Testing for COVID-19

If not already mandated by federal, state, local governments, the policies of accreditation agencies or the facility itself, The Aesthetic Society’s current recommendations for preoperative screening and testing are as follows:

  1. Symptom Screening: Symptom screening should be employed as the first step for all patients, regardless of procedure or anesthesia type, at the preoperative visit (ideally 10-14 days prior) and on the day of surgery (see, STEP 5). Patients who answer “yes” to any of the questions require further consideration or workup, and possible postponement of their procedure.
  2. Vitals Documentation: Vitals should be taken in order to confirm that:
    • a. The patient is afebrile by thermometer check. (<100.0°F)
    • b. The patient has an oxygen saturation of 93% or greater on room air.
    • c. The patient has a respiratory rate of less than 20/min.
  3. Social Distancing Confirmation: The patient has diligently continued careful social distancing between the date of the preoperative visit and surgery.
  4. Testing: Follow all state and local guidelines for testing as well as any facility requirements. Due to the seriousness of COVID-19, routine preoperative testing WHEN AVAILABLE IS RECOMMENDED.

There are many different types of tests for COVID-19 currently available. There is no consensus on which testing protocol is best. There are no standards of care for testing for COVID-19 preoperatively. HOWEVER, most infectious disease specialists recommend that if preoperative testing for COVID-19 is performed, RT/PCR testing be considered. Ideally, this test should be within 72 hours of surgery. As further information emerges regarding testing, recommendations may change.

RT-PCR test results are reviewed by the surgeon before procedure.

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