How to Restart the Interventional Activity in the COVID‐19 Era: The Experience of a Private Pain Unit in Spain

González, David Abejón; Monzón, Eva; Deer, Timothy R; Hagedorn, Jonathan M; Araújo, Ricardo Moreira; Abad, Cristina L.; Ríos, Alberto Arellano; Zamora, A.; Vallejo, Ricardo

doi:10.1111/papr.12951

Cited by 5 publications

(5 citation statements)

References 45 publications

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“…We found 5 articles analysing the effect of the pandemic in pain management practices. 1,2,9,12,15,16,18 It is widely acknowledged that the pandemic situation also caused delays in procedures, treatments, and interventions for chronic pain patients. We have not found data on how much activity in the pain units of Spain was cancelled during the alarm state, