Literature DB >> 32304464

Calculate the COVID-19 Equation With People's Energy as a Key Variable.

Steven D Boggs1.   

Abstract

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Year:  2020        PMID: 32304464      PMCID: PMC7179058          DOI: 10.1213/ANE.0000000000004892

Source DB:  PubMed          Journal:  Anesth Analg        ISSN: 0003-2999            Impact factor:   5.108


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To the Editor

Mascha et al[1] have made a very valuable contribution for those of us trying to determine optimal ICU staffing systems as a consequence of the Coronavirus disease 2019 (COVID-19) pandemic. Sophisticated simulations presented in their articleguide optimal staffing in intensive care units. While conventional staffing allocations do not keep a cohort protected, staffing aligned with the pandemic’s epidemiology does. We have considered a similar method to one the authors’ advocate. Besides “joint efforts from people all around the world,”[2] it appears to be absolute key that leaders attend to the psychological and emotional well-being of our clinicians in addition to the physical well-being of our staffs “to protect health care workers better, to save more lives.”[2] Necessary protective measures interfere with the camaraderie that each of us tries to create at work. While literally getting-in-touch is a caring physician’s “first language,”[3] the interactions with our patients now through masks and with PPE create barriers which are new to them and to us. We can no longer lunch with colleagues, gather in groups, or have collective conferences. There is a heightened anxiety for both our personal welfare and the people with whom we work and the concern we might bring infections back to our families. Speaking with other American Chairs of Anesthesiology, every department is facing the same issues. We must work to ensure that no member in our departments is “left behind.” We need to be more vigilant for psychological signs of burnout,[4,5] inattention to proper use of PPE, and withdrawal from video participation in departmental functions. Our department has created a buddy system with daily check-ins. The chairs with whom I speak maintain as “normal” an atmosphere within the department as possible and send communication updates to keep everyone informed of the latest pertinent news. People have only so much psychic energy, and it is important to allow them to focus on the critical tasks at hand and to minimize extraneous duties.[6] We must calculate the COVID-19 equation with the people’s energy as key variable in mind!
  5 in total

1.  Burnout in anesthesiology: a call to action.

Authors:  Tait Shanafelt
Journal:  Anesthesiology       Date:  2011-01       Impact factor: 7.892

2.  Offline: Touch-the first language.

Authors:  Richard Horton
Journal:  Lancet       Date:  2019-10-12       Impact factor: 79.321

3.  Burnout in Anesthesiology Providers: Shedding Light on a Global Problem.

Authors:  Miodrag S Milenovic; Bojana R Matejic; Dusica M Simic; Markus M Luedi
Journal:  Anesth Analg       Date:  2020-02       Impact factor: 5.108

4.  Staffing With Disease-Based Epidemiologic Indices May Reduce Shortage of Intensive Care Unit Staff During the COVID-19 Pandemic.

Authors:  Edward J Mascha; Patrick Schober; Joerg C Schefold; Frank Stueber; Markus M Luedi
Journal:  Anesth Analg       Date:  2020-07       Impact factor: 5.108

Review 5.  To Protect Health Care Workers Better, To Save More Lives With COVID-19.

Authors:  Weiyun Chen; Yuguang Huang
Journal:  Anesth Analg       Date:  2020-07       Impact factor: 5.108

  5 in total

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