RE: Anesthesiologists: Do you use your OB Anesthesiologist for overnight COVID

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Mar 30, 2020
10:59:19pm

Manavu10 Walk-on

RE: Anesthesiologists: Do you use your OB Anesthesiologist for overnight COVID

We keep out OB doc “clean” and don’t allow him or her to intubate anywhere else. We also started the process of waiting 20 min after intubation and extubation in the OR to allow all the air to completely circulate before letting in anyone without an N-95 mask.

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Manavu10

Bio page: Manavu10
Joined: Jan 19, 2020
Last login: May 2, 2024
Total posts: 33 (0 FO)

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Messages

Author

Time

Anesthesiologists: Do you use your OB Anesthesiologist for overnight COVID intub

Dr MoBYU

3/30/20 10:47pm

Cohorting is the right way to go. But, I'm not an anesthesiologist

doctorcoug

3/30/20 10:48pm

What does your hospital do?

Dr MoBYU

3/30/20 10:50pm

I don't know. In totally outpatient, though that might change soon. But, we've

doctorcoug

3/30/20 10:54pm

We have in house trauma and OB. Trauma anesthesiologist intubates in ICU

gaspasscoug

3/30/20 10:55pm

Our anesthesia team intubates everyone - no matter the location

Spocougar

3/30/20 11:03pm

Sounds good. It was hospital admin that decided the airway protocol a long time

gaspasscoug

3/30/20 11:41pm

RE: Anesthesiologists: Do you use your OB Anesthesiologist for overnight COVID

Manavu10

3/30/20 10:59pm

Large hospital?

Dr MoBYU

3/30/20 11:18pm

We have a “Code Green” team

Spocougar

3/30/20 11:00pm

Wow, you guys are busy with Covid. What state, may I ask?

gaspasscoug

3/30/20 11:03pm

Washington

Spocougar

3/30/20 11:04pm

Not all of those will turn out to be COVID

Spocougar

3/30/20 11:05pm

I’m just grateful for a job right now as so many others don’t have one

Spocougar

3/30/20 11:08pm

Oh, agree 100%. You have to see the length of this, not the current impact.

gaspasscoug

3/30/20 11:43pm

Do you get a stipend from the hospital for having code green teams?

Dr MoBYU

3/30/20 11:21pm

Nope - wouldn’t dare ask

Spocougar

3/30/20 11:27pm

When intubating are ya'll avoiding manual ventilation after your RSI?

3/30/20 11:15pm

RSI on everyone. N95 for all at the head of the bed. No manual ventilation.

Spocougar

3/30/20 11:17pm

Sounds like a good plan.

3/30/20 11:25pm

No masking. Yes N95 for all cases but we reuse same one.

Dr MoBYU

3/30/20 11:23pm

We have a recycling process in place now for all masks

Spocougar

3/30/20 11:39pm

We RSI everyone. We wear PAPR, gowns, double gloves and booties. Have only an

jlangager

3/30/20 11:23pm

Is that PAPR for everybody, even the unknowns/asymptomatics?

3/30/20 11:27pm

Every intubation outside of the OR at this point

jlangager

3/30/20 11:34pm

Way to be safe

3/30/20 11:36pm

We set up a 24/7 intubation team. The hospital requested that we do all

jlangager

3/30/20 11:20pm

Do you get a stipend? a few intubations isn’t much RVU income.

Dr MoBYU

3/30/20 11:24pm

Our hospital gave us a stipend and let us bill all procedures after 7pm. Our

jlangager

3/30/20 11:32pm

We’re only emergency back up. Intubations done by ED...

3/31/20 1:28am

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