Background The Coronavirus and the COVID-19 pandemic in 2020 have significantly impacted hospital care, including surgery practice. Hospitals must balance patient care, staff safety, resource availability, and medical ethics. Differences in community infection trends, national policies, availability of resources and technology, plus local circumstances may make uniform management impossible globally. This paper described the practical workflow of emergency COVID-19 surgery in a tertiary referral national hospital in Indonesia. Method This study focused on the process of preparation for COVID-19 surgery from March 2020-March 2021. We also described the available facilities in terms of equipment and human resources. Results Steps of COVID-19 surgery preparations were described, such as the setup of general and infectious triage in the emergency department, development of preoperative screening protocol for COVID-19, designation of a specialized COVID-19 operating room and surgical staff, changes in preoperative surgery and anesthesia workflow, development of checklists and postoperative monitoring on staff health. Conclusions Changes in the workflow are essential during the pandemic for safe surgery. These changes require a multidisciplinary approach, communication, and a continued willingness to adapt. We recommend local adaptation of our general workflow for emergency surgery during an epidemic or pandemic.

No abstract

Postoperative sore throat (POST) setelah anestesi umum dengan pemasangan pipa endotrakea merupakan komplikasi yang sering terjadi dan tidak diinginkan. Angka kejadian nyeri tenggorok pascaoperasi setelah pemasangan pipa endotrakea adalah 6–76%. Penelitian ini bertujuan membandingkan efek kombinasi parasetamol dan deksametason dengan deksametason tunggal untuk mengurangi angka kejadian POST pada pasien setelah anestesi umum. Penelitian ini merupakan eksperimental dengan melakukan uji klinis rancangan acak lengkap terkontrol buta ganda. Penelitian dilakukan di RSUP Dr. Hasan Sadikin bulan Januari–April 2021. Total 92 pasien yang dijadwalkan operasi elektif dibagi secara acak menjadi 2 kelompok. Kelompok deksametason dan parasetamol (n=46) diberikan deksametason 10 mg dan parasetamol 1.000 mg intravena. Kelompok deksametason (n=46) diberikan deksametason 10 mg intravena dan plasebo. Pada penelitian ini, derajat POST dipantau. Angka kejadian POST didapatkan lebih rendah pada kelompok kombinasi deksametason dan parasetamol dibanding dengan kelompok deksametason dan plasebo pada jam ke-0, 1, dan 6 (p=0,0001, p=0,001, dan p=0,0001). Simpulan penelitian ini adalah kombinasi deksametason parasetamol lebih baik dibanding dengan deksametason tunggal dalam menurunkan angka kejadian POST anestesi umum.