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Halogenated Agent Delivery in Porcine Model of Acute Respiratory Distress Syndrome via an Intensive Care Unit Type Device

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Published on: September 24, 2020

Procedural sedation in the COVID-19 era.

Nicholas Fawley¹, Basem Abdelmalak²

¹Department of General Anesthesiology, Anesthesiology Institute, Cleveland Clinic.

Cleveland Clinic Journal of Medicine

|June 10, 2020

Summary

Resuming procedural sedation during COVID-19 requires safety guidelines for patients and providers. Strategies include modified sedation approaches and opioid-sparing techniques to minimize transmission risks.

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Area of Science:

Anesthesiology
Infectious Disease Control
Healthcare Management

Background:

The COVID-19 pandemic necessitated a halt in elective procedures, including those requiring procedural sedation.
Resuming these services demands stringent safety protocols to protect both patients and healthcare professionals from viral transmission.

Purpose of the Study:

To provide guidelines for the safe resumption of procedural sedation services during the COVID-19 pandemic.
To outline modifications in sedation practices to mitigate droplet and aerosol transmission risks.

Main Methods:

Discussion of key considerations: timing of procedures, patient screening and testing protocols.
Emphasis on appropriate use of personal protective equipment (PPE) and meticulous case planning.
Exploration of sedative and opioid-sparing strategies, including multimodal analgesia and non-pharmacologic interventions.

Main Results:

Modified procedural sedation approaches can reduce the risk of droplet or aerosol transmission.
Decreasing nasal cannula oxygen supplementation flows is a key modification.
Opioid and sedative sparing strategies, alongside multimodal and non-pharmacologic approaches, reduce the need for oxygen supplementation.

Conclusions:

Implementing specific guidelines is crucial for safely resuming procedural sedation.
Adapting sedation techniques and utilizing opioid-sparing methods are vital for minimizing transmission risks.
Recommendations are provided for managing COVID-19 positive patients requiring procedural sedation.