Webinar on How Covid-19 Pandemic changed Anaesthesiology Clinical Practice – Lessons Learned
ESAIC Academy. Presenters F. 11/16/21; 333278
Disclosure(s): This Webinar is supported by MSD
Daniela Ionescu
Andrea Kollmann Camaiora
Carolyn Weiniger
Chiara Robba
Paolo Pasqualino Pelosi
About this activity
Learning Objectives
Abstract
This webinar was hosted on November 16, 2021, from 18h to 19h CET, and is accessible in open-access, without a login.
Webinar Scientific Faculty
Scientific Faculty Leader & Host
Prof. Dr. Daniela Ionescu
Professor in Anesthesia and Intensive Care and Chair of the ESAIC- Scientific Subcommittee 1 (SSC1)- General anaesthesia
Head of Department of Anesthesia and Intensive Care I, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
Speakers
Prof. Dr. Carolyn Weiniger
Chair of the ESAIC- Scientific Subcommittee 4 (SSC4) - Obstetric Anaesthesiology
Department of Anaesthesiology, Pain and Intensive Care Medicine, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
Prof. Dr. Chiara Robba
Anesthesia and Intensive Care, Policlinico San Martino, IRCCS for Oncology and Neuroscience, Genova, Italy
Prof. Dr. Paolo Pelosi
Professor in Anaesthesiology and Intensive Care Medicine
Department of Surgical Sciences and Integrated Diagnostics, Policlinico San Martino Hospital University of Genoa, Genoa, Italy
Scientific Support
Dr. Andrea Kollmann
ESAIC eLearning Chair
Coordinator for Obstetric Anaesthesia, Akademiska Sjukhuset, Uppsala, Sweden
Target Audience: General anaesthesiologists, Intensive Care Medicine doctors, and anaesthesiology trainees taking care of COVID patients during the pandemic. This webinar will be open to anyone who wishes to view it, from whichever country they can access it
Methods to promote adult active learning
This webinar will include:
This webinar will enable the participants to:
This webinar is available on PC, Tablet and Smartphone
For the best viewing experience, a high-speed internet connection is required
Organised by
ESAIC
ESAIC eLearning Committee
Webinar Scientific Faculty
Scientific Faculty Leader & Host
Prof. Dr. Daniela Ionescu
Professor in Anesthesia and Intensive Care and Chair of the ESAIC- Scientific Subcommittee 1 (SSC1)- General anaesthesia
Head of Department of Anesthesia and Intensive Care I, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
Speakers
Prof. Dr. Carolyn Weiniger
Chair of the ESAIC- Scientific Subcommittee 4 (SSC4) - Obstetric Anaesthesiology
Department of Anaesthesiology, Pain and Intensive Care Medicine, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
Prof. Dr. Chiara Robba
Anesthesia and Intensive Care, Policlinico San Martino, IRCCS for Oncology and Neuroscience, Genova, Italy
Prof. Dr. Paolo Pelosi
Professor in Anaesthesiology and Intensive Care Medicine
Department of Surgical Sciences and Integrated Diagnostics, Policlinico San Martino Hospital University of Genoa, Genoa, Italy
Scientific Support
Dr. Andrea Kollmann
ESAIC eLearning Chair
Coordinator for Obstetric Anaesthesia, Akademiska Sjukhuset, Uppsala, Sweden
Target Audience: General anaesthesiologists, Intensive Care Medicine doctors, and anaesthesiology trainees taking care of COVID patients during the pandemic. This webinar will be open to anyone who wishes to view it, from whichever country they can access it
Methods to promote adult active learning
This webinar will include:
- Polls: to increase interactivity and engagement. Results from polls will lead to discussions points during each lecture.
- Q&A session at the end of webinar: to answer questions brought up by the host and submitted by the audience (in real time). Questions will be filtered by the scientific support to prioritise relevance.
