Responsible Return to Essential and Non-Essential Surgery During the COVID-19 Pandemic

Elsevier BV - Tập 25 - Trang 1105-1107 - 2020
Benjamin K. Poulose1, Laura S. Phieffer2, Joel Mayerson2, Daniel Like3, L. Arick Forrest4, Armin Rahmanian5, Brooke Bellamy6, Michael Guertin7, Timothy M. Pawlik8
1Center for Abdominal Core Health, Division of General and Gastrointestinal Surgery, The Ohio State University Wexner Medical Center, Columbus, USA
2Department of Orthopaedic Surgery, The Ohio State University Wexner Medical Center, Columbus, USA
3Department of Ambulatory Services, The Ohio State University Wexner Medical Center, Columbus, USA
4Department of Otolaryngology, The Ohio State University Wexner Medical Center, Columbus, USA
5The Ross Heart Hospital, The Ohio State University Wexner Medical Center, Columbus, USA
6Department of Access and Capacity Management, The Ohio State University Wexner Medical Center, Columbus, USA
7Department of Anesthesiology, The Ohio State University Wexner Medical Center, Jameson Crane Sports Medicine Institute, Columbus, USA
8Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, USA

Tóm tắt

Non-essential surgery had largely been suspended during the COVID-19 Pandemic. Enormous amounts of resources were utilized to shift surgical practices to a “disaster footing” with most elective surgeons assuming new roles to offset the anticipated burden from surgical and medical personnel delivering acute care. As the number of COVID-19-infected patients began to plateau in the state of Ohio, a four-phase “Responsible Return to Surgery” approach was adopted in concert with the Ohio Department of Health and the Ohio Hospital Association. This approach was adopted understanding that a simple return to the status quo prior to the COVID-19 pandemic might be harmful to patients, providers, and staff. The discrete phases undertaken at our quaternary care institution for a responsible return to non-essential surgery are outlined with the goal of ensuring timely care, minimizing community transmission, and preserving personal protective equipment. Operationalizing these phases relied upon the widespread use of telehealth, systematic COVID-19 testing, and real-time monitoring of hospital and personal protective equipment resources.

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