Statement on Timing of Elective Ambulatory Surgery During COVID-19 Resurgence in the U.S.
February 23, 2021
The Society for Ambulatory Anesthesia (SAMBA) is concerned about the resurgence of COVID-19 cases throughout the country. Beginning in late fall 2020 viral spread and rates of infection dramatically increased. However, just very recently the numbers have started to mitigate, though rates of infection are almost twice the peaks that we saw in summer 2020. In addition, testing capabilities have escalated, and vaccination is being offered to healthcare workers and senior citizens. Read the full statement below.
Statement on COVID-19 Testing Before Ambulatory Anesthesia
May 1, 2020
Guidance on pre-operative COVID-19 testing and it’s application specifically to NORA and OBA, inclusive of procedures as well as surgeries, as of the date of issuance.
Recommendations for Ambulatory Elective Surgery During COVID-19 Pandemic
March 17, 2020
Guidance compiled using the most current information about COVID-19 available at the date of issuance regarding continuing or postponing elective surgeries.
COVID-SAFE ASC Checklist
April 20, 2020
As the number of patients with COVID-19 begins to level off, many states have eased restrictions for resuming elective surgeries. While the expectation of a COVID-FREE environment anywhere is likely not possible, a more realistic and achievable goal is to be COVID-SAFE.
SAMBA has compiled and is offering this COVID-SAFE Checklist to help ambulatory anesthesiologists create COVID-SAFE environments, helping to reassure the public and patients that you are committed to appropriate measures designed to protect their safety as they receive anesthesia care for their procedures and surgeries.
As your facility complies with all of the checklist items on an ongoing basis, it may display a certificate at the end of the Checklist document indicating it follows the Society for Ambulatory Anesthesia (SAMBA) COVID-SAFE Checklist measures.
SAMBA’s ASC Membership is designed to provide surgical centers a cost-effective way to keep all medical staff and allied health providers that work in an ASC, Endoscopy Center or office-based setting up-to-date on the latest industry knowledge.
SAMBA offers ASC Memberships to encourage Medical Directors, and staff physicians to participate not only in educational activities related to Ambulatory Surgery, but also provides a platform for sharing information and educational tools among the industry’s most talented practitioners.
Reflections of an Ambulatory Anesthesiologist from the COVID Front Lines
Dr. Tazeen Beg is an Assistant Clinical Professor of Anesthesiology at the Renaissance School of Medicine, Stony Brook University, Stony Brook, New York. She is the first Chief of the Division of Non-Operating Room Anesthesia (NORA) at the hospital and was instrumental in its evolution. Dr. Beg also works at the Ambulatory Surgery Center. She is an active member of several committees at SAMBA, including the NORA and Communications Committees and the PBLD committee at the New York State Society of Anesthesiologists and has been a delegate. Her interests are focused on teaching the residents and improving the safety of patients in the endoscopy unit.
As we move forward – there still may be many questions or concerns about COVID-19 and what it means for everyone. The provided forum allows us to network and discuss COVID-19 and all it entails.
- Centers for Disease Control and Prevention (CDC) – CDC strategies for optimizing supply of N95 respirators; conventional capacity strategies as well as crisis alternate strategies; strategies to optimize the supply of PPE and equipment; links to optimizing strategies for eye protection, isolation gowns, facemasks, a PPE burn rate calculator and ventilators; the FAQs; and answers to questions that will be helpful to families of health care providers who have questions.
- Federal Emergency Management Agency (FEMA) – Coronavirus rumor control; and help distinguishing fact from fiction regarding the pandemic.
- Food and Drug Administration (FDA) – FDA recommendations for mask and gown conservation.
- Office of Inspector General (OIG)
- World Health Organization (WHO)
- ASA website
- Using Anesthesia Machines as ICU ventilators
- Pediatric Intensive Care Society
- Anesthesia Patient Safety Foundation (APSF)
- Association of Anaesthetists
- American College of Emergency Physicians
- Children’s Hospital Association (CHA)
- Infectious Disease Society of America
- Society for Critical Care Medicine
- European Society of Anaesthesiologists (ESA) COVID-19 resources page
- Ambulatory Surgery Center Association (ASCA)
Resuming Elective Surgery After COVID-19
Resources for Physicians (Journals)
Information from ASCA
- Respiratory Protection FAQ: Healthcare
- Coronavirus – guidance for anaesthesia and perioperative care providers
- ASA and APSF issue joint statement on non-urgent care during the COVID-19 outbreak
- Use of Personal Protective Equipment by Anesthesia Professionals during the COVID-19 Pandemic.
- Anesthesiology special series of COVID 19 articles
- ASA frequently asked questions about COVID 19
- COVID-19 Surgical Triage Decision Making
Other Physician Resources
News From Our International Partner
- There are many websites and organizations that now provide free workouts. Just make sure that you don’t congregate with friends or neighbors. Remember also that you can walk or run outside, as long as you practice social distancing.
SAMBA is providing the information on this site as a public service to assist anesthesiologists and other personnel working in ambulatory settings to deal with COVID-19-related issues. The information is not intended as medical or legal advice. Readers and viewers of the material available on this site should review this information with appropriate medical and legal counsel to assess the applicability of the information to their individual practice settings, as well as compliance with state and federal law. While SAMBA has made reasonable efforts to provide accurate information, SAMBA does not guarantee the accuracy of all information presented on this site. SAMBA shall not be liable for omissions, typographical errors, or out-of-date information that may appear on the SAMBA website. This information does not represent SAMBA policy.