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Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Am+J+Otolaryngol 2020 ; 41 (5): 102570 Nephropedia Template TP
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Preferential use of total intravenous anesthesia in ambulatory otolaryngology surgery during the COVID-19 pandemic #MMPMID32505994
Stewart M; Thaler A; Hunt P; Estephan L; Boon M; Huntley C
Am J Otolaryngol 2020[Sep]; 41 (5): 102570 PMID32505994show ga
The novel coronavirus (SARS-CoV-2 or COVID-19) pandemic has impacted nearly every aspect of otolaryngologic practice. The transition from office-based evaluation to telemedicine and the number of postponed elective surgical cases is unprecedented. There is a significant need to resume elective surgical care for these patients at the appropriate time. As practices begin to move towards resuming elective and same day ambulatory surgery, safety of both the patient and healthcare team is of paramount importance. Usage of total intravenous anesthesia (propofol and remifentanil) over volatile gas anesthesia (e.g., sevoflurane) may increase the number of patients able to safely receive care by reducing potential spread of the virus through reduction in coughing and significantly decreasing the time spent in the recovery room.