Procedural sedation in the COVID-19 era

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Figure 1
Pre-procedural flowchart for pre-procedural screening and testing patients for COVID-19.
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Figure 2
Intervention for safe procedural sedation during COVID-19 pandemic.

TABLE 1

Baseline criteria for restarting elective procedures

• Low COVID-19 incidence or sustained 14-day downward trend in cases in community

• Hospital has capability to treat all patients without crisis care protocols

• Hospital has adequate supply of resources to treat non- COVID-19 cases without jeopardizing surge capacity for COVID-19 cases

TABLE 3

CDC: Discontinuation of transmission-based precautions for patients previously positive for COVID-19¹²

Symptomatic	Symptom-based strategy	At least 3 days since recovery (resolution of fever without antipyretics, and improvement in respiratory symptoms)
		At least 10 days since symptoms first appeared
	Test-based strategy	Resolution of fever without antipyretics and improvement in respiratory symptoms
		Two consecutive negative COVID-19 tests more than 24 hours apart
Asymptomatic	Time-based strategy	At least 10 days since first positive test without development of symptoms
	Test-based strategy	Two consecutive negative COVID-19 tests more than 24 hours apart