Guidelines: Anaesthesia in the context of COVID-19 pandemic - 20/07/20
Doi : 10.1016/j.accpm.2020.05.012
Lionel Velly a, b, ⁎ 
, Etienne Gayat c, d, Hervé Quintard g, Emmanuel Weiss h, i, Audrey De Jong e, f, Philippe Cuvillon j, Gérard Audibert k, Julien Amour l, Marc Beaussier m, Matthieu Biais n, o, Sébastien Bloc p, Marie Pierre Bonnet q, r, s, Pierre Bouzat t, Gilles Brezac u, Claire Dahyot-Fizelier v, w, Souhayl Dahmani x, Mathilde de Queiroz y, Sophie Di Maria z, Claude Ecoffey aa, Emmanuel Futier ab, ac, Thomas Geeraerts ad, Haithem Jaber ae, Laurent Heyer af, Rim Hoteit e, Olivier Joannes-Boyau ag, Delphine Kern ah, Olivier Langeron ai, Sigismond Lasocki aj, Yoan Launey ak, Frederic le Saché al, am, an, Anne Claire Lukaszewicz ao, ap, Axel Maurice-Szamburski aq, Nicolas Mayeur ar, Fabrice Michel as, Vincent Minville at, au, Sébastien Mirek av, aw, Philippe Montravers ax, ay, Estelle Morau az, Laurent Muller ba, bb, Jane Muret bc, Karine Nouette-Gaulain bd, Jean Christophe Orban be, Gilles Orliaguet bf, bg, Pierre François Perrigault bh, Florence Plantet bi, Julien Pottecher bj, bk, Christophe Quesnel ay, bl, Vanessa Reubrecht z, Bertrand Rozec bm, Benoit Tavernier bn, Benoit Veber bo, Francis Veyckmans bp, Hélène Charbonneau ar, Isabelle Constant bq, Denis Frasca br, Marc-Olivier Fischer bs, Catherine Huraux bt, Alice Blet d, bu, bv, Marc Garnier ay, bw, bx
, Etienne Gayat c, d, Hervé Quintard g, Emmanuel Weiss h, i, Audrey De Jong e, f, Philippe Cuvillon j, Gérard Audibert k, Julien Amour l, Marc Beaussier m, Matthieu Biais n, o, Sébastien Bloc p, Marie Pierre Bonnet q, r, s, Pierre Bouzat t, Gilles Brezac u, Claire Dahyot-Fizelier v, w, Souhayl Dahmani x, Mathilde de Queiroz y, Sophie Di Maria z, Claude Ecoffey aa, Emmanuel Futier ab, ac, Thomas Geeraerts ad, Haithem Jaber ae, Laurent Heyer af, Rim Hoteit e, Olivier Joannes-Boyau ag, Delphine Kern ah, Olivier Langeron ai, Sigismond Lasocki aj, Yoan Launey ak, Frederic le Saché al, am, an, Anne Claire Lukaszewicz ao, ap, Axel Maurice-Szamburski aq, Nicolas Mayeur ar, Fabrice Michel as, Vincent Minville at, au, Sébastien Mirek av, aw, Philippe Montravers ax, ay, Estelle Morau az, Laurent Muller ba, bb, Jane Muret bc, Karine Nouette-Gaulain bd, Jean Christophe Orban be, Gilles Orliaguet bf, bg, Pierre François Perrigault bh, Florence Plantet bi, Julien Pottecher bj, bk, Christophe Quesnel ay, bl, Vanessa Reubrecht z, Bertrand Rozec bm, Benoit Tavernier bn, Benoit Veber bo, Francis Veyckmans bp, Hélène Charbonneau ar, Isabelle Constant bq, Denis Frasca br, Marc-Olivier Fischer bs, Catherine Huraux bt, Alice Blet d, bu, bv, Marc Garnier ay, bw, bx a Aix-Marseille University, AP–HM, Department of Anaesthesiology and Critical Care Medicine, University Hospital Timone, 13005 Marseille, France
b Aix-Marseille University, CNRS, Institut Neuroscience Timone, UMR7289, Marseille, France
c Department of Anaesthesiology and Critical Care, Lariboisière Hospital, DMU Parabol, AP–HP Nord, University of Paris, Paris, France
d Inserm UMR-S 942, Cardiovascular Markers in Stress Conditions (MASCOT), University of Paris, Paris, France
e Department of Anaesthesia and Intensive Care unit, Regional University Hospital of Montpellier, St-Éloi Hospital, Montpellier, France
f PhyMedExp, University of Montpellier, Inserm U1046, CNRS UMR, 9214, Montpellier, France