- Anaesthesia during pandemic
- Organisation of perioperative medicine during pandemic
- Non-invasive and invasive ventilation in Covid patients
- Obstetric patient with Covid in delivery room
- Anaesthesia before and after the Corona pandemic; we are not the same, Paolo Pelosi
- The obstetric patient with Corona and respiratory symptoms coming to the delivery room, Carolyn Weiniger
- Ventilation concepts; timing might be crucial - noninvasive versus invasive, Chiara Robba
- Discuss some of the most important aspects of anesthesia and intensive care in Covid patients
- Debate on what change our practice after Covid
- Review the most important aspects of noninvasive/invasive ventilation in COVID patients
- Review the most important aspects of care in COVID obstetric patients in the delivery room
This webinar will enable the participants to:
- Outline the most important specific aspects of anaesthesia during pandemic
- Describe the most important aspects of ventilation in Covid patients
- Describe the main aspects of care of obstetric patient with Corona in delivery room
- Discuss aspects of wellness of health care professionals during pandemic
- Elaborate on administrative and organizational issues in the perioperative medicine during COVID-19 pandemic
This webinar is available on PC, Tablet and Smartphone
For the best viewing experience, a high-speed internet connection is required
Organised by
ESAIC
ESAIC eLearning Committee
Knowledge to be acquired after attending this Webinar
The participant will be able to:
This webinar will enable participants to:
The participant is aware of:
The participant will be able to:
- Discuss clinical anesthesia-related recommendations on treating COVID-19 and suspected COVID-19 patients
- Understand the importance of invasive and non-invasive ventilation for optimizing outcomes in patients with Covid-19
- Explore the role of imaging and in particular lung Computed Tomography for the individualization of treatment in this group of patients
- Analyze the indications and timing for non-invasive ventilation and the type of device to use
- Understand the optimal timing for initiation of invasive mechanical ventilation to improve patients’ outcome
- Discuss the principal ventilator settings and respiratory targets to be set in this population
- Understand the pathophysiology of COVID-19 and the effect on pregnancy and review our knowledge growth over the duration of the pandemic
- Discuss perinatal (maternal and neonatal) outcomes of COVID-19 pregnancies
- Implement best practices for obstetric anesthesia management of pregnant women with Sars-CoV-2 infection within the multidisciplinary team
This webinar will enable participants to:
- Review main aspects of personal safety and protective equipment
- Elaborate administrative and organizational issues in perioperative medicine during the COVID-19 pandemic
- Set up principal ventilator settings and respiratory targets in this population
- Know optimal timing for initiation of invasive mechanical ventilation to improve patients’ outcome
The participant is aware of:
- Changes in anaesthetic practice during the pandemic
- Wellness of the health care professionals during and after the pandemic
- Best decision and optimal time when to initiate mechanical ventilation in Covid patients
Scientific Summary: How Covid-19 Pandemic changed Anaesthesiology Clinical Practice.
"It is well known that COVID-19 has tested doctors and healthcare professionals to the limit of their professional competence and has taken a considerable toll to their health and wellbeing.” These are the words spoken by the host, Professor Daniela Ionescu, of the Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania. Scientific Support is provided by Dr. Andrea Kollmann, C, Akademiska Sjukhuset, Uppsala, Sweden.
The first speaker, Professor Paolo Pelosi from Genoa, Italy, shares his experience in anaesthesia and critical care procedures during the pandemic. He begins by reviewing the Italian COVID-19 recommendations published in 2019. He emphasizes the importance of anticipating needs to maximize the first-pass success of intubation and adopting early warning scores for better organization and management. As airway management is considered an aerosol-generating procedure, Prof. Pelosi highlights proper donning and doffing of PPE and the importance of a clinical checklist. As for the guidelines’ recommendations for intubation, awake intubation is not indicated due to the extreme hypoxic level of many COVID-19 patients, and preoxygenation is crucial. In addition, he recommends that full-does neuromuscular blocking is essential to improve intubation.
Prof. Pelosi continues his discussion by reviewing some frequently asked questions on how COVID-19 has changed surgery, the importance of patient testing before surgery and extra precautions required by the surgical team. He emphasizes that if a rapid molecular swab is negative at the oropharyngeal level, perform a standard molecular swab for bronchoalveolar lavage (BAL) / bronchoaspirates (BAS), since roughly one-third of patients who test negative in the upper airway test positive in the deep airway.
Professor Carolyn Weiniger from the Tel Aviv Sourasky Medical Center, Tel Aviv, Israel, is the second speaker and discusses obstetric patients with COVID-19 and respiratory symptoms. Pregnant women have higher incidences of ICU admission, mechanical ventilation and mortality than symptomatic non-pregnant women. However, the threshold for admission is higher for pregnant women because of the impact of pregnancy on cardiorespiratory function. Therefore, she recommends reducing the admission threshold due to the physiological demands of pregnancy.
Prof. Weiniger continues by reviewing the management of COVID-19 patients in the labour ward. Some basic recommendations include an early labour epidural, avoiding general anaesthesia, planning for unexpected cesarean delivery, and maternal monitoring. However, she contends that the delivery timing is a difficult question of balance between patient deterioration versus the advantages of prolonged pregnancy.
The final speaker is Dr. Chiara Robba from Genova, Italy, who discusses early versus late incubation for Covid-19 patients. She begins by reviewing the temporal behaviour from viral exposure to infection. To this end, it is difficult to decide whether a patient should be intubated, as there are many independent risk factors for all causes of hospital mortality. Although a variety of respiratory support can be utilized, the time frame of what devices to use and when have not been described in the guidelines.
She continues by reviewing the distinct phenotypes of COVID-19 and numerous studies to determine optimal timing for intubation. The timing is indeed a multifactorial issue and depends on the pathophysiology of Covid-19. Therefore, the decision to intubate and its timing must be individualized.
"It is well known that COVID-19 has tested doctors and healthcare professionals to the limit of their professional competence and has taken a considerable toll to their health and wellbeing.” These are the words spoken by the host, Professor Daniela Ionescu, of the Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania. Scientific Support is provided by Dr. Andrea Kollmann, C, Akademiska Sjukhuset, Uppsala, Sweden.
The first speaker, Professor Paolo Pelosi from Genoa, Italy, shares his experience in anaesthesia and critical care procedures during the pandemic. He begins by reviewing the Italian COVID-19 recommendations published in 2019. He emphasizes the importance of anticipating needs to maximize the first-pass success of intubation and adopting early warning scores for better organization and management. As airway management is considered an aerosol-generating procedure, Prof. Pelosi highlights proper donning and doffing of PPE and the importance of a clinical checklist. As for the guidelines’ recommendations for intubation, awake intubation is not indicated due to the extreme hypoxic level of many COVID-19 patients, and preoxygenation is crucial. In addition, he recommends that full-does neuromuscular blocking is essential to improve intubation.
Prof. Pelosi continues his discussion by reviewing some frequently asked questions on how COVID-19 has changed surgery, the importance of patient testing before surgery and extra precautions required by the surgical team. He emphasizes that if a rapid molecular swab is negative at the oropharyngeal level, perform a standard molecular swab for bronchoalveolar lavage (BAL) / bronchoaspirates (BAS), since roughly one-third of patients who test negative in the upper airway test positive in the deep airway.
Professor Carolyn Weiniger from the Tel Aviv Sourasky Medical Center, Tel Aviv, Israel, is the second speaker and discusses obstetric patients with COVID-19 and respiratory symptoms. Pregnant women have higher incidences of ICU admission, mechanical ventilation and mortality than symptomatic non-pregnant women. However, the threshold for admission is higher for pregnant women because of the impact of pregnancy on cardiorespiratory function. Therefore, she recommends reducing the admission threshold due to the physiological demands of pregnancy.
Prof. Weiniger continues by reviewing the management of COVID-19 patients in the labour ward. Some basic recommendations include an early labour epidural, avoiding general anaesthesia, planning for unexpected cesarean delivery, and maternal monitoring. However, she contends that the delivery timing is a difficult question of balance between patient deterioration versus the advantages of prolonged pregnancy.
The final speaker is Dr. Chiara Robba from Genova, Italy, who discusses early versus late incubation for Covid-19 patients. She begins by reviewing the temporal behaviour from viral exposure to infection. To this end, it is difficult to decide whether a patient should be intubated, as there are many independent risk factors for all causes of hospital mortality. Although a variety of respiratory support can be utilized, the time frame of what devices to use and when have not been described in the guidelines.
She continues by reviewing the distinct phenotypes of COVID-19 and numerous studies to determine optimal timing for intubation. The timing is indeed a multifactorial issue and depends on the pathophysiology of Covid-19. Therefore, the decision to intubate and its timing must be individualized.
Scientific Summary: How Covid-19 Pandemic changed Anaesthesiology Clinical Practice.
"It is well known that COVID-19 has tested doctors and healthcare professionals to the limit of their professional competence and has taken a considerable toll to their health and wellbeing.” These are the words spoken by the host, Professor Daniela Ionescu, of the Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania. Scientific Support is provided by Dr. Andrea Kollmann, C, Akademiska Sjukhuset, Uppsala, Sweden.
The first speaker, Professor Paolo Pelosi from Genoa, Italy, shares his experience in anaesthesia and critical care procedures during the pandemic. He begins by reviewing the Italian COVID-19 recommendations published in 2019. He emphasizes the importance of anticipating needs to maximize the first-pass success of intubation and adopting early warning scores for better organization and management. As airway management is considered an aerosol-generating procedure, Prof. Pelosi highlights proper donning and doffing of PPE and the importance of a clinical checklist. As for the guidelines’ recommendations for intubation, awake intubation is not indicated due to the extreme hypoxic level of many COVID-19 patients, and preoxygenation is crucial. In addition, he recommends that full-does neuromuscular blocking is essential to improve intubation.
Prof. Pelosi continues his discussion by reviewing some frequently asked questions on how COVID-19 has changed surgery, the importance of patient testing before surgery and extra precautions required by the surgical team. He emphasizes that if a rapid molecular swab is negative at the oropharyngeal level, perform a standard molecular swab for bronchoalveolar lavage (BAL) / bronchoaspirates (BAS), since roughly one-third of patients who test negative in the upper airway test positive in the deep airway.
Professor Carolyn Weiniger from the Tel Aviv Sourasky Medical Center, Tel Aviv, Israel, is the second speaker and discusses obstetric patients with COVID-19 and respiratory symptoms. Pregnant women have higher incidences of ICU admission, mechanical ventilation and mortality than symptomatic non-pregnant women. However, the threshold for admission is higher for pregnant women because of the impact of pregnancy on cardiorespiratory function. Therefore, she recommends reducing the admission threshold due to the physiological demands of pregnancy.
Prof. Weiniger continues by reviewing the management of COVID-19 patients in the labour ward. Some basic recommendations include an early labour epidural, avoiding general anaesthesia, planning for unexpected cesarean delivery, and maternal monitoring. However, she contends that the delivery timing is a difficult question of balance between patient deterioration versus the advantages of prolonged pregnancy.
The final speaker is Dr. Chiara Robba from Genova, Italy, who discusses early versus late incubation for Covid-19 patients. She begins by reviewing the temporal behaviour from viral exposure to infection. To this end, it is difficult to decide whether a patient should be intubated, as there are many independent risk factors for all causes of hospital mortality. Although a variety of respiratory support can be utilized, the time frame of what devices to use and when have not been described in the guidelines.
She continues by reviewing the distinct phenotypes of COVID-19 and numerous studies to determine optimal timing for intubation. The timing is indeed a multifactorial issue and depends on the pathophysiology of Covid-19. Therefore, the decision to intubate and its timing must be individualized.
"It is well known that COVID-19 has tested doctors and healthcare professionals to the limit of their professional competence and has taken a considerable toll to their health and wellbeing.” These are the words spoken by the host, Professor Daniela Ionescu, of the Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania. Scientific Support is provided by Dr. Andrea Kollmann, C, Akademiska Sjukhuset, Uppsala, Sweden.
The first speaker, Professor Paolo Pelosi from Genoa, Italy, shares his experience in anaesthesia and critical care procedures during the pandemic. He begins by reviewing the Italian COVID-19 recommendations published in 2019. He emphasizes the importance of anticipating needs to maximize the first-pass success of intubation and adopting early warning scores for better organization and management. As airway management is considered an aerosol-generating procedure, Prof. Pelosi highlights proper donning and doffing of PPE and the importance of a clinical checklist. As for the guidelines’ recommendations for intubation, awake intubation is not indicated due to the extreme hypoxic level of many COVID-19 patients, and preoxygenation is crucial. In addition, he recommends that full-does neuromuscular blocking is essential to improve intubation.
Prof. Pelosi continues his discussion by reviewing some frequently asked questions on how COVID-19 has changed surgery, the importance of patient testing before surgery and extra precautions required by the surgical team. He emphasizes that if a rapid molecular swab is negative at the oropharyngeal level, perform a standard molecular swab for bronchoalveolar lavage (BAL) / bronchoaspirates (BAS), since roughly one-third of patients who test negative in the upper airway test positive in the deep airway.
Professor Carolyn Weiniger from the Tel Aviv Sourasky Medical Center, Tel Aviv, Israel, is the second speaker and discusses obstetric patients with COVID-19 and respiratory symptoms. Pregnant women have higher incidences of ICU admission, mechanical ventilation and mortality than symptomatic non-pregnant women. However, the threshold for admission is higher for pregnant women because of the impact of pregnancy on cardiorespiratory function. Therefore, she recommends reducing the admission threshold due to the physiological demands of pregnancy.
Prof. Weiniger continues by reviewing the management of COVID-19 patients in the labour ward. Some basic recommendations include an early labour epidural, avoiding general anaesthesia, planning for unexpected cesarean delivery, and maternal monitoring. However, she contends that the delivery timing is a difficult question of balance between patient deterioration versus the advantages of prolonged pregnancy.
The final speaker is Dr. Chiara Robba from Genova, Italy, who discusses early versus late incubation for Covid-19 patients. She begins by reviewing the temporal behaviour from viral exposure to infection. To this end, it is difficult to decide whether a patient should be intubated, as there are many independent risk factors for all causes of hospital mortality. Although a variety of respiratory support can be utilized, the time frame of what devices to use and when have not been described in the guidelines.
She continues by reviewing the distinct phenotypes of COVID-19 and numerous studies to determine optimal timing for intubation. The timing is indeed a multifactorial issue and depends on the pathophysiology of Covid-19. Therefore, the decision to intubate and its timing must be individualized.
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