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2020 ; 2
(7
): 871-873
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Anaesthetic Considerations for Rationalizing Drug Use in the Operating Theatre:
Strategies in a Singapore Hospital During COVID-19
#MMPMID32838142
Au Yong PSA
; Kwa CWX
; Chan XHD
SN Compr Clin Med
2020[]; 2
(7
): 871-873
PMID32838142
show ga
COVID-19 patients in the critical care unit tend to have prolonged hospital stay
requiring high doses of sedation and paralysis to treat acute respiratory
distress syndrome, resulting in a shortage of these drugs. In our hospital, we
have instituted strategies to rationalise drug and oxygen usage. This includes
prioritising time-sensitive elective cases, reducing overall elective case load,
favouring opioid-reduction strategies and usage of alternative anaesthetic agents
not commonly used in ICU. Both intensive care physicians and anaesthesiologists
have to cooperate on drug conservation as similar drugs are used in elective
operating lists as in the ICU. Patient safety is of utmost importance and we
should keep in mind some pitfalls and ethical concerns of these alternative
strategies.