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NORA: Considerations during COVID 19 Pandemic-The New York Experience.
Diana Anca1, Bradley Pua2, Patricia Fogarty Mack3
1EP Anesthesia North Shore University Hospital, Clinical Anesthesiology, DNORA Weill Cornell Medicine, United States.
Perioperative Care and Operating Room Management
|December 7, 2020
Summary
Hospitals rapidly adapted operating rooms and Non-operating Room Anesthesiology (NORA) suites for COVID-19 patient care. This involved new protocols, construction, and multidisciplinary collaboration to ensure safety and effectiveness.
Area of Science:
- Medicine
- Healthcare Management
- Infectious Disease
Background:
- The COVID-19 pandemic necessitated rapid adaptation of hospital facilities and protocols.
- Maintaining safe and effective patient care in operating rooms and Non-operating Room Anesthesiology (NORA) suites was critical.
- Emergent patient care required modifications for both COVID-19 positive and negative patients.
Purpose of the Study:
- To detail the collaborative planning, construction, and preparation for NORA programs during the COVID-19 surge.
- To describe adaptations in two academic medical centers.
- To highlight the integration of national professional society guidelines.
Main Methods:
- Physical and procedural revisions in operating rooms and NORA suites.
- Development of new patient care protocols and personal protective equipment (PPE) training.
- Repurposing of procedural suites and interdepartmental collaboration.
Main Results:
- Successful adaptation of NORA programs in two academic medical centers.
- Implementation of revised protocols and redesigned procedural areas.
- Multidisciplinary teams effectively managed patient care amidst the pandemic.
Conclusions:
- Collaborative efforts and facility adaptations were crucial for NORA services during the pandemic.
- The integration of guidelines from Gastroenterology, Cardiology, and Interventional Radiology informed patient care strategies.
- Hospitals demonstrated resilience and adaptability in maintaining essential medical services.
