PubMed Journals: Can J Anaesth

  Source:		PMID: 32052373

    		Can J Anaesth. 2020 Feb 12. doi:
     		10.1007/s12630-020-01591-x. [Epub ahead of

			Practical recommendations for critical care and
			anesthesiology teams caring for novel
			coronavirus (2019-nCoV) patients.

			Wax RS(1)(2)(3), Christian MD(4).

			Author Information
			(1) Department of Critical Care Medicine,
			Faculty of Health Sciences, Queen's University,
			Kingston, ON, Canada.
			(2) Department of Medicine, Faculty of
			Medicine, University of Toronto, Toronto, ON,
			Canada. randy.wax@queensu.ca.
			(3) Department of Critical Care Medicine,
			Lakeridge Health, 1 Hospital Court, Oshawa,
			ON, L1G 2B9, Canada.
			(4) London's Air Ambulance, Royal London
			Hospital, Barts Health NHS Trust, London,
			England, UK.

			A global health emergency has been declared
			by the World Health Organization as the
			2019-nCoV outbreak spreads across the world,
			with confirmed patients in Canada. Patients
			infected with 2019-nCoV are at risk for
			developing respiratory failure and requiring
			admission to critical care units. While providing
			optimal treatment for these patients, careful
			execution of infection control measures is
			necessary to prevent nosocomial transmission
			to other patients and to healthcare workers
			providing care. Although the exact mechanisms
			of transmission are currently unclear,
			human-to-human transmission can occur, and
			the risk of airborne spread during
			aerosol-generating medical procedures remains
			a concern in specific circumstances. This paper
			summarizes important considerations regarding
			patient screening, environmental controls,
			personal protective equipment, resuscitation
			measures (including intubation), and critical care
			unit operations planning as we prepare for the
			possibility of new imported cases or local
			outbreaks of 2019-nCoV. Although
			understanding of the 2019-nCoV virus is
			evolving, lessons learned from prior infectious
			disease challenges such as
			Severe Acute Respiratory Syndrome will
			hopefully improve our state of readiness
			regardless of the number of cases we
			eventually manage in Canada.

			DOI: 10.1007/s12630-020-01591-x
			PMID: 32052373

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