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. 2020 May 26;231(2):304–305. doi: 10.1016/j.jamcollsurg.2020.04.034

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Crown Copyright © 2020 Published by Elsevier Inc. on behalf of the American College of Surgeons. All rights reserved.

Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

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The enhanced draping technique. (A) The draping technique consists of 3 layers. 1. Bed drape. 2. Over-body drape. 3. Tent drape suspended over 2 adjustable-height Mayo stand bars. These bars can also be draped if sterility is required. The Mayo stand bars can be rotated and positioned to avoid obstructing access to the patient. A modified extracorporeal membrane oxygenation (ECMO) cover drape (Uline S12308 60 × 60 2mm polybag) or a Lap ped-neonatal clear drape (Medline) are sufficiently large for the tent drape. Two suctions are secured under the tent drape and left on full suction. (B) In addition to appropriate personal protective equipment (PPE), the healthcare providers (HCP) cover their arms in disposable sleeves. Gown sleeves (Medline), video camera drapes (Microtek AEF 9604, LOT190904F), or ultrasound drapes can be used. (C) Two small holes are then cut into the drapes at appropriate distances so that the HCPs can comfortably move their arms without excessively luffing the drapes.