Membership Forum : COVID-19 Discussion
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 Subject : how long is everyone waiting to schedule COVID positive patients for a.. 08/09/2021 03:35:42 PM 
Kalyani Karandikar
Posts: 3
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Subject :how long is everyone waiting to schedule COVID positive patients for ambulatory procedures?

Just wondering what everyone is doing regarding recently diagnosed covid positive patients (diagnosed positive on routine PCR exam) before their scheduled ambulatory surgery.
what time frame would you wait before rescheduling them for their elective procedure? I read that it should be a 7week hold until rescheduling - but just wondering what the general consensus is.

Thank you!
 Subject : Re:how long is everyone waiting to schedule COVID positive patients fo.. 08/09/2021 05:06:45 PM 
anna penna
Posts: 38
Location: manassas virginia
Subject :Re:how long is everyone waiting to schedule COVID positive patients for ambulatory procedures?

We wait 7 weeks
anna m penna
 Subject : Re:how long is everyone waiting to schedule COVID positive patients fo.. 08/09/2021 06:19:54 PM 
Dr. Melinda Seering
Posts: 3
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Subject :Re:how long is everyone waiting to schedule COVID positive patients for ambulatory procedures?

We also wait 7 weeks
 Subject : Re:how long is everyone waiting to schedule COVID positive patients fo.. 08/10/2021 05:54:05 AM 
BobbieJean Sweitzer, MD, SAMBA-F
Posts: 8
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Subject :Re:how long is everyone waiting to schedule COVID positive patients for ambulatory procedures?

The ASA and APSF have not changed their recommendations (that I'm aware of). They are: Four weeks for an asymptomatic patient or recovery from only mild, non-respiratory symptoms.
Six weeks for a symptomatic patient (e.g., cough, dyspnea) who did not require hospitalization.

Where did the 7 wks come from?
 Subject : Re:how long is everyone waiting to schedule COVID positive patients fo.. 08/10/2021 09:36:54 AM 
Dr. Jihye Ha
Posts: 7
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Subject :Re:how long is everyone waiting to schedule COVID positive patients for ambulatory procedures?

Anaesthesia 2021, 76, 748–758 "Timing of surgery following SARS-CoV-2 infection: an international prospective cohort study" discusses waiting 7 weeks.
 Subject : Re:how long is everyone waiting to schedule COVID positive patients fo.. 02/08/2022 03:04:22 PM 
Dr. Paul Cross
Posts: 8
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Subject :Re:how long is everyone waiting to schedule COVID positive patients for ambulatory procedures?

Update - We’re struggling with which recommendations to use. Our hospitals use 7 weeks (from the paper from England) but I like the ASA/APSF statement for our ASCs. I have a hard time postponing a lot of these ambulatory cases, especially under MAC or regional for 7 weeks for patients with mild disease. There are so many nuances to consider but that’s our area of expertise. My partners want hard-fast rules but I argue that there are none. It’s all on a case by case basis. I’d love to hear of anyone else is using the ASA/APSF to recommendations.
 
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