A team huddle should take place before surgery to ensure everyone understands the plan for anesthesia and surgery. This enables seamless teamwork and ensures that all necessary drugs and equipment have been prepared. It also minimizes the need to leave and re-enter the OR to bring in missing equipment. All staff should be aware that communication is more difficult after PPE (and especially PAPR) have been donned, and pay special attention to facilitate communication during the procedure.26 All staff should be protected in appropriate PPE, and the staff number should be restricted to the minimum necessary for patient safety.5 Given the relative lack of familiarity with the new changes in workflow, an OR coordinator is assigned to each team caring for the COVID-19 patient. This coordinator directs all team members and guides them on their roles and infection prevention measures. A core group of anesthesiologists, who are familiar with the isolation OR processes, serve as coordinators.