Elective Surgery Guidelines During COVID-19 Pandemic: A Current Literature Review (original) (raw)
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Literature Review: Elective Surgery Guidelines During COVID-19 Pandemic: A Current Literature Review
Health in Emergencies & Disasters Quarterly (HDQ), 2021
The primary purpose of this literature review is to investigate different views of elective surgery management during the COVID-19 pandemic. In other words, the guidelines about diseases prevention and their proper management during performing elective surgeries have been reviewed. Materials and Methods: Current articles related to COVID-19 and practicing elective surgeries in different remarkable EndNote X8 database journals in 2020 were retrieved. All articles referring to COVID-19 precaution rules in implementing elective surgeries were integrated into the article's main goals. Results: All reviews showed alarming guideline steps that should be taken for validated preventing and managing elective surgeries practiced during the COVID-19 pandemic. Emphasizing qualified elective surgery protocols were quoted in many articles to do elective surgeries with successful results. Conclusion: Taking effective and evidence-based steps in patients` selection, precautions, and hospitals` safety cares result in protective surgical results. Elective surgeries should be practiced in highly-equipped hospitals with extraordinary quarantine measures during a COVID-19 pandemic. Safety measures are the primary goal for patients, staff, surgeons, and other health providers before surgeons get involved with any elective surgeries during the COVID-19 pandemic. Questions of how different elective surgical operations are planned during the COVID-19 pandemic are essential controversies. As no clear answers are found to questions of how elective surgeries can be practiced during a COVID-19 pandemic, specific rules issued by the world's most authentic surgical associations have been adopted by surgeons to operate elective surgeries.
Safe Surgery During the COVID-19 Pandemic
Current obesity reports, 2021
Purpose of Review Coronavirus Disease-2019 (COVID-19) has had an enormous impact on all aspects of healthcare, but its effect on patients needing surgery and surgeons has been disproportionate. In this review, we aim to understand the impact of the pandemic on surgical patients and teams. We compiled the emerging data on pre-operative screening methods, vaccinations, safe-surgery pathways and surgical techniques and make recommendations for evidence-based safe-surgical pathways. We also present surgical outcomes for emergency, oncological and benign surgery in the context of the pandemic. Finally, we attempt to address the impact of the pandemic on patients, staff and surgical training and provide perspectives for the future. Recent Findings Surgical teams have developed consensus guidelines and established research priorities and safety precautions for surgery during the COVID-19 pandemic. Evidence supports that surgery in patients with a peri-operative SARS-CoV-2 infection carries substantial risks, but risk mitigation strategies are effective at reducing harm to staff and patients. Summary Surgery has increased risk for patients and staff, but this can be mitigated effectively, especially for elective surgery. Elective surgery can be safely performed during the COVID-19 pandemic employing the strategies discussed in this review.
Resuming elective surgery in the time of COVID-19: a safe and comprehensive strategy
Updates in Surgery
The 2019 novel corona virus and the disease it causes (COVID-19) is a public health crisis that has profoundly modified the way medical and surgical care is delivered. Countries around the globe had a variable initial response to the COVID-19 pandemic from imposing massive lock downs and quarantine to surrendering to herd immunity. However, healthcare bodies worldwide recognized early on that a triumph against COVID-19 could only be achieved by maintaining the infrastructure of healthcare systems and their capacity to accommodate a potentially overwhelming increase in critical patient care needs. Therefore, they reacted by restricting medical care to emergency cases and postponing elective surgical procedures in all disciplines. The priority was made for treatment of COVID-19 patients and emergency cases. Nevertheless, the battle against the COVID-19 pandemic is still ongoing. In the absence of vaccines or effective drug treatments, its timeline remains uncertain and it cannot be forecast how long healthcare systems will need to cope with it in managing inpatient and outpatient services. Accordingly, extreme measures and restriction may become a recipe for a disaster in the context of the potential adverse health implications imposed by delaying timely medical and surgical care. Therefore, restrictive measures should be substituted with a comprehensive surgical and medical care strategy. One that provides a safe balance between the prevention of COVID-19 and the delivery of essential surgical care. This article provides an overview on how to safely deliver essential surgical care in the time of COIVD-19.
COVID-19: Pandemic surgery guidance
4open
Based on high quality surgery and scientific data, scientists and surgeons are committed to protecting patients as well as healthcare staff and hereby provide this Guidance to address the special issues circumstances related to the exponential spread of the Coronavirus disease 2019 (COVID-19) during this pandemic. As a basis, the authors used the British Intercollegiate General Surgery Guidance as well as recommendations from the USA, Asia, and Italy. The aim is to take responsibility and to provide guidance for surgery during the COVID-19 crisis in a simplified way addressing the practice of surgery, healthcare staff and patient safety and care. It is the responsibility of scientists and the surgical team to specify what is needed for the protection of patients and the affiliated healthcare team. During crises, such as the COVID-19 pandemic, the responsibility and duty to provide the necessary resources such as filters, Personal Protective Equipment (PPE) consisting of gloves, flui...
