COVID-19 - ESSKA guidelines and recommendations for resuming elective surgery
Tóm tắt
The roadmap to elective surgery resumption after this COVID-19 pandemic should be progressive and cautious. The aim of this paper was to give recommendations and guidelines for resuming elective orthopedic surgery in the safest environment possible. Elective surgery should be performed in COVID-free facilities and hospital stay should be as short as possible. For matters of safety, patients considered first for surgery should be carefully selected according to COVID infection status/exposure, age, ASA physical status classification system / risk factors, socio-professional situation and surgical indication. A strategy for resuming elective surgery in four phases is proposed. Preoperative testing for COVID-19 infection is highly recommended. In any cases, COVID symptoms including fever and increased temperature should be constantly monitored until the day of surgery. Elective surgery should be postponed at the slightest suspicion of a COVID-19 infection. In case of surgery, adapted personal protective equipment in terms of gowns, gloves, masks and eye protection is highly recommended and described.
Từ khóa
Tài liệu tham khảo
American College of Surgeons (ACS). 2020 COVID-19 update: guidance for triage of non-emergent surgical procedures. https://www.facs.org/covid-19/clinical-guidance/triage Accessed 13 Mar 2020
Am. Coll. Surg (2020) Joint statement: roadmap for resuming elective surgery after COVID-19 pandemic https://www.asahq.org/about-asa/newsroom/news-releases/2020/04/joint-statement-on-elective-surgery-after-covid-19-pandemic Accessed 17 Apr 2020
Prem K, Liu Y, Russell TW et al (2020) The effect of control strategies to reduce social mixing on outcomes of the COVID-19 epidemic in Wuhan, China: a modelling study. Lancet Public Health. https://doi.org/10.1016/S2468-2667(20)30073-6
de Caro F, Hirschmann TM, Verdonk P (2020) Returning to orthopaedic business as usual after COVID-19: strategies and options. Knee Surg Sports Traumatol Arthrosc. https://doi.org/10.1007/s00167-020-06031-3
AAOS guidelines for elective surgery - American Academy of Orthopaedic Surgeons. https://www.aaos.org/about/covid-19-information-for-our-members/aaos-guidelines-for-elective-surgery/. Accessed 30 Apr 2020
Hospitalization rates and characteristics of patients hospitalized with laboratory-confirmed coronavirus disease 2019 — COVID-NET, 14 States, March 1–30, 2020 | MMWR
Zhao X, Zhang B, Li P et al (2020) Incidence, clinical characteristics and prognostic factor of patients with COVID-19: a systematic review and meta-analysis. medRxiv Cold Spring Harbor Laboratory Press, Cold Spring Harbor 2020.03.17.20037572
Yang J, Zheng Y, Gou X et al (2020) Prevalence of comorbidities and its effects in coronavirus disease 2019 patients: a systematic review and meta-analysis. Int J Infect Dis 94:91–95
Garg S (2020) Hospitalization rates and characteristics of patients hospitalized with laboratory-confirmed coronavirus disease 2019 — COVID-NET, 14 States, March 1–30, 2020. MMWR Morb Mortal Wkly Rep 69
Fang Z, Yi F, Wu K et al (2020) Clinical characteristics of coronavirus pneumonia 2019 (COVID-19): an updated systematic review. medRxiv Cold Spring Harbor Laboratory Press, Cold Spring Harbor 2020.03.07.20032573
Hirschmann MT, Hart A, Henckel J et al (2020) COVID-19 coronavirus: recommended personal protective equipment for the orthopaedic and trauma surgeon. Knee Surg Sports Traumatol Arthrosc. https://doi.org/10.1007/s00167-020-06022-4
Salehi S, Abedi A, Balakrishnan S, Gholamrezanezhad A (2020) Coronavirus disease 2019 (COVID-19): a systematic review of imaging findings in 919 patients. Am J Roentgenol Am Roentgen Ray Soc: 34:1–7. https://doi.org/10.2214/AJR.20.23034
Xie X, Zhong Z, Zhao W et al (2020) Chest CT for typical 2019-nCoV pneumonia: relationship to negative RT-PCR testing. Radiology. 34:200343. https://doi.org/10.1148/radiol.2020200343 Radiological Society of North America
Jiang G, Ren X, Liu Y et al (2020) Application and optimization of RT-PCR in diagnosis of SARS-CoV-2 infection. medRxiv Cold Spring Harbor Laboratory Press, Cold Spring Harbor 2020.02.25.20027755
Cheung KS, Hung IF, Chan PP et al (2020) Gastrointestinal manifestations of SARS-CoV-2 infection and virus load in fecal samples from the Hong Kong cohort and systematic review and meta-analysis. Gastroenterology. https://doi.org/10.1053/j.gastro.2020.03.065
Rodriguez-Morales AJ, Cardona-Ospina JA, Gutiérrez-Ocampo E et al (2020) Clinical, laboratory and imaging features of COVID-19: a systematic review and meta-analysis. Travel Med Infect Dis. 34:101623. https://doi.org/10.1016/j.tmaid.2020.101623
Rajan N, Joshi GP (2020) The COVID-19: role of ambulatory surgery facilities in this global pandemic. Anesth Analg. https://doi.org/10.1213/ANE.0000000000004847
Zhong Q, Liu YY, Luo Q et al (2020) Spinal anaesthesia for patients with coronavirus disease 2019 and possible transmission rates in anaesthetists: retrospective, single-Centre, observational cohort study. Br J Anaesth. https://doi.org/10.1016/j.bja.2020.03.007
ASTM Standards & COVID-19. https://www.astm.org/COVID-19/.