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This special article series on the Coronavirus Disease 2019 (COVID-19) pandemic provides:

  • An inside look at anesthesia practice from the epicenter of Wuhan, China

  • First-hand accounts on how anesthesiologists were affected – from airway and pulmonary management to practicing in temporary medical units

  • Recommendations from the joint task force of the Chinese Society of Anesthesiology and Chinese Association of Anesthesiologists on the management of patients in the perioperative setting and on emergency airway management outside of the operating room

  • Scholarly review and lessons about the novel 2019 coronavirus and the healthcare response which it has galvanized

  • Perspectives from anesthesiologists, pulmonologists, epidemiologists, and critical care physicians


Anesthesiologists may encounter and care for patients with Coronavirus 2019 (COVID-19) in their roles as experts in emergent airway management, acute and intensive care, and perioperative anesthesia. And the care they provide imposes a significant risk to their own health. Our goal is to bring Trusted Evidence on Coronavirus Disease 2019 (COVID-19) to our readers, as best we know it now (March 2020). In the interest of expediency, we are sharing these unedited proofs and all journal content related to Coronavirus Disease 2019 (COVID-19) will be freely available. 

Novel Coronavirus 2019 and Anesthesiology
Evan D. Kharasch, MD, PhD and Yandong Jiang, MD, PhD

Preventing Infection of Patients and Healthcare Workers Should Be the New Normal in the Era of Novel Coronavirus Epidemics
T. Andrew Bowdle, MD, PhD, FASE and Silvia Munoz-Price, MD, PhD

Perioperative Management of Patients Infected with the Novel Coronavirus: Recommendation from the Joint Task Force of the Chinese Society of Anesthesiology and Chinese Association of Anesthesiologists
Xiangdong Chen, MD, PhD; Yanhong Liu, MD, PhD; Yahong Gong, MD; Xiangyang Guo, MD, PhD; Mingzhang Zuo, MD, PhD; Jun Li, MD, PhD; Wenzhu Shi, MD, PhD; Hao Li, MD, PhD; Xiaohan Xu, MD; Weidong Mi, MD, PhD; Yuguang Huang, MD, PhD
Listen to the accompanying podcast, an interview with senior author Dr. Huang and Dr. Jiang

Intubation and Ventilation Amid COVID-19 Outbreak
Lingzhong Meng, MD; Haibo Qiu, MD; Li Wan; Yuhang Ai, MD; Zhanggang Xue, MD; Qulian Guo, MD; Ranjit Deshpande, MD; Lina Zhang, MD, PhD; Jie Meng, MD, PhD; Chuanyao Tong, MD; Hong Liu, MD; Lize Xiong, MD, PhD

Response of Chinese anesthesiologists to the COVID-19 outbreak
Hong-Fei Zhang, MD, PhD; Lu-Long Bo, MD, PhD; Yun Lin, MD, PhD; Feng-Xian Li, MD, PhD; Shu-Jun Sun, MD; Hong-Bin Lin, MD; Shi-Yuan Xu, MD; Jin-Jun Bian, MD, PhD; Shang-Long Yao, MD, PhD; Xiang-Dong Chen, MD, PhD; Lingzhong Meng, MD, PhD; Xiao-Ming Deng, MD, PhD

Establishing and Managing a Temporary Coronavirus Disease 2019 Specialty Hospital in Wuhan, China
Weihong Zhu, MD; Yang Wang, MD; Kui Xiao, MD; Huilin Zhang, MD; Yi Tian, MD; 
Sean P. Clifford, MD; Junmei Xu, MD, PhD; Jiapeng Huang, MD, PhD

COVID-19 Infection: Implications for Perioperative and Critical Care Physicians
John R Greenland, MD, PhD; Marilyn D Michelow, MD; Linlin Wang, MD, PhD; Martin J London, MD
Listen to the accompanying podcast, an interview with lead author Dr. Greenland

Precautions for Intubating Patients with COVID-19 Infections
Mengqiang Luo, MD; Shumei Cao, MD; Liqun Wei, MD; Rundong Tang, MD; Shu Hong; Renyu Liu, MD, PhD; Yingwei Wang, MD, PhD

Setup of a Dedicated Coronavirus Intensive Care Unit: Logistical Aspects
Francesco Mojoli, M.D; Silvia Mongodi, M.D. Ph.D.; Giuseppina Grugnetti, B.S.N.; Alba Muzzi, M.D.; Fausto Baldanti, M.D.; Raffaele Bruno, M.D.; Antonio Triarico, M.D.; Giorgio Antonio Iotti, M.D.

Rapid COVID-19–related Clinical Adaptations and Unanticipated Risks
Charles R. Schrock, M.D.; Michael C. Montana, M.D., Ph.D.

Eric A. Gehrie, M.D.; Steven M. Frank, M.D.; Susan M. Goobie, M.D., F.R.C.P.C.

Protective Device during Airway Management in Patients with Coronavirus Disease (COVID19)
Farid Chakib Rahmoune; Mohamed Mehdi Ben Yahia; Ridha Hajjej; Solene Pic; Kais Chatti

Transesophageal Echocardiography Probe Sheath to Decrease Provider and Environment Contamination

Nicholas W. Markin, M.D., F.A.S.E.; Kelly A. Cawcutt, M.D.; Samer H. Sayyed, M.D.; Mark E. Rupp, M.D.; Steven J. Lisco, M.D., F.C.C.M., F.C.C.P.

Remote Control and Monitoring of GE Aisys Anesthesia Machines Repurposed as Intensive Care Unit Ventilators
Christopher W. Connor, M.D., Ph.D.; Louisa Palmer, M.B.B.S.; Sujatha Pentakota, M.D.

Intubation and Ventilation amid COVID-19: Comment
Gianluca Rigatelli, M.D., Ph.D.; Marco Zuin, M.S.; Alberto Rigatelli, M.D.; Giovanni Zuliani, M.D., Ph.D.; Loris Roncon, M.D.
Dustin R. Long, M.D.; Jacob E. Sunshine, M.D., M.S.; Wil Van Cleve, M.D., M.P.H.

Renyu Liu, M.D., Ph.D.; Lee A. Fleisher, M.D.

Ahed Zeidan, M.D.; Munir Bamadhaj, M.D.; Mona Al-Faraidy, M.D.; Mohiidin Ali, M.D.

An Online Educational Platform in the COVID-19 Pandemic
Lucy Liu Yang, M.B.Ch.B., Ph.D.; Jia Liu Stevens, M.B.B.S.; Marta Janina Campbell, M.B.Ch.B.

Anne D. Cherry, M.D.; Jhaymie Cappiello, R.C.P., M.S.; Muath Bishawi, M.D., M.P.H.; Melanie G. Hollidge, M.D., Ph.D., F.R.C.P.C.; David B. MacLeod, F.R.C.A.

Bryan A. Davis, M.D., M.A.; Lawrence C. Tsen, M.D.

Huong Brown, M.D.; David Preston, D.O.; Ravi Bhoja, M.D.

Marzia Giampalmo, M.D.; Raffaella Pasquesi, M.D.; Emanuela Solinas, M.D.

Maria Vargas, M.D.; Giuseppe Servillo, M.D.

Yaoli Yang, M.D.; Noreen E. Murphy, M.D.; Micah T. Long, M.D.

Javier A. Marquez-GdeV, M.D., M.Sc.; Alberto Lopez Bascope, M.D.; Sofia Valanci-Aroesty, M.D

Differential Ventilation Using Flow Control Valves as a Potential Bridge to Full Ventilatory Support during the COVID-19 Crisis: From Bench to Bedside
Matthew A. Levin, M.D.; Anjan Shah, M.D.; Ronak Shah, M.D.; Erica Kane, M.D., M.P.H.; George Zhou, M.D.; James B. Eisenkraft, M.D.; Martin D. Chen, M.D.; Mount Sinai HELPS Innovate Group Collaborators

Miles Berger, M.D., Ph.D.; Kamrouz Ghadimi, M.D.

Hong Wang, M.D., Ph.D.; James G. Cain, M.D., M.B.A.; Adam Uraco, B.S.; Eric Lindstrom, C.R.N.A.; Robert E. Johnstone, M.D.

New! Images from the Frontlines of the COVID-19 Pandemic

As rapidly as the coronavirus is spreading, so too is our ability to understand it, and the pace of discovery is unheralded. It is not without understanding that a journal which publishes monthly cannot keep abreast of these daily events. In addition to the articles in this issue of ANESTHESIOLOGY, more comprehensive and more timely resources are available. These include the World Health Organization (WHO), Centers for Disease Control and Prevention (CDC), European Centre for Disease Prevention and Control, and university and research center websites. The American Society of Anesthesiologists (ASA) has created and is continually updating COVID-19 resources for the anesthesia community, including clinical FAQs and guidance for caring for patients with known or suspected COVID-19 infection.

For patient care the CDC’s Interim Clinical Guidance for Management of Patients with Confirmed Coronavirus Disease 2019 (COVID-19) and Interim Infection Prevention and Control Recommendations for Patients with Confirmed Coronavirus Disease 2019 (COVID-19) or Persons Under Investigation for COVID-19 in Healthcare Settings may be particularly helpful.

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