g Intensive Care Unit, Centre Hospitalier Universitaire de Nice, Pasteur 2 Hospital, Nice, France
h Department of Anaesthesiology and Critical Care, Beaujon Hospital, DMU Parabol, AP–HP Nord, Paris, France
i Inserm UMR_S1149, Inserm, Université de Paris, Paris, France
j Department of Anaesthesiology, Beaujon Hospital, CHU Carémeau, Nîmes, France
k Department of Anaesthesia and Intensive Care, Lorraine University, Nancy University Hospital, 54000 Nancy, France
l Cardiovascular and Thoracic Surgery Department, Hôpital Privé Jacques-Cartier, 91300 Massy, France
m Département d’Anesthésie, Institut Mutualiste Montsouris, 75014 Paris, France
n Department of Anaesthesiology and Critical Care, Pellegrin Hospital, CHU de Bordeaux, Bordeaux, France
o Inserm UMR-S 1034, Biology of Cardiovascular Diseases, Bordeaux University, Bordeaux, France
p CMC Ambroise-Paré, Département d’anesthésie, 92200 Neuilly-sur-Seine, France
q Department of Anaesthesiology and Critical Care, Armand-Trousseau University Hospital, Assistance publique–Hôpitaux de Paris, Paris, France
r Centre for Epidemiology and Statistics Sorbonne Paris Cité (CRESS), Université de Paris, Obstetrical Perinatal and Paediatric Epidemiology Research Team (EPOPé), Inserm INRA, Paris, France
s Department of Anaesthesiology and Critical Care, Cochin-Port Royal University Hospital, Assistance publique–Hôpitaux de Paris, Paris, France
t Department of Anaesthesiology and Intensive Care Medicine, Grenoble University Hospital, 38000 Grenoble, France
u Anaesthesiology, Lenval Children's Hospital, 06200 Nice, France
v Anaesthesia and Intensive Care, University Hospital of Poitiers, Poitiers, France
w Inserm UMR1070, Pharmacology of Anti-infective Agents, University of Poitiers, Poitiers, France
x Department of Anaesthesia and Intensive Care, Robert-Debré University Hospital, AP–HP, DHU PROTECT, Inserm U1141, Paris, France
y Department of Paediatric Anaesthesia and Intensive Care, Femme–Mère-Enfant Hospital, Lyon, France
z Department of Anaesthesiology and Critical Care, AP–HP, Hôpital Pitié-Salpêtrière, Paris, France
aa Department of Anaesthesia and Intensive Care, CHU de Rennes, Inserm UMR 991, CIC 1414, Rennes 1 University, Rennes, France
ab Department of Anaesthesiology and Critical Care, Estaing Hospital, CHU de Clermont-Ferrand, Clermont-Ferrand, France
ac Université Clermont Auvergne, CNRS, Inserm U-1103, Clermont-Ferrand, France
ad Pôle Anesthésie-Réanimation, Inserm, UMR 1214, Toulouse Neuroimaging Centre (ToNIC), université Toulouse 3 – Paul-Sabatier, CHU de Toulouse, 31059 Toulouse, France
ae Departments of Anaesthesia and Intensive Care, Caen University Hospital, Caen, France
af Intensive Care Unit, Department of Anaesthesiology and Intensive Care Medicine, Croix-Rousse Hospital, Lyon, France
ag Service d’Anesthésie-Réanimation Sud, Centre Médico-Chirurgical Magellan, Centre Hospitalier Universitaire (CHU) de Bordeaux, 33000 Bordeaux, France
ah Departments of Anaesthesia and Intensive Care, Children Hospital, University Hospital of Toulouse, Toulouse, France
ai Department of Anaesthesiology and Critical Care Medicine, Henri-Mondor University Hospital, University Paris-Est Créteil (UPEC), Assistance publique–Hôpitaux de Paris, Paris, France
aj Department of Anaesthesiology and Critical Care Medicine, UBL Université d’Angers, CHU d’Angers, Angers, France
