & control Operating Rooms / standards Pandemics / prevention & control Patient Isolation Personal Protective Equipment / supply & distribution Pneumonia, Viral / prevention & control Preoperative Care Professional Staff Committees Risk SARS-CoV-2 Symptom Assessment Universal Precautions
Airway management COVID-19 Infection prevention and control Personal protective equipment SARS-CoV-2 Viruses

Journal

Anaesthesia, critical care & pain medicine
ISSN: 2352-5568
Titre abrégé: Anaesth Crit Care Pain Med
Pays: France
ID NLM: 101652401

Informations de publication

Date de publication:
06 2020
Historique:
pubmed: 9 6 2020
medline: 28 7 2020
entrez: 9 6 2020
Statut: ppublish

Résumé

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. 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. 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. 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.

Identifiants

DOI: 10.1016/j.accpm.2020.05.012 PMID: 32512197 PMC: PMC7274119
pubmed: 32512197
pii: S2352-5568(20)30097-7
doi: 10.1016/j.accpm.2020.05.012
pmc: PMC7274119
pii:
doi:

Types de publication

Practice Guideline Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

395-415

Commentaires et corrections

Type : CommentIn

Informations de copyright

Copyright © 2020 The Author(s). Published by Elsevier Masson SAS.. All rights reserved.

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Auteurs

Lionel Velly (L)

Aix-Marseille University, AP-HM, Department of Anaesthesiology and Critical Care Medicine, University Hospital Timone, 13005 Marseille, France; Aix-Marseille University, CNRS, Institut Neuroscience Timone, UMR7289, Marseille, France. Electronic address: lionel.velly@ap-hm.fr.

Etienne Gayat (E)

Department of Anaesthesiology and Critical Care, Lariboisière Hospital, DMU Parabol, AP-HP Nord, University of Paris, Paris, France; Inserm UMR-S 942, Cardiovascular Markers in Stress Conditions (MASCOT), University of Paris, Paris, France.

Hervé Quintard (H)

Intensive Care Unit, Centre Hospitalier Universitaire de Nice, Pasteur 2 Hospital, Nice, France.

Emmanuel Weiss (E)

Department of Anaesthesiology and Critical Care, Beaujon Hospital, DMU Parabol, AP-HP Nord, Paris, France; Inserm UMR_S1149, Inserm, Université de Paris, Paris, France.

Audrey De Jong (A)

Department of Anaesthesia and Intensive Care unit, Regional University Hospital of Montpellier, St-Éloi Hospital, Montpellier, France; PhyMedExp, University of Montpellier, Inserm U1046, CNRS UMR, 9214, Montpellier, France.

Philippe Cuvillon (P)

Department of Anaesthesiology, Beaujon Hospital, CHU Carémeau, Nîmes, France.

Gérard Audibert (G)

Department of Anaesthesia and Intensive Care, Lorraine University, Nancy University Hospital, 54000 Nancy, France.

Julien Amour (J)

Cardiovascular and Thoracic Surgery Department, Hôpital Privé Jacques-Cartier, 91300 Massy, France.

Marc Beaussier (M)

Département d'Anesthésie, Institut Mutualiste Montsouris, 75014 Paris, France.

Matthieu Biais (M)

Department of Anaesthesiology and Critical Care, Pellegrin Hospital, CHU de Bordeaux, Bordeaux, France; Inserm UMR-S 1034, Biology of Cardiovascular Diseases, Bordeaux University, Bordeaux, France.

Sébastien Bloc (S)

CMC Ambroise-Paré, Département d'anesthésie, 92200 Neuilly-sur-Seine, France.

Marie Pierre Bonnet (MP)

Department of Anaesthesiology and Critical Care, Armand-Trousseau University Hospital, Assistance publique-Hôpitaux de Paris, Paris, France; Centre for Epidemiology and Statistics Sorbonne Paris Cité (CRESS), Université de Paris, Obstetrical Perinatal and Paediatric Epidemiology Research Team (EPOPé), Inserm INRA, Paris, France; Department of Anaesthesiology and Critical Care, Cochin-Port Royal University Hospital, Assistance publique-Hôpitaux de Paris, Paris, France.

Pierre Bouzat (P)

Department of Anaesthesiology and Intensive Care Medicine, Grenoble University Hospital, 38000 Grenoble, France.

Gilles Brezac (G)

Anaesthesiology, Lenval Children's Hospital, 06200 Nice, France.

Claire Dahyot-Fizelier (C)

Anaesthesia and Intensive Care, University Hospital of Poitiers, Poitiers, France; Inserm UMR1070, Pharmacology of Anti-infective Agents, University of Poitiers, Poitiers, France.

Souhayl Dahmani (S)

Department of Anaesthesia and Intensive Care, Robert-Debré University Hospital, AP-HP, DHU PROTECT, Inserm U1141, Paris, France.

Mathilde de Queiroz (M)

Department of Paediatric Anaesthesia and Intensive Care, Femme-Mère-Enfant Hospital, Lyon, France.

Sophie Di Maria (S)

Department of Anaesthesiology and Critical Care, AP-HP, Hôpital Pitié-Salpêtrière, Paris, France.

Claude Ecoffey (C)

Department of Anaesthesia and Intensive Care, CHU de Rennes, Inserm UMR 991, CIC 1414, Rennes 1 University, Rennes, France.

Emmanuel Futier (E)

Department of Anaesthesiology and Critical Care, Estaing Hospital, CHU de Clermont-Ferrand, Clermont-Ferrand, France; Université Clermont Auvergne, CNRS, Inserm U-1103, Clermont-Ferrand, France.

Thomas Geeraerts (T)

Pôle Anesthésie-Réanimation, Inserm, UMR 1214, Toulouse Neuroimaging Centre (ToNIC), université Toulouse 3 - Paul-Sabatier, CHU de Toulouse, 31059 Toulouse, France.

Haithem Jaber (H)

Departments of Anaesthesia and Intensive Care, Caen University Hospital, Caen, France.

Laurent Heyer (L)

Intensive Care Unit, Department of Anaesthesiology and Intensive Care Medicine, Croix-Rousse Hospital, Lyon, France.

Rim Hoteit (R)

Department of Anaesthesia and Intensive Care unit, Regional University Hospital of Montpellier, St-Éloi Hospital, Montpellier, France.

Olivier Joannes-Boyau (O)

Service d'Anesthésie-Réanimation Sud, Centre Médico-Chirurgical Magellan, Centre Hospitalier Universitaire (CHU) de Bordeaux, 33000 Bordeaux, France.

Delphine Kern (D)

Departments of Anaesthesia and Intensive Care, Children Hospital, University Hospital of Toulouse, Toulouse, France.

Olivier Langeron (O)

Department of Anaesthesiology and Critical Care Medicine, Henri-Mondor University Hospital, University Paris-Est Créteil (UPEC), Assistance publique-Hôpitaux de Paris, Paris, France.

Sigismond Lasocki (S)

Department of Anaesthesiology and Critical Care Medicine, UBL Université d'Angers, CHU d'Angers, Angers, France.

Yoan Launey (Y)

Department of Anaesthesiology and Critical Care Medicine, Centre Hospitalier Universitaire de Rennes, Rennes, France.

Frederic le Saché (F)

Department of Anaesthesiology and Intensive Care, DMU DREAM, AP-HP, 6 Sorbonne Université, Paris, France; Clinique Remusat, 75016 Paris, France; Clinique Jouvenet, 75016 Paris, France.

Anne Claire Lukaszewicz (AC)

University of Lyon, EA 7426: Pathophysiology of Injury-Induced Immunosuppression (PI3), Lyon, France; Department of Anaesthesiology and Critical Care, Neurological hospital, Hospices Civils de Lyon, Lyon, France.

Axel Maurice-Szamburski (A)

Department of Anaesthesia, Clinique Monticelli-Velodrome, GDS, 13008 Marseille, France.

Nicolas Mayeur (N)

Anaesthesiology and intensive care medicine, Clinique Pasteur, 31076 Toulouse, France.

Fabrice Michel (F)

Department of Paediatric Intensive Care Unit, Assistance publique-Hôpitaux de Marseille, La Timone Hospital, Marseille, France.

Vincent Minville (V)

Department of Anaesthesiology and Intensive Care, Toulouse University Hospital, 31432 Toulouse, France; Inserm, U1048, Université Paul-Sabatier, Institute of Metabolic and Cardiovascular Diseases, I2MC, 31432 Toulouse, France.

Sébastien Mirek (S)

Department of Anaesthesiology and Intensive Care, Dijon University Hospital, 21079 Dijon, France; U-SEEM, Healthcare Simulation Centre of University Hospital of Dijon, 21079 Dijon, France.

Philippe Montravers (P)

Department of Anaesthesiology and Critical Care, CHU Bichat-Claude-Bernard, DMU Parabol, AP-HP Nord, University of Paris, Paris, France; Inserm UMR-S 1152, Epidemiology and Physiopathology of Respiratory Diseases, University of Paris, Paris, France.

Estelle Morau (E)

Department of Anaesthesiology and Critical Care Medicine, Hôpital Universitaire Arnaud-de-Villeneuve, Montpellier, France.

Laurent Muller (L)

Department of Anaesthesiology and Intensive Care, Pain and Emergency Medicine, Nîmes-Caremeau University Hospital, Université Montpellier, place du Professeur-Robert-Debré, 30029 Nîmes cedex 9, France; Physiology Department, EA 2992, Faculty of Medicine, Université Montpellier, Montpellier-Nimes University, Nîmes, France.

Jane Muret (J)

Institut Curie PSL Research University, 75005 Paris, France.

Karine Nouette-Gaulain (K)

Department of Anaesthesiology, Intensive Care and Pain, Institut Curie, 75005 Paris, France.

Jean Christophe Orban (JC)

Department of Anaesthesiology and Intensive Care Medicine, Nice University Hospital, Nice, France.

Gilles Orliaguet (G)

Surgical Paediatric Intensive Care Unit, Universitary Hospital Necker-Enfants-Malades, Paris, France; EA08 Pharmacologie et Évaluation des Thérapeutiques chez l'Enfant et la Femme Enceinte, Paris Descartes University (Paris V), Paris, France.

Pierre François Perrigault (PF)

Department of Anaesthesia and Critical Care Medicine, Montpellier University, Gui-de-Chauliac Hospital, Montpellier, France.

Florence Plantet (F)

Service d'Anesthésie-Réanimation, Clinique Générale, 4, chemin de la Tour-la-Reine, Annecy, France.

Julien Pottecher (J)

Department of Anaesthesiology and Critical Care, Les Hôpitaux Universitaires de Strasbourg (HUS), Strasbourg, France; Fédération de Médecine Translationnelle de Strasbourg (FMTS), Strasbourg, France.

Christophe Quesnel (C)

Inserm UMR-S 1152, Epidemiology and Physiopathology of Respiratory Diseases, University of Paris, Paris, France; Department of Anaesthesiology and Critical Care, Tenon Hospital, DMU DREAM, AP-HP, 6 Sorbonne Université School of Medicine, Paris, France.

Vanessa Reubrecht (V)

Department of Anaesthesiology and Critical Care, AP-HP, Hôpital Pitié-Salpêtrière, Paris, France.

Bertrand Rozec (B)

Anesthésie-Réanimation, CHU Nantes, Hôpital Laennec, 1, boulevard Jacques-Monod, 44093 Nantes cedex, France.

Benoit Tavernier (B)

Department of Anaesthesiology and Critical Care, CHU de Lille, Pôle d'Anesthésie-Réanimation, 59000 Lille, France.

Benoit Veber (B)

Department of Anaesthesiology and Critical Care, Université de Rouen Normandie, Rouen, France.

Francis Veyckmans (F)

Department of Paediatric Anaesthesia, Jeanne-de-Flandre Hospital, University Hospitals of Lille, Lille, France.

Hélène Charbonneau (H)

Anaesthesiology and intensive care medicine, Clinique Pasteur, 31076 Toulouse, France.

Isabelle Constant (I)

Anaesthesiology Department, Hôpital Armand-Trousseau, Sorbonne Université, Assistance publique-Hôpitaux de Paris, DMU DREAM, Sorbonne Université, Paris, France.

Denis Frasca (D)

Department of Anaesthesiology and Critical Care, Poitiers University, CHU de Poitiers, Poitiers, France.

Marc-Olivier Fischer (MO)

Department of Anaesthesiology and Critical Care, Normandie Université, UNICAEN, CHU de Caen Normandie, 14000 Caen, France.

Catherine Huraux (C)

Department of Anaesthesiology, Clinique des Cèdres, 38130 Échirolles, France.

Alice Blet (A)

Inserm UMR-S 942, Cardiovascular Markers in Stress Conditions (MASCOT), University of Paris, Paris, France; Department of Anaesthesiology, Critical Care and Burn Centre, Lariboisière-Saint-Louis Hospitals, DMU Parabol, AP-HP Nord, University of Paris, Paris, France; University of Ottawa Heart Institute, University of Ottawa, Ottawa, Ontario, Canada.

Marc Garnier (M)

Inserm UMR-S 1152, Epidemiology and Physiopathology of Respiratory Diseases, University of Paris, Paris, France; Department of Anaesthesiology and Critical Care, Saint-Antoine Hospital, DMU DREAM, AP-HP, 6 Sorbonne Université, Paris, France; Sorbonne Université School of Medicine, Paris, France.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Guidelines: Anaesthesia in the context of...
questionsmedicales.fr › Thérapeutique › Prise en charge des voies aériennes › Guidelines: Anaesthesia in the context of...
questionsmedicales.fr › Anesthésie et analgésie › Analgésie › Guidelines: Anaesthesia in the context of...
questionsmedicales.fr › Anesthésie et analgésie › Anesthésie › Guidelines: Anaesthesia in the context of...
questionsmedicales.fr › Virus › Virus à ARN › Virus à ARN à brin positif › Nidovirales › Coronaviridae › Coronavirus › Betacoronavirus › Guidelines: Anaesthesia in the context of...
questionsmedicales.fr › Maladies de l'appareil respiratoire › Infections de l'appareil respiratoire › Pneumopathie infectieuse › Pneumopathie virale › COVID-19 › Guidelines: Anaesthesia in the context of...
questionsmedicales.fr › Techniques d'investigation › Techniques de laboratoire clinique › Dépistage de la COVID-19 › Guidelines: Anaesthesia in the context of...
questionsmedicales.fr › Personnes › Tranches d'âge › Enfant › Guidelines: Anaesthesia in the context of...
questionsmedicales.fr › Techniques d'investigation › Techniques de laboratoire clinique › Guidelines: Anaesthesia in the context of...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Facteurs épidémiologiques › Comorbidité › Guidelines: Anaesthesia in the context of...
questionsmedicales.fr › Infection › Maladies virales › Infections à virus à ARN › Infections à Nidovirales › Infections à Coronaviridae › Infections à coronavirus › Guidelines: Anaesthesia in the context of...
questionsmedicales.fr › Administration des services de santé › Gestion des soins aux patients › Services de santé polyvalents › Planification des soins du patient › Programme clinique › Guidelines: Anaesthesia in the context of...
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Caractéristiques de la maladie › Maladie iatrogène › Infection croisée › Guidelines: Anaesthesia in the context of...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Pratiques en santé publique › Contrôle des maladies transmissibles › Prévention des infections › Stérilisation › Désinfection › Guidelines: Anaesthesia in the context of...
questionsmedicales.fr › Procédures de chirurgie opératoire › Interventions chirurgicales non urgentes › Guidelines: Anaesthesia in the context of...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Contamination de matériel › Guidelines: Anaesthesia in the context of...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Prestations des soins de santé › Accessibilité des services de santé › Guidelines: Anaesthesia in the context of...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Guidelines: Anaesthesia in the context of...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Pratiques en santé publique › Contrôle des maladies transmissibles › Prévention des infections › Guidelines: Anaesthesia in the context of...
questionsmedicales.fr › Organisations et économie des soins de santé › Contrôle social formel › Jurisprudence › Consentement libre et éclairé › Guidelines: Anaesthesia in the context of...
questionsmedicales.fr › Maladies professionnelles › Guidelines: Anaesthesia in the context of...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Établissements de santé › Unités hospitalières › Blocs opératoires › Guidelines: Anaesthesia in the context of...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Épidémies de maladies › Épidémies › Pandémies › Guidelines: Anaesthesia in the context of...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Pratiques en santé publique › Contrôle des maladies transmissibles › Prévention des infections › Isolement du patient › Guidelines: Anaesthesia in the context of...
questionsmedicales.fr › Technologie, industrie et agriculture › Produits manufacturés › Dispositifs de protection › Équipement de protection individuelle › Guidelines: Anaesthesia in the context of...
questionsmedicales.fr › Maladies de l'appareil respiratoire › Infections de l'appareil respiratoire › Pneumopathie infectieuse › Pneumopathie virale › Guidelines: Anaesthesia in the context of...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Soins aux patients › Soins périopératoires › Soins préopératoires › Guidelines: Anaesthesia in the context of...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Assurance de la qualité des soins de santé › Comités du personnel de santé › Guidelines: Anaesthesia in the context of...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Statistiques comme sujet › Probabilité › Risque › Guidelines: Anaesthesia in the context of...
questionsmedicales.fr › Virus › Virus à ARN › Virus à ARN à brin positif › Nidovirales › Coronaviridae › Coronavirus › Betacoronavirus › Virus du SRAS › SARS-CoV-2 › Guidelines: Anaesthesia in the context of...
questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Évaluation des symptômes › Guidelines: Anaesthesia in the context of...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Pratiques en santé publique › Contrôle des maladies transmissibles › Précautions universelles › Guidelines: Anaesthesia in the context of...