Global guidance for surgical care during the COVID-19 pandemic.
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In this paper, a scoping search was conducted to identify published articles relating to management of surgical patients during pandemics and key informant interviews were conducted with surgeons and anaesthetists with direct experience of working during infectious disease outbreaks, to identify key challenges and solutions to delivering effective surgical services during the COVID-19 pandemic.Abstract:
Background Surgeons urgently need guidance on how to deliver surgical services safely and effectively during the COVID-19 pandemic. The aim was to identify the key domains that should be considered when developing pandemic preparedness plans for surgical services. Methods A scoping search was conducted to identify published articles relating to management of surgical patients during pandemics. Key informant interviews were conducted with surgeons and anaesthetists with direct experience of working during infectious disease outbreaks, in order to identify key challenges and solutions to delivering effective surgical services during the COVID-19 pandemic. Results Thirteen articles were identified from the scoping search, and surgeons and anaesthetists representing 11 territories were interviewed. To mount an effective response to COVID-19, a pandemic response plan for surgical services should be developed in advance. Key domains that should be included are: provision of staff training (such as patient transfers, donning and doffing personal protection equipment, recognizing and managing COVID-19 infection); support for the overall hospital response to COVID-19 (reduction in non-urgent activities such as clinics, endoscopy, non-urgent elective surgery); establishment of a team-based approach for running emergency services; and recognition and management of COVID-19 infection in patients treated as an emergency and those who have had surgery. A backlog of procedures after the end of the COVID-19 pandemic is inevitable, and hospitals should plan how to address this effectively to ensure that patients having elective treatment have the best possible outcomes. Conclusion Hospitals should prepare detailed context-specific pandemic preparedness plans addressing the identified domains. Specific guidance should be updated continuously to reflect emerging evidence during the COVID-19 pandemic.read more
Citations
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Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: An international cohort study
TL;DR: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality, so thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older.
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Elective surgery cancellations due to the COVID-19 pandemic: global predictive modelling to inform surgical recovery plans.
TL;DR: In this paper, a global expert response study was conducted to elicit projections for the proportion of elective surgery that would be cancelled or postponed during the 12 weeks of peak disruption due to the COVID-19 pandemic.
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Immediate and long-term impact of the COVID-19 pandemic on delivery of surgical services.
Kjetil Søreide,Kjetil Søreide,Julie Hallet,Jeffrey B. Matthews,Andreas A. Schnitzbauer,Pål-Dag Line,Pål-Dag Line,Paul B.S. Lai,Javier Otero,Dario Callegaro,Shelley G. Warner,Nancy N. Baxter,Catherine Teh,Joshua S Ng-Kamstra,John G. Meara,John G. Meara,Lars Hagander,Laura Lorenzon +17 more
TL;DR: The ongoing pandemic is having a collateral health effect on delivery of surgical care to millions of patients, and little is known about pandemic management and effects on other services, including delivery of surgery.
Journal ArticleDOI
Infection and mortality of healthcare workers worldwide from COVID-19: a systematic review.
Soham Bandyopadhyay,Ronnie E. Baticulon,Murtaza Kadhum,Muath Alser,Daniel Ojuka,Yara Badereddin,Archith Kamath,Sai Arathi Parepalli,Grace Brown,Sara Iharchane,Sofia Gandino,Zara Markovic-Obiago,Samuel Scott,Emery Manirambona,Asif Machhada,Aditi Aggarwal,Lydia Benazaize,Mina Ibrahim,David Y. Kim,Isabel Tol,Elliott H Taylor,Alexandra Knighton,Dorothy Bbaale,Duha Jasim,Heba Alghoul,Henna Reddy,Hibatullah Abuelgasim,Kirandeep Saini,Alicia Sigler,Leenah Abuelgasim,Mario Moran-Romero,Mary Kumarendran,Najlaa Abu Jamie,Omaima Ali,Raghav Sudarshan,Riley A Dean,Rumi Kissyova,Sonam Kelzang,Sophie Roche,Tazin Ahsan,Yethrib Mohamed,Andile Maqhawe Dube,Grace Paida Gwini,Rashidah Gwokyala,Rashidah Gwokyala,Robin Brown,Mohammad Rabiul Karim Khan Papon,Zoe Li,Salvador Sun Ruzats,Somy Charuvila,Noel Peter,Khalil Khalidy,Nkosikhona Moyo,Osaid Alser,Osaid Alser,Arielis Solano,Eduardo Robles-Pérez,Aiman Tariq,Mariam Gaddah,Spyros Kolovos,Faith C. Muchemwa,Abdullah Saleh,Amanda A. Gosman,Rafael Pinedo-Villanueva,Rafael Pinedo-Villanueva,Anant Jani,Roba Khundkar,Roba Khundkar +67 more
TL;DR: COVID-19 infections and deaths among HCWs follow that of the general population around the world, and the need for universal guidelines for testing and reporting of infections in HCWs is highlighted.
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SARS-CoV-2 vaccination modelling for safe surgery to save lives: data from an international prospective cohort study
TL;DR: In this article, a preoperative SARS-CoV-2 vaccination could support safer elective surgery, and the primary outcome was the number needed to vaccinate (NNV) to prevent one COVID-19-related death in 1 year.
References
More filters
Journal ArticleDOI
COVID-19 pandemic: perspectives on an unfolding crisis.
TL;DR: This paper aims to provide a history of colorectal surgery in Italy and Spain over the past 50 years and some of the techniques used in that time have changed significantly.
Journal ArticleDOI
What we do when a COVID-19 patient needs an operation: operating room preparation and guidance.
TL;DR: The protocol that this hospital uses in preparing an operating room (OR) for confirmed or suspected COVID-19 patients coming for surgery is shared to avoid repeated instrumentation of the airway, including using a video-laryngoscope.
Journal ArticleDOI
Stepping up infection control measures in ophthalmology during the novel coronavirus outbreak: an experience from Hong Kong
Tracy H T Lai,Tracy H T Lai,Emily W H Tang,Emily W H Tang,Sandy K. Y. Chau,Kitty S. C. Fung,Kenneth K. W. Li,Kenneth K. W. Li +7 more
TL;DR: Local experience of stepping up infection control measures for COVID-19 infection in ophthalmology can help ophthalmologists globally to prepare for the potential community outbreak or pandemic.
Journal ArticleDOI
Infection control measures for operative procedures in Severe acute respiratory syndrome-related patients
TL;DR: Staff personal protection, patient risk categorization, and reorganization of operating room workflow processes formed the key elements for the containment of SARS transmission.