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Managing COVID-19 from the epicenter: adaptations and suggestions based on experience.
Burnett, Garrett W; Katz, Daniel; Park, Chang H; Hyman, Jaime B; Dickstein, Elisha; Levin, Matthew A; Sim, Alan; Salter, Benjamin; Owen, Robert M; Leibowitz, Andrew B; Hamburger, Joshua.
  • Burnett GW; Department of Anesthesiology, Perioperative and Pain Medicine, Icahn School of Medicine At Mount Sinai, 1450 Madison Avenue, KCC 8th Floor Box 411, New York, NY, 10029, USA. Garrett.burnett@mountsinai.org.
  • Katz D; Department of Anesthesiology, Perioperative and Pain Medicine, Icahn School of Medicine At Mount Sinai, 1450 Madison Avenue, KCC 8th Floor Box 411, New York, NY, 10029, USA.
  • Park CH; Department of Anesthesiology, Perioperative and Pain Medicine, Icahn School of Medicine At Mount Sinai, 1450 Madison Avenue, KCC 8th Floor Box 411, New York, NY, 10029, USA.
  • Hyman JB; Department of Anesthesiology, Perioperative and Pain Medicine, Icahn School of Medicine At Mount Sinai, 1450 Madison Avenue, KCC 8th Floor Box 411, New York, NY, 10029, USA.
  • Dickstein E; Department of Anesthesiology, Yale University, New Haven, CT, USA.
  • Levin MA; Department of Anesthesiology, Perioperative and Pain Medicine, Icahn School of Medicine At Mount Sinai, 1450 Madison Avenue, KCC 8th Floor Box 411, New York, NY, 10029, USA.
  • Sim A; Department of Anesthesiology, Perioperative and Pain Medicine, Icahn School of Medicine At Mount Sinai, 1450 Madison Avenue, KCC 8th Floor Box 411, New York, NY, 10029, USA.
  • Salter B; Department of Anesthesiology, Perioperative and Pain Medicine, Icahn School of Medicine At Mount Sinai, 1450 Madison Avenue, KCC 8th Floor Box 411, New York, NY, 10029, USA.
  • Owen RM; Department of Anesthesiology, Perioperative and Pain Medicine, Icahn School of Medicine At Mount Sinai, 1450 Madison Avenue, KCC 8th Floor Box 411, New York, NY, 10029, USA.
  • Leibowitz AB; Department of Anesthesiology, Perioperative and Pain Medicine, Icahn School of Medicine At Mount Sinai, 1450 Madison Avenue, KCC 8th Floor Box 411, New York, NY, 10029, USA.
  • Hamburger J; Department of Anesthesiology, Perioperative and Pain Medicine, Icahn School of Medicine At Mount Sinai, 1450 Madison Avenue, KCC 8th Floor Box 411, New York, NY, 10029, USA.
J Anesth ; 35(3): 366-373, 2021 06.
Article in English | MEDLINE | ID: covidwho-812584
ABSTRACT
In March 2020, the New York City metropolitan area became the epicenter of the United States' SARS-CoV-2 pandemic and the surge of new cases threatened to overwhelm the area's hospital systems. This article describes how an anesthesiology department at a large urban academic hospital rapidly adapted and deployed to meet the threat head-on. Topics included are preparatory efforts, development of a team-based staffing model, and a new strategy for resource management. While still maintaining a fully functioning operating theater, discrete teams were deployed to both COVID-19 and non-COVID-19 intensive care units, rapid response/airway management team, the difficult airway response team, and labor and delivery. Additional topics include the creation of a temporary 'pop-up' anesthesiology-run COVID-19 intensive care unit utilizing anesthesia machines for monitoring and ventilatory support as well as the development of a simulation and innovation team that was instrumental in the rapid prototyping of a controlled split-ventilation system and conversion of readily available BIPAP units into emergency ventilators. As the course of the disease is uncertain, the goal of this article is to assist others in preparation for what may come next with COVID-19 as well as potential future pandemics.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Experimental Studies / Prognostic study Limits: Humans Country/Region as subject: North America Language: English Journal: J Anesth Journal subject: Anesthesiology Year: 2021 Document Type: Article Affiliation country: S00540-020-02860-1

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Experimental Studies / Prognostic study Limits: Humans Country/Region as subject: North America Language: English Journal: J Anesth Journal subject: Anesthesiology Year: 2021 Document Type: Article Affiliation country: S00540-020-02860-1