An Ancillary Central Catheter Emergency Support Service Team Staffed by Surgical Personnel Improves Workflow During the Coronavirus Disease 2019 Crisis

Schulberg, Steven P.; Jaikaran, Omkaar; Lim, Derek; Patel, Ronak; Sirsi, Sandeep; Timoney, Michael; Sinha, Prashant

doi:10.1177/1553350620971181

Cited by 2 publications

(2 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…During the pandemic, the New York City Hospital developed an auxiliary central catheter emergency support service to facilitate the movement of surgical personnel, provide learning opportunities for trainees, and improve the efficiency of critical care teams. This service contributed to the implantation of more than 100 invasive catheters with a low risk of complications, saving each patient for at least 30 min during surgery [ 45 ].…”

Section: Resultsmentioning

confidence: 99%

Optimizing Surgical Care Amidst COVID-19: A Scoping Review of Practices and Policies

Alzerwi,

Rayzah,

Alnemare

et al. 2023

Healthcare

View full text Add to dashboard Cite

Background: The coronavirus disease (COVID-19) pandemic significantly disrupted surgical care worldwide, affecting different specialties in various ways. Lockdowns, surges in COVID-19 cases, and changes in hospital policies notably impacted patient attendance, management practices, and access to surgical services. This scoping review examines the adverse impacts of the COVID-19 pandemic on surgical services and the policies adopted to address these care barriers. Methods: We conducted a comprehensive literature review using the preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews (PRISMA-ScR) guidelines. Our search, spanning 31 December 2019, to 29 January 2023, focused on understanding the multifaceted impacts of COVID-19 on surgical services, particularly across different specialties. Results: An analysis of 75 articles indicated that the pandemic challenged surgeons worldwide to maintain a balance between delivering emergency and elective surgical care, and implementing safety measures against viral transmission. There was a marked decline in the surgical volume, leading to extended waitlists and decreased operating theater usage. Strategies such as prioritizing medically necessary and time-sensitive surgeries and integrating telemedicine have emerged as pivotal for ensuring the continuity of urgent care. Despite the reduced rates, essential surgeries such as appendectomies and cancer-related operations continued, yet faced hurdles, including reduced staffing, limited operating theater capacity, and complications in patient transfers. Conclusions: This review emphasizes the steep reduction in surgical service utilization at the beginning of the pandemic and emergence of new compounded barriers. Policies that designated surgeries as essential, and focused on equitable and timely access, were effective. Incorporating these findings into post-pandemic assessments and future planning is crucial to sustain adequate surgical care during similar health emergencies.

show abstract

Section: Resultsmentioning

confidence: 99%

Optimizing Surgical Care Amidst COVID-19: A Scoping Review of Practices and Policies

Alzerwi,

Rayzah,

Alnemare

et al. 2023

Healthcare

View full text Add to dashboard Cite

show abstract

“…In our cohort, 14.6% of programs reported this as an added responsibility during the pandemic. Schulberg et al described their institution's experience with a line team and noted procedures were significantly more efficient and had a low complication rate (<1%) [ 9 ]. The University of Washington created a more dramatic reallocation of workflow by dividing residents into clinical, operative, and inpatient care teams that surgical residents rotated through weekly.…”

Section: Discussionmentioning

confidence: 99%

The impact of coronavirus 2019 on general surgery residency: A national survey of program directors

Kilcoyne

Coyan

Aranda‐Michel

et al. 2021

Annals of Medicine &Amp; Surgery

View full text Add to dashboard Cite

Background Coronavirus disease 2019 (COVID-19) has had a widespread impact on graduate medical education. This survey aims to assess how general surgery residency programs adapted to the initial wave of the COVID-19 pandemic in the United States (US). Materials and methods General surgery program directors (PDs) in the US were invited to partake in a 16-question survey between April 17 and May 1, 2020. The survey included questions about basic program information, clinical practice changes, changes to education structure, surgery resident clinical duties, and perceived impact on resident operative experience and future career choices. Results Forty-eight PDs completed the survey in the designated two-week period. Almost all (44/48, 91.7%) programs changed their didactic education to an online video conference-based format. Thirteen programs (27.1%) decreased the amount/frequency of formal education, and 13 (27.1%) reported canceling didactic education for some period of time. The majority of PDs (26/48, 54.2%) felt these changes had no impact on resident didactic participation, 14 (29.2%) reported an increase in participation, and 8 (16.7%) reported decreased participation. Ten programs (20.8%) redeployed residents to non-surgical services at the time of this survey, 30 (62.5%) have not redeployed residents but plan to if needed, and 8 (16.7%) did not have any plans to redeploy residents. Conclusions The outbreak of COVID-19 has required general surgery residency PDs to change numerous aspects of resident education and clinical roles. Future inquiry is needed to assess if these changes lead to appreciable differences in resident preparedness and career selection.

show abstract

An Ancillary Central Catheter Emergency Support Service Team Staffed by Surgical Personnel Improves Workflow During the Coronavirus Disease 2019 Crisis

Cited by 2 publications

References 8 publications

Optimizing Surgical Care Amidst COVID-19: A Scoping Review of Practices and Policies

Optimizing Surgical Care Amidst COVID-19: A Scoping Review of Practices and Policies

The impact of coronavirus 2019 on general surgery residency: A national survey of program directors

Contact Info

Product

Resources

About