Right Case, Right Patient, Right Place- A Case Report Applying the Office-Based Anesthesia Curriculum in a Complex Patient during the COVID-19 Crisis
This case report reviews the high-level clinical decision-making in the management of a socially complex and behaviorally challenging patient in the COVID-19 era who presented to the emergency department requiring a simple incision and debridement for an upper extremity abscess. Critical issues included the appropriate location for the surgery, airway management, pain and sedation management as well as interprofessional communication whose solutions were all influenced and guided by elements learned from the Office-Based Anesthesia curriculum. Principles based upon appropriate patient selection and ERAS protocols for multimodal analgesia helped us provide a safe and effective anesthetic for a difficult patient in an environment newly impacted by COVID-19.
N95 Respirator Decontamination and Reuse: Current State of the Evidence
The pandemic severe acute respiratory syndrome coronavirus 2 that causes coronavirus disease 2019 has resulted in personal protective equipment shortages in hospitals and anesthesia departments. The necessity of N95 respirator masks for protection during a multitude of aerosol-generating procedures such as intubation has prompted conservation strategies, one of which is N95 mask decontamination and reuse. A literature review was performed examining the evidence for N95 decontamination and reuse. Decontamination methods discussed in the literature are chemical, physical, and energetic, with the most promising evidence available for vaporized hydrogen peroxide, warm moist heat,
and ultraviolet germicidal irradiation. There are several methods that are less effective or decrease postdecon- tamination performance of N95 masks. Any decontami- nation method should consider the equipment needed for the required scalability, because some methods require more specialized tools than others. Vast vari- abilities in the construction and design of available N95 masks mean that adaptation of any method discussed in the literature should be tested in a trial with the spe- cific model of N95 mask to be decontaminated.
Sunbelt Anesthesia Services Selects Plexus TG’s Anesthesia EMR
JACKSON, Mich., Aug. 9, 2018 /PRNewswire/ -- Plexus Technology Group, LLC (Plexus TG), a fully KLAS-rated, market-leading, best-of-breed provider of anesthesia information management systems (AIMS), is pleased to announce Sunbelt Anesthesia Services, LLC (SAS), a veteran-owned and operated anesthesia staffing and management company, chose to implement its anesthesia EMR software in multiple ambulatory surgery centers (ASCs) around the Jacksonville, FL area. The region's busiest multi-specialty, state-of-the-art ambulatory surgery center was the first location to go live with Plexus TG's anesthesia solution. Additional surgery centers and office-based locations are scheduled for implementation later this year.