Emergent Survey on Availability of Anesthesia Machines in Louisiana

COVID-19 Survey

As part of the growing need for ventilator support of COVID-19 patients in Louisiana, we need your help today. We need at least one member at your facility to answer this emergent 3 minute questionnaire in the next 24 hours or sooner.

Question Title

* Please provide the following information:

Group Name *

Facility/Facilities

City

Question Title

* Number of Operating Room?

Question Title

* Approximate number of anesthesia machines?

Question Title

* Names of surgery centers or other facilities in your area, if known, and anesthesiologist contacts?

Question Title

* Person filling out survey?

Name *

Company

Email Address *

Phone Number *