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Chapter 8. Medical procedures. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster.
Intensive Care Med. 2010 Apr; 36 Suppl 1:S65-9.IC

Abstract

PURPOSE

To provide recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza pandemic or mass disaster with a specific focus on ensuring that adequate resources are available and appropriate protocols are developed to safely perform procedures in patients with and without influenza illness.

METHODS

Based on a literature review and expert opinion, a Delphi process was used to define the essential topics including performing medical procedures.

RESULTS

Key recommendations include: (1) specify high-risk procedures (aerosol generating-procedures); (2) determine if certain procedures will not be performed during a pandemic; (3) develop protocols for safe performance of high-risk procedures that include appropriateness, qualifications of personnel, site, personal protection equipment, safe technique and equipment needs; (4) ensure adequate training of personnel in high-risk procedures; (5) procedures should be performed at the bedside whenever possible; (6) ensure safe respiratory therapy practices to avoid aerosols; (7) provide safe respiratory equipment; and (8) determine criteria for cancelling and/or altering elective procedures.

CONCLUSIONS

Judicious planning and adoption of protocols for safe performance of medical procedures are necessary to optimize outcomes during a pandemic.

Authors+Show Affiliations

Critical Care Division, Department of Medicine, The Methodist Hospital, Houston, TX, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Guideline
Journal Article

Language

eng

PubMed ID

20213423

Citation

Zimmerman, Janice L., et al. "Chapter 8. Medical Procedures. Recommendations and Standard Operating Procedures for Intensive Care Unit and Hospital Preparations for an Influenza Epidemic or Mass Disaster." Intensive Care Medicine, vol. 36 Suppl 1, 2010, pp. S65-9.
Zimmerman JL, Sprung CL, European Society of Intensive Care Medicine's Task Force for intensive care unit triage during an influenza epidemic or mass disaster. Chapter 8. Medical procedures. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster. Intensive Care Med. 2010;36 Suppl 1:S65-9.
Zimmerman, J. L., & Sprung, C. L. (2010). Chapter 8. Medical procedures. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster. Intensive Care Medicine, 36 Suppl 1, S65-9. https://doi.org/10.1007/s00134-010-1766-z
Zimmerman JL, Sprung CL, European Society of Intensive Care Medicine's Task Force for intensive care unit triage during an influenza epidemic or mass disaster. Chapter 8. Medical Procedures. Recommendations and Standard Operating Procedures for Intensive Care Unit and Hospital Preparations for an Influenza Epidemic or Mass Disaster. Intensive Care Med. 2010;36 Suppl 1:S65-9. PubMed PMID: 20213423.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Chapter 8. Medical procedures. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster. AU - Zimmerman,Janice L, AU - Sprung,Charles L, AU - ,, PY - 2010/3/10/entrez PY - 2010/3/23/pubmed PY - 2010/6/24/medline SP - S65 EP - 9 JF - Intensive care medicine JO - Intensive Care Med VL - 36 Suppl 1 N2 - PURPOSE: To provide recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza pandemic or mass disaster with a specific focus on ensuring that adequate resources are available and appropriate protocols are developed to safely perform procedures in patients with and without influenza illness. METHODS: Based on a literature review and expert opinion, a Delphi process was used to define the essential topics including performing medical procedures. RESULTS: Key recommendations include: (1) specify high-risk procedures (aerosol generating-procedures); (2) determine if certain procedures will not be performed during a pandemic; (3) develop protocols for safe performance of high-risk procedures that include appropriateness, qualifications of personnel, site, personal protection equipment, safe technique and equipment needs; (4) ensure adequate training of personnel in high-risk procedures; (5) procedures should be performed at the bedside whenever possible; (6) ensure safe respiratory therapy practices to avoid aerosols; (7) provide safe respiratory equipment; and (8) determine criteria for cancelling and/or altering elective procedures. CONCLUSIONS: Judicious planning and adoption of protocols for safe performance of medical procedures are necessary to optimize outcomes during a pandemic. SN - 1432-1238 UR - https://www.unboundmedicine.com/medline/citation/20213423/Chapter_8__Medical_procedures__Recommendations_and_standard_operating_procedures_for_intensive_care_unit_and_hospital_preparations_for_an_influenza_epidemic_or_mass_disaster_ L2 - https://dx.doi.org/10.1007/s00134-010-1766-z DB - PRIME DP - Unbound Medicine ER -