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Updated: Dec 20, 2025

Safety Precautions and Operating Procedures in an ABSL-4 Laboratory: 3. Aerobiology
Published on: October 3, 2016
You Need a Plan: A Stepwise Protocol for Operating Room Preparedness During an Infectious Pandemic
Vivek Arora1, Connie Evans1, Lorrie Langdale1
1is an Anesthesiologist and Surgical Intensivist, is an Operating Room Registered Nurse Educator, is a Surgical Intensivist and Chief of General Surgery, and is an Anesthesiologist and Surgical Intensivist, all at VA Puget Sound Health Care System in Seattle, Washington. Vivek Arora and Alex Lee are affiliated with the Department of Anesthesiology and Pain Medicine and Lorrie Langdale is affiliated with the Department of Surgery, University of Washington in Seattle.
Developing clear protocols for surgical care during the COVID-19 pandemic is essential. These guidelines protect operating room staff and ensure safe patient management during infectious disease crises.
Area of Science:
- Infectious Diseases
- Surgical Care
- Public Health
Background:
- The global emergence of SARS-CoV-2 (COVID-19) poses significant challenges to emergency surgical management.
- Protecting operating room personnel and ensuring effective care for surgical patients with COVID-19 are critical concerns.
Purpose of the Study:
- To outline a protocol for managing surgical patients during the COVID-19 pandemic.
- To provide a framework for protecting healthcare workers and maintaining patient safety.
Main Methods:
- Establishing rigorous infection control measures for interfacility transport and operative care.
- Developing rapidly adaptable emergency protocols that incorporate new knowledge.
- Implementing practice drills for operating room personnel.
Main Results:
- Initial challenges in managing COVID-19 surgical patients were encountered.
- A structured protocol was developed to address safety and operational concerns.
Conclusions:
- The shared experience aims to assist other institutions in managing surgical care during the COVID-19 pandemic.
- The developed protocol serves as a template for future infectious disease emergencies, adaptable to various healthcare settings.
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