KEY RECOMMENDATIONS FOR THE MANAGEMENT OF PATIENTS WITH SURGICAL TREATMENT DISEASES DURING THE COVID-19 PANDEMIC (Atena Editora), 2022
The COVID-19 pandemic has become a major challenge for health professionals and hospitals, mainly through the overcrowding of beds, lack of resources and materials. Several areas of health suffered from the reflection of the pandemic, among them, elective and emergency surgeries. In order to prevent the spread of COVID-19 and in an attempt to meet the surgical demand, health agencies have been adopting measures to maintain the safety of patients and professionals. Therefore, this systematic review presents a detailed analysis of studies published in the last two years related to recommendations and precautions for the management of emergency and elective surgeries with the advent of the COVID-19 pandemic. Searches were carried out using the descriptors (surgery) OR (operation) AND (COVID-19), inserted in the "Publish or Perish" platform, considering: Google Scholar, PubMed and Web of Science as search bases. After inclusion and exclusion criteria, 13 publications were selected to compose this review. Studies demonstrate key features of elective and emergency surgery and recommendations in operating rooms during the COVID-19 pandemic. In addition, surgical patients are classified into risk categories for SARS-CoV-2: confirmed and suspected, high and low severity, in order to identify what care must be taken regarding surgical procedures. Thus, the information presented in this review is important for health professionals to have a better understanding of the protocols that must be followed regarding surgical operations during the pandemic period, ensuring safety for patients and health professionals.
High-Risk Surgeries during the COVID-19 Epidemy
GSC Advanced Research and Reviews, 2021
Introduction: The prevalence of coronavirus has led to minimal and emergency surgeries. It is recommended that surgery should be performed if it is necessary during the treatment process in order not to interfere with the treatment of patients, but surgery, which are more likely to transmit COVID-19, should be identified in order to have a safe surgery and improve the safety of patients and staff. Therefore, the present study aimed to identify surgeries with the possibility of transmitting COVID-19. Method: The present study was conducted by an integrated review method. Searching was performed by keywords COVID-19, surgery, operating room, anesthesia, and instructions on PUBMED, Science Direct, Ovid, and ProQuest databases; and 98 studied were obtained. It decreased to 42 items after removing the duplicate items and reviewing the abstract of articles, and finally 23 studies were selected for review based on the inclusion criteria. The inclusion criteria were English and Persian lang...
Surgery priority at the time of COVID-19 pandemic, a conceptual frame work recommendation
Caspian Journal of Internal Medicine, 2020
Letter to Editor Surgery priority at the time of COVID-19 pandemic, a conceptual frame work recommendation Dear Sir, The current pandemic disease, COVID-19 is causing fear and affecting the quality of life in 2020. The mentioned disease can spread human to human, especially by asymptomatic carriers. Healthcare providers and surgeons are at the risk of conferring with COVID-19. Surgical history in pandemic situations is rare. In this regard, the present study designed suggesting practical and fundamental issues around the efficacy of surgery at the time of COVID-19 pandemic. This information and recommendations could be as a valuable source for surgeons in low and middle-income countries. In December 2019, the novel Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-COV2) from the coronaviridea family occurred in Wuhan, Hubei Province, China (1). Surfaces are an important route of transmission for this pathogen. Viruses can contaminate the inanimate environments of every place including the hospitals' surfaces (2). The stability of SARS-COV viruses on inanimate environments depends on the type of the strain, the surface, temperature and humidity (3). Accordingly, hospital-related transmission could definitely be an important and challenging issue (4). Operating rooms (OR) could be considered as one of the main contaminated wards in hospitals because of staff traffic and behaviors; in addition, due to the airborne particles and persistence of the particles on surfaces within a closed air circulation (5). For this reason, patients who are confronted by the virus during or after the surgery will have a higher mortality rate than non-hospitalized patients (6). Due to the mentioned issues and the current situation of COVID-19, making decisions about elective surgeries is as important as saving humans' lives. Herein, we offer a conceptual recommendation for evaluating the necessity of performing elective surgeries in health care centers. Surgery in pandemic situations: Surgery has a main role in healthcare systems and is the procedure of choice for treatment of patients with different diseases, especially in low-and middle-income countries. During a pandemic
Surgery in times of COVID-19—recommendations for hospital and patient management
Langenbeck's Archives of Surgery, 2020
Background The novel coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has escalated rapidly to a global pandemic stretching healthcare systems worldwide to their limits. Surgeons have had to immediately react to this unprecedented clinical challenge by systematically repurposing surgical wards. Purpose To provide a detailed set of guidelines developed in a surgical ward at University Hospital Wuerzburg to safely accommodate the exponentially rising cases of SARS-CoV-2 infected patients without compromising the care of emergency surgery and oncological patients or jeopardizing the well-being of hospital staff. Conclusions The dynamic prioritization of SARS-CoV-2 infected and surgical patient groups is key to preserving life while maintaining high surgical standards. Strictly segregating patient groups in emergency rooms, non-intensive care wards and operating areas prevents viral spread while adequately training and carefull...
General surgery and COVID-19: review of practical recommendations in the first pandemic phase
Surgery Today, 2020
Background In March, 2020, the World Health Organization declared COVID-19 a pandemic. The absence of previous knowledge of COVID-19 has made decision-making difficult for all in health care, including surgical departments. We reviewed the management recommendations for surgical activity and changes to surgical practice, identifying concordances and discrepancies, based on the literature published in the early phase of the pandemic. Method We searched the electronic datasets, PubMed Database, Google, and Google Scholar, using the keywords “SARS-CoV-2”, “COVID-19”, “surgery”, “recommendations”, “guideline”, and “triage”. The search was limited to the first 2 months after the pandemic began and was closed on May 6, 2020. Results Twenty papers were included in the analysis and their recommendations are divided into the following categories: 1. general aspects, such as maintaining the safety of health personnel and indications for surgery. 2. The preoperative phase, with recommendations...