Editor's Note Suspension of elective surgical procedures in response to the COVID-19 pandemic in New York State had only a minor effect on ICU capacity, this study finds. State authorities suspended all elective surgical procedures in mid-March 2020 to increase hospital and ICU bed capacity. However, the effect of canceling…
Across the US, surgical services are estimated to comprise around 20% of national health spending and typically generate up to 70% of total health system revenue.1, 2 That makes surgical services the largest revenue generator for a hospital, supporting access to numerous other healthcare services. Considering the average hospital has…
Editor's Note In this study, researchers from the University of Bristol in the UK, find that intubation and extubation of patients during general anesthesia may produce only a fraction of the aerosols previously thought, much less than that produced during a regular cough. The researchers conducted real-time, high-resolution environmental monitoring…
Editor's Note Universal COVID-19 testing of children before they have general anesthesia promotes efficient use of personal protective equipment (PPE), finds this study presented October 3 at the Anesthesiology 2020 annual meeting. Overall, 1,033 children who had anesthesia at Children’s Hospital of Philadelphia between March 26 and May 11, 2020,…
Editor's Note This controlled, in-vitro study investigates the minimum contact time for povidone-iodine nasal antiseptic to inactivate the SARS-CoV-2 virus. All laboratory work was conducted in biosafety level 3 laboratories at the Institute for Antiviral Research at Utah State University, Logan. Povidone-iodine was tested at diluted concentrations of 0.5%, 1.25%,…
Editor's Note In an August 21 letter, the Food & Drug Administration (FDA) warns that the use of passive protective barrier enclosures without negative pressure when treating patients (such as during intubation, extubation) who are known or suspected to have COVID-19 may pose increased health risk to patients and healthcare…
Editor's Note An expert panel from the American Association of Hip and Knee Surgeons on July 15 issued guidelines that include recommendations for when hospitals and surgical centers can resume elective orthopedic procedures. A set of 30 recommendations are presented in four categories: General—includes criteria based on factors, such as…
Editor's Note The Centers for Disease Control & Prevention (CDC) on July 10 reported that health-related workplace absenteeism rates were significantly higher than expected in March and April for some occupational groups in essential critical infrastructure categories. The following significantly exceeded their epidemic thresholds: personal care and services, including childcare…
Editor's Note The Joint Commission announced June 24 that it has revised its position statement on preventing nosocomial COVID-19 infections as healthcare organizations resume regular care delivery. The Joint Commission supports the following positions: Continuing to follow Centers for Disease Control and Prevention’s recommendations for universal masking of staff, patients,…
Proactive leadership, early preparation, and ongoing planning and communication have helped mitigate COVID-19 threats at Tampa General Hospital in Tampa, Florida. As a result, resuming elective surgical cases in early May was a relatively seamless process thanks to process improvements made before the pandemic hit. “We started working on COVID-19…