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 Subject : ophthalmic surgery under MAC for asymptomatic COVID+ patients.. 05/25/2021 12:46:54 PM 
Tina Tran
Posts: 1
Location: 
What is the current guideline to resume elective surgeries under local or MAC after COVID+ test?

For example, patient is asymptomatic, has COVID+ test prior to surgery, and waits 10 days to clear from isolation precautions.
What is the earliest time period after COVID+ test result we should advise surgeons to schedule elective eye surgery under sedation?

I reviewed the ASA/APSF guidelines but did not see mention of differences between GA, MAC, or local.

Thank you
 Subject : Re:ophthalmic surgery under MAC for asymptomatic COVID+ patients.. 05/25/2021 02:45:10 PM 
Alvaro Andres Macias
Posts: 3
Location: 
Hi Tina,
Here is the APSF link https://www.asahq.org/about-asa/newsroom/news-releases/2020/12/asa-and-apsf-joint-statement-on-elective-surgery-and-anesthesia-for-patients-after-covid-19-infection.

These recommendations do not distinguish between GA vs. MAC. However resolving a COVID flag has a range from 10-20 days and it depends on the reason for the test, PMH and current symptoms.
For the asymptomatic or symptomatic healthy human with rapidly resolving symptoms the flag could be resolved 10-days after.
For the symptomatic, immunocompromised, it is up to 20.
 Subject : Re:ophthalmic surgery under MAC for asymptomatic COVID+ patients.. 05/25/2021 02:56:36 PM 
Dr. Basem Abdelmalak, MD, FASA, SAMBA-F
Posts: 28
Location: Cleveland, OH
You are right , no difference between MAC and GA , it is 4 weeks for asymptomatic positive patients
asem Abdelmalak, MD, FASA, SAMBA-F | Professor of Anesthesiology | Director, Anesthesia for Bronchoscopic Surgery | Director, Center for Sedation | Departments of General Anesthesiology and Outcomes Research
Cleveland Clinic | Cleveland, OH e-mail: [email protected]

Past President, Society for Amb
 Subject : Re:ophthalmic surgery under MAC for asymptomatic COVID+ patients.. 05/25/2021 03:27:54 PM 
Steven Gayer M.D.
Posts: 5
Location: 
A 10 day interim is sufficient for the asymptomatic healthy patient with an incidental positive Covid PCR test result.
 Subject : Re:ophthalmic surgery under MAC for asymptomatic COVID+ patients.. 05/26/2021 09:44:43 AM 
Ms. Julianna Cibula
Posts: 1
Location: 
The ASA/APSF guidelines are independent of the anesthetic type. There is no difference. The potential risk is to the patient.

Thank you,
Beverly K. Philip, MD, FACA, FASA
 
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