With the holiday season upon us, in the US and globally, ICUs (Intensive Care Units) are still struggling with the deadly COVID-19 pandemic. For the first time in our history, hospital systems are forced to scramble to allocate scarce resources such as nursing, respiratory therapists, ICU beds, oxygenation, and drug treatments that lack adequate amount of literature support.Continue Reading…
COVID-19 has drastically changed how end-of-life care is practiced in the intensive care unit (ICU). Safety concerns for society limits family visitation but is contrary to patient and family-oriented care. This article provides an ethical analysis of the pros and cons of having family members present at the death of a critically ill patient with COVID-19 and provides a framework that can be used in future surges.Continue Reading…
She was breathing laboriously and had all but lost consciousness. In the subcutaneous tissues of her right arm, a syringe pump was delivering morphine and midazolam to help her breathe more easily and prevent the seizures she had been having earlier. Her right cheek still twitched periodically. She was in her daughter’s home surrounded by her grandsons and daughter. Just yesterday she had opened her eyes and smiled at her loved ones, tracking their movements.Continue Reading…
COVID-19 has caused immense stress on physicians. Anesthesiologists and critical care physicians have been at the forefront of pandemic response, whether caring for critically ill patients or facilitating surgical procedures amidst significant uncertainty. Health care providers are particularly vulnerable to mental health issues amidst risk of exposure, longer work hours, shortages of personal protective equipment (PPE), challenging resource allocation decisions, stress of caring for their loved ones, threatened financial and job security, and an overall decrease in social interactions.Continue Reading…
Personal reflections of the COVID-19 pandemic and professional development in Anesthesiology Critical Care
The biting cold winter in Minnesota did not feel any different in January, 2020, but for the news wildly circulating over the internet, television, radio, and social media of a novel coronavirus spreading in the Chinese city of Wuhan, which would later be termed SARS-CoV-2. Everywhere else, people continued their life with minimal worry. In the new millennium, other potential pandemic threats related to SARS (2003), H1N1 (2009), MERS (2012), and Ebola (2014-2016) were readily managed with routine infectious disease principles and did not disrupt our life to any significant extent.Continue Reading…
The risk to healthcare providers of intubating patients with COVID-19 is a global concern, but data are scarce despite the presumably high risks. Surprisingly, the results of a recent study published in Anaesthesia by El-Boghadadly et al. suggest that the risk of transmission, hospitalization, and/or self-quarantine may be slightly higher than 10%!Continue Reading…
The COVID-19 pandemic created a unique crisis in healthcare across the world. Due to the shortage of staff to cover surge intensive care units in many hospitals, the Society of Critical Care Medicine, among other organizations, recommended a tiered approach to forming surge capacity teams for coverage of additional critical care beds. These models seek to extend the expertise and oversight of intensivists, and other critical care professionals, to a greater number of patients via a multidisciplinary team.Continue Reading…
Given the extraordinary disruption to training and medical practice caused by COVID-19, the American Board of Anesthesiology (ABA) has taken swift action to relax policies, offering increased flexibility for anesthesiologists. The Board has also worked to provide seamless access to educational and mental health resources for impacted physicians.Continue Reading…
Natalia Ivascu, MD (Weill Cornell Medicine) and Jonathan Hastie, MD (Columbia University Vagelos College of Physicians and Surgeons) are critical care and adult cardiothoracic anesthesiologists in New York City. Their leadership of a coordinated COVID-19 pandemic response across the New York-Presbyterian health care system was recently featured in NEJM Catalyst.Continue Reading…
Among its many impacts, COVID-19 has spawned a plethora of early data and literature. That which is not high-quality may hinder progress toward our understanding of the disease. Critical care and, more broadly, perioperative medicine are clinical arenas that generate massive volumes of data. As we routinely care for patients with COVID-19 in those settings, these data hold promise to further our understanding of the disease.Continue Reading…
Nicole King is an anesthesiologist and critical care physician at the University of Cincinnati. She is currently obtaining her Executive Masters in Clinical Quality, Patient Safety and Leadership at Georgetown University. She answered a call for volunteers in New York and staffed a repurposed operating room intensive care unit for a month. While there, she chronicled her experience via e-mail. Excerpts from those e-mails are reproduced below. Only minor edits have been made where necessary for readability and to guard privacy.Continue Reading…
The COVID-19 pandemic has raised many ethical and moral dilemmas in the realm of public health, social order, duty of care, and fair distribution of resources. Difficult decisions must be made about how, where, when, and to whom resources should be allocated. Physicians and health care workers are bound by a duty of care, therefore, obligations to the patient’s well-being are generally considered to be primary. This is grounded in the principle of beneficence, among others. There is also a reciprocal obligation placed on health systems to provide the best possible infection control modalities at the disposal of healthcare workers, to provide them preferential access to care should they become ill, and to consider the well-being of the families as critical to supporting healthcare workers.Continue Reading…
Telework, or telecommuting, is an alternative work arrangement where “employees perform tasks elsewhere that are normally done in a primary or central workplace”. According to the US Bureau of Labor Statistics, more than 25 million people were telecommuting in 2018, and the number of telecommuters increased 115% between 2005 and 2015. Workplace social distancing, including telework, has been considered a possible mitigation strategy during influenza pandemics, and a number of companies and governments have encouraged workers to telecommute because of the current COVID-19 pandemic.Continue Reading…
Of all the disruption created by Coronavirus Disease 2019 (COVID-19), nothing remains more constant than its enormous uncertainty. How the immediate and long-term future of the pandemic will play out remains unclear. Yet, it is certain that the world is now fundamentally different. COVID-19 has and will continue to adversely impact individual and population health, both directly and indirectly.Continue Reading…
- Annual Meeting
- Book & Media Reviews
- Call for Articles
- Case Reports
- Clinical Research Consortium
- Committee Reports
- Council Report
- Editor’s Message
- Featured Articles
- Literature Survey
- Match Applicants
- Medical Ethics
- Member Essays
- Member Spotlight
- Patient Safety Series
- President’s Corner
- Research Updates
- Social Media Highlights
- Submission Guidelines
- Topical Review
- Wellness Series
- Women in Critical Care
- Work-Life Balance
- Volume 33 | Issue 2
- Volume 33 | Issue 1
- Volume 32 | Issue 4
- Volume 32 | Issue 3
- Volume 32 | Issue 2
- Volume 32 | Issue 1
- Volume 31 | Issue 3
- Volume 31 | Issue 2 | July 2020
Learn more about the changing job landscape in the critical care community: join us at SOCCA’s online Job Fair on October 5 at 6:00pm ET. Register in advance.
SOCCA would like to acknowledge the invaluable contributions of our female intensivists during this month and year-round. Throughout September, four of our members will be sharing their experiences as a woman in critical care.
Shahla Siddiqui, MD, MSc, FCCM, and Co-Chair of SOCCA’s Women in Critical Care recently edited a special issue of Journal of Critical Care featuring women as first and senior authors. Read Dr. Siddiqui’s introduction in Volume 71 | October 2022 issue.
The SOCCA Early Career Intensivists working group provides new members and members who are early in their careers with the resources needed to ease the transition from trainee to practicing intensivist. Learn more.
The SOCCA Speakers Bureau has officially launched! As a SOCCA member, you may now:
We hope you’ll stop by! SOCCA is sponsoring a meet-up at the 2022 Anesthesia Meeting in New Orleans. The meet-up will be held on Sunday, October 23rd. No registration is required for the meet-up. Learn more about the 2022 Anesthesia Meeting.
Have you read “SOCCA, the Pandemic, and the Future” by SOCCA’s Miguel Cobas, MD, FCCM, in this month’s ASA Monitor? Visit: https://socca.org/wp-content/uploads/2022/04/Cobas_SOCCA.pdf
As a SOCCA member, you are eligible to receive a discount on an IARS membership. IARS membership benefits include a subscription to Anesthesia & Analgesia, SOCCA’s official journal, A&A Practice e-journal, free journal CME, access to a member community and discounted registration to the IARS Annual Meeting. Click here to view a list of membership options.
Anesthesiology Critical Care Fellowship Programs
Have you visited SOCCA’s Anesthesiology Critical Care Fellowship Programs page? If you would like your organization’s program added to our site, let us know here: https://socca.org/new-socca-fellowship-listing/.
Did you make any changes in 2021? It’s time to update your SOCCA demographic profile and / or renew your membership. Keep your SOCCA experience seamless & don’t miss out on any updates & member benefits. Visit: buff.ly/3sPMG6j