ak Department of Anaesthesiology and Critical Care Medicine, Centre Hospitalier Universitaire de Rennes, Rennes, France
al Department of Anaesthesiology and Intensive Care, DMU DREAM, AP–HP, 6 Sorbonne Université, Paris, France
am Clinique Remusat, 75016 Paris, France
an Clinique Jouvenet, 75016 Paris, France
ao University of Lyon, EA 7426: Pathophysiology of Injury-Induced Immunosuppression (PI3), Lyon, France
ap Department of Anaesthesiology and Critical Care, Neurological hospital, Hospices Civils de Lyon, Lyon, France
aq Department of Anaesthesia, Clinique Monticelli-Velodrome, GDS, 13008 Marseille, France
ar Anaesthesiology and intensive care medicine, Clinique Pasteur, 31076 Toulouse, France
as Department of Paediatric Intensive Care Unit, Assistance publique–Hôpitaux de Marseille, La Timone Hospital, Marseille, France
at Department of Anaesthesiology and Intensive Care, Toulouse University Hospital, 31432 Toulouse, France
au Inserm, U1048, Université Paul-Sabatier, Institute of Metabolic and Cardiovascular Diseases, I2MC, 31432 Toulouse, France
av Department of Anaesthesiology and Intensive Care, Dijon University Hospital, 21079 Dijon, France
aw U-SEEM, Healthcare Simulation Centre of University Hospital of Dijon, 21079 Dijon, France
ax Department of Anaesthesiology and Critical Care, CHU Bichat–Claude-Bernard, DMU Parabol, AP–HP Nord, University of Paris, Paris, France
ay Inserm UMR-S 1152, Epidemiology and Physiopathology of Respiratory Diseases, University of Paris, Paris, France
az Department of Anaesthesiology and Critical Care Medicine, Hôpital Universitaire Arnaud-de-Villeneuve, Montpellier, France
ba Department of Anaesthesiology and Intensive Care, Pain and Emergency Medicine, Nîmes-Caremeau University Hospital, Université Montpellier, place du Professeur-Robert-Debré, 30029 Nîmes cedex 9, France
bb Physiology Department, EA 2992, Faculty of Medicine, Université Montpellier, Montpellier-Nimes University, Nîmes, France
bc Institut Curie PSL Research University, 75005 Paris, France
bd Department of Anaesthesiology, Intensive Care and Pain, Institut Curie, 75005 Paris, France
be Department of Anaesthesiology and Intensive Care Medicine, Nice University Hospital, Nice, France
bf Surgical Paediatric Intensive Care Unit, Universitary Hospital Necker–Enfants-Malades, Paris, France
bg EA08 Pharmacologie et Évaluation des Thérapeutiques chez l’Enfant et la Femme Enceinte, Paris Descartes University (Paris V), Paris, France
bh Department of Anaesthesia and Critical Care Medicine, Montpellier University, Gui-de-Chauliac Hospital, Montpellier, France
bi Service d’Anesthésie-Réanimation, Clinique Générale, 4, chemin de la Tour-la-Reine, Annecy, France
bj Department of Anaesthesiology and Critical Care, Les Hôpitaux Universitaires de Strasbourg (HUS), Strasbourg, France
bk Fédération de Médecine Translationnelle de Strasbourg (FMTS), Strasbourg, France
bl Department of Anaesthesiology and Critical Care, Tenon Hospital, DMU DREAM, AP–HP, 6 Sorbonne Université School of Medicine, Paris, France
bm Anesthésie-Réanimation, CHU Nantes, Hôpital Laennec, 1, boulevard Jacques-Monod, 44093 Nantes cedex, France
bn Department of Anaesthesiology and Critical Care, CHU de Lille, Pôle d’Anesthésie-Réanimation, 59000 Lille, France
bo Department of Anaesthesiology and Critical Care, Université de Rouen Normandie, Rouen, France
bp Department of Paediatric Anaesthesia, Jeanne-de-Flandre Hospital, University Hospitals of Lille, Lille, France
bq Anaesthesiology Department, Hôpital Armand-Trousseau, Sorbonne Université, Assistance publique–Hôpitaux de Paris, DMU DREAM, Sorbonne Université, Paris, France
br Department of Anaesthesiology and Critical Care, Poitiers University, CHU de Poitiers, Poitiers, France
bs Department of Anaesthesiology and Critical Care, Normandie Université, UNICAEN, CHU de Caen Normandie, 14000 Caen, France
bt Department of Anaesthesiology, Clinique des Cèdres, 38130 Échirolles, France
bu Department of Anaesthesiology, Critical Care and Burn Centre, Lariboisière–Saint-Louis Hospitals, DMU Parabol, AP–HP Nord, University of Paris, Paris, France
bv University of Ottawa Heart Institute, University of Ottawa, Ottawa, Ontario, Canada
bw Department of Anaesthesiology and Critical Care, Saint-Antoine Hospital, DMU DREAM, AP–HP, 6 Sorbonne Université, Paris, France
bx Sorbonne Université School of Medicine, Paris, France
⁎Corresponding author at: Service d’Anesthésie-Réanimation, Centre Hospitalier Universitaire Timone, 264, rue Saint-Pierre, 13005 Marseille cedex 5, France.Service d’Anesthésie-Réanimation, Centre Hospitalier Universitaire Timone264, rue Saint-PierreMarseille cedex 513005France
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Abstract |
Objectives |
The world is currently facing an unprecedented healthcare crisis caused by the COVID-19 pandemic. The objective of these guidelines is to produce a framework to facilitate the partial and gradual resumption of intervention activity in the context of the COVID-19 pandemic.
Methods |
The group has endeavoured to produce a minimum number of recommendations to highlight the strengths to be retained in the 7 predefined areas: (1) protection of staff and patients; (2) benefit/risk and patient information; (3) preoperative assessment and decision on intervention; (4) modalities of the preanaesthesia consultation; (5) specificity of anaesthesia and analgesia; (6) dedicated circuits and (7) containment exit type of interventions.
Results |
The SFAR Guideline panel provides 51 statements on anaesthesia management in the context of COVID-19 pandemic. After one round of discussion and various amendments, a strong agreement was reached for 100% of the recommendations and algorithms.
Conclusion |
We present suggestions for how the risk of transmission by and to anaesthetists can be minimised and how personal protective equipment policies relate to COVID-19 pandemic context.
Le texte complet de cet article est disponible en PDF.Keywords : COVID-19, SARS-CoV-2, Airway management, Infection prevention and control, Personal protective equipment, Viruses
Plan
| ☆ | Guidelines from the French Society of Anaesthesia and Intensive Care Medicine (Société française d’anesthésie et de réanimation – SFAR), in collaboration with the Association of French-speaking paediatric anaesthesiologists and intensivists (Association des anesthésistes réanimateurs pédiatriques d’expression française – ADARPEF). |
| ☆☆ | Validated by the Board of Directors of SFAR on 29/04/2020. |
© 2020
The Author(s). Publié par Elsevier Masson SAS. Tous droits réservés.
Vol 39 - N° 3
P. 395-415 - juin 2020 Retour au numéro
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