• Br J Anaesth · Jul 2020

    Review

    Anaesthesia and COVID-19: infection control.

    • Peter M Odor, Maximilian Neun, Sohail Bampoe, Sam Clark, Daniel Heaton, Emilie M Hoogenboom, Anil Patel, Michael Brown, and Damon Kamming.
    • Department of Anaesthesia and Perioperative Medicine, University College London Hospitals NHS Foundation Trust, UK.
    • Br J Anaesth. 2020 Jul 1; 125 (1): 16-24.

    AbstractThe world is currently facing an unprecedented healthcare crisis caused by a pandemic novel beta coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The pathogen is spread by human-to-human transmission via droplets exposure and contact transfer, causing mild symptoms in the majority of cases, but critical illness, bilateral viral pneumonia, and acute respiratory distress syndrome (ARDS) in a minority. Currently, controlling infection to prevent the spread of SARS-CoV-2 is the primary public healthcare intervention used. The pace of transmission and global scale of SARS-CoV-2 infections has implications for strategic oversight, resource management, and responsiveness in infection control. This article presents a summary of learning points in epidemiological infection control from the SARS epidemic, alongside a review of evidence connecting current understanding of the virologic and environmental contamination properties of SARS-CoV-2. We present suggestions for how personal protective equipment policies relate to the viral pandemic context and how the risk of transmission by and to anaesthetists, intensivists, and other healthcare workers can be minimised.Crown Copyright © 2020. Published by Elsevier Ltd. All rights reserved.

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    This article appears in the collection: Anaesthesiology, Personal Protective Equipment (PPE) and COVID.

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