While responding to demands of the COVID-19 pandemic, perioperative leaders are busy preparing staff and departments for life after the initial shock subsides. Chief among their preparations are strategies to address the glut of demand for surgery due to postponement of elective and nonessential surgical procedures. Naturally, many focus on…

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Editor's Note This study of spine surgeons around the world found they are experiencing the effects of COVID-19, including canceled procedures, changes in clinical roles, anxiety, and risk of exposure to the disease itself because of insufficient protective equipment. Researchers evaluated survey responses from 902 spine surgeons with membership in…

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Editor's Note The American College of Surgeons on June 3 released new resources to help surgeons and hospitals address patients’ concerns about having surgical procedures that were delayed by COVID-19. The document, “Preparing to have surgery during the time of COVID-19,” includes a patient-surgeon discussion guide with suggested questions patients…

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Editor's Note The overall incidence of COVID-19 in children who had preoperative screening was less than 1%; however, this varied greatly between regions, ranging from 0.22% to 2.65%. Included in the study were pediatric patients presenting for surgery at Children’s Hospital of Philadelphia, Texas Children’s Hospital in Houston, and Seattle…

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Editor's Note The Joint Commission on June 3 announced that it supports the following positions for healthcare organizations to prevent nosocomial COVID-19 infections as they resume routine patient care. Organizations should continue to follow CDC recommendations for universal masking of staff, patients, and visitors. Personnel should wear filtering facepiece (N95)…

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Editor's Note Patients having surgery after contracting COVID-19 are at greatly increased risk of postoperative death, this study finds. Researchers examined data for 1,128 patients from 235 hospitals in 24 countries. Overall 30-day postoperative mortality was 23.8%. Mortality was high across all subgroups including: elective surgery, 18.9% emergency surgery, 25.6%…

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Editor's Note In this study, researchers found that a pediatric adaptation of the adult Medically Necessary Time-Sensitive (MeNTS) risk stratification system was a valuable decision tool that helped them prioritize surgical procedures in children during the COVID-19 pandemic. The researchers tested the pediatric MeNTS (pMeNTS) in 101 patients scheduled for…

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Editor's Note The Centers for Disease Control and Prevention (CDC) on May 20 posted two new resources to help states reopen. The first is a 60-page document that includes information on general and healthcare surveillance and continuing guidance on infection control, contact tracing, and testing. It also includes a standardized…

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Editor's Note As states begin to ease restrictions imposed by COVID-19, physicians, nurse leaders, and administrators face a momentous challenge in resuming elective surgical procedures. Cincinnati Children’s Hospital Medical Center developed a model that made best use of available data (eg, case logs, forecasts, etc). Adoption of an agile methodology—a…

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Editor's Note While responding to demands of the COVID-19 pandemic, perioperative leaders also are busy preparing staff and departments for life after the initial shock subsides. Chief among their preparations are strategies to address the increased demand for surgery because of postponement of elective and nonessential surgical procedures. The sterile…

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