Recording: (CAS YouTube Channel)

Resuming Elective Surgery at the CHU de Québec -
Pascal Labrecque
 (CAS YouTube Channel)

PCR Testing - Julie Bestman-Smith (PDF 426KB)
BC’s Approach to Surgical Procedures during COVID-19 - Kelly Mayson (PDF 1.3MB)
Clinical Services Recovery Planning in Toronto Central
 - Keyvan Karkouti (PDF 235KB)
Resuming Elective Surgery at the CHU de Québec -
Pascal Labrecque (PDF 472KB)

Certificate of Attendance (Fillable PDF)
This webinar is an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification program of The Royal College of Physicians and Surgeons of Canada and approved by the Canadian Anesthesiologists' Society. You may claim a maximum of 1.5 hours (credits are automatically calculated).
Only the live event is accredited. Watching the recording is not eligible for Section 1 credits. You might be able to claim Section 2 credits if you include it in a personal learning project.

As Canada looks to start easing restrictions, what are the next steps for anesthesiologists? We examine this in our webinar Resuming Elective Procedures. Although the provinces and individual regions may differ regarding their local circumstances and face these discussions at different times, many of the issues faced will be common to all.

Join the discussion as the panel discusses the various approaches in BC, Toronto, and Quebec City, as well as the role of COVID community infection rates, PCR testing, patient symptoms and anesthesiologists’ own risks in determining appropriate PPE use during elective surgery.

After attending the webinar, the participants will be able to:
  1. Describe the factors that need to be considered when planning to resume elective procedures.
  2. Review the role of preoperative PCR testing for elective surgical patients.
  3. Discuss and compare the approaches planned in BC, Toronto, and Laval on the use of PPE and preoperative testing for elective surgical patients.
  4. Discuss the role of COVID community infection rates, PCR testing, patient symptoms, and anesthesiologists’ own risks in determining appropriate PPE use during elective surgery.


Daniel Bainbridge, MD, FRCPC


Dr Julie Bestman-Smith
Dr Keyvan Karkouti
Dr Pascal Labrecque
Dr Kelly Mayson


Dr Julie Bestman-Smith is a microbiologist and infectious disease specialist at Enfant-Jesus’s hospital (HEJ), part of the Centre Hospitalier Universitaire (CHU) of Québec. Dr Bestman-Smith is also the supervisor of molecular biology of the CHU. A responsibility that she took with high passion since 2012. Prior starting her medicine career, she completed with success a Master in Science and a PhD, both in Microbiology-Immunology from 1998 to 2000 and from 2000 to 2004, respectively. During these years in research, she develops her strong expertise in virology and molecular biology, has published many articles in peer-reviewed journals and presented her works in many congresses, internationally. Since 2016, she is also an active member of the immunization committee of Québec (CIQ) and was highly involved in the establishment of many vaccine protocols for different population groups. Her strong knowledge, experience and passion in adult immunization, molecular biology and mass spectrometry make her a value key opinion leader in her field of expertise.

Dr Keyvan Karkouti
obtained his MD from University of Toronto in 1990, followed by Anesthesia residency and a Fellowship in Anesthesia at St. Michael’s Hospital.  He also holds a Masters of Clinical Epidemiology and Health Care Research and Health Administration from the University of Toronto and completed the Rotman School of Medicine Leadership Program. He is a highly respected academician at the University of Toronto as a Professor and served as Vice Chair of Innovation and Research, and Chair of the Promotions Committee in the Department of Anesthesia, 2016-2018. Dr. Karkouti is cross-appointed to the Institute of Health Policy, Management and Evaluation as well as the Interdepartmental Division of Critical Care Medicine. Dr. Karkouti was appointed Chief of the Department of Anesthesia and Pain Management for Sinai Health System/ University Health Network (UHN)/ Women’s College Hospital in December 2018. He has served as Deputy Chief at Toronto General Hospital since 2011 and has made an impactful contribution to the clinical, research and education pillars of the department.  He has held privileges at Mount Sinai Hospital since 2017 and has practiced at UHN, Women’s College Hospital and CAMH

Born in Quebec City, Dr Pascal Labrecque attended medical school at Laval University. He trained in anesthesiology at Laval, Université de Montréal and McGill. He joined the faculty of the latter in 1986, working at the Royal Victoria Hospital. In 1991, Dr Labrecque moved to the Hôtel-Dieu de Québec, a component of the CHU de Québec. Since 2015, he has been the chief of the department of anesthesiology of the CHU. An examiner for the Royal College from 2007 to 2014, Dr Labrecque co-chaired its examination committee in anesthesiology from 2009 to 2014. Within the Department of Anesthesiology and Intensive Care of Laval University, Dr Labrecque is an associate professor. 

Dr Kelly Mayson
is an anesthesiologist and clinical professor at Vancouver General Hospital (VGH). Dr Mayson’s passion is surgical patient optimization, a field of healthcare quality improvement that focuses on optimizing patients’ health before surgery in order to improve their outcomes. Quality improvement has been a touchstone for Dr. Mayson throughout her career and she has made enormous contributions to improving standards in the quality of health care, starting with her role as Medical Director of VGH's Post-Anesthesia Care Unit from 1995 to 2006. Dr. Mayson led the introduction of the National Surgical Quality Improvement Program (NSQIP) to VCH-Vancouver in 2012. This program benchmarked departments with other NSQIP hospitals and provided risk-adjusted comparisons. Dr. Mayson initiated the tracking of certain anesthetic variables into the NSQIP database over the last five years. Her involvement started a pneumonia prevention initiative, iCOUGH, as well as the active pre-warming of patients to decrease perioperative hypothermia and the Enhanced Recovery After Surgery (ERAS) program both at VGH and the provincial level.



Dr Daniel Bainbridge completed both medical school and an anesthesiology residency program at the University of Saskatchewan in Saskatoon, Saskatchewan. He subsequently completed a fellowship in cardiothoracic anesthesia at Duke University in Durham, North Carolina. Following this he started working at London Health Sciences Centre and was appointed the first Director of Perioperative TEE at LHSC. Over the last 10 years, he has held many positions including Coordinator of the Cardiac Fellowship Program, and Coordinator of the City-Wide Fellowship Program. Currently, he is the Director of Cardiac Anesthesia Program and Chair of the Department of Anesthesiology and Perioperative Medicine Research Committee. At the national level, he served as Chair of the Annual Meeting Committee for four years, organizing the specialty scientific national meeting of the Canadian Anesthesiologists’ Society and has served as the Vice President of the Canadian Anesthesiologists’ Society and currently is the president of the Canadian Anesthesiologists Society. 


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March 22, 2020 - COVID-19 - Protecting yourself while caring for patients: PPE and more