Articles  |   May 2015
SEE Question
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Airway Management / Education / CPD / Infectious Disease / Respiratory System / Technology / Equipment / Monitoring / Articles
Articles   |   May 2015
SEE Question
ASA Monitor 05 2015, Vol.79, 54-55.
ASA Monitor 05 2015, Vol.79, 54-55.
You are the anesthesiologist on call at a designated Ebola virus disease (EVD) treatment center and have just completed a general anesthetic for bronchoscopy on a patient who is suspected of having EVD. Throughout the patient’s entire perioperative course you were wearing full personal protective equipment (PPE) in compliance with Centers for Disease Control and Prevention (CDC) protocol. At which phase of the anesthetic are you at GREATEST risk of exposure to EVD-infected body fluids?
The 2014 EVD epidemic was unparalleled, as EVD affected more than 10,000 people in Western Africa and had a 50 percent mortality rate, and then spread outside its borders despite containment efforts. As this epidemic spread, the CDC contemporaneously developed treatment guidelines for health care providers (HCPs). Anesthesiologists may be particularly vulnerable to EVD exposure because of the nature of their work, and specialty-specific practice guidelines are still in the early stages of development. In a recent literature review, investigators examined existing publications for evidence-based guidance on the care of EVD patients undergoing procedures, as well as protective strategies relevant to anesthesia practice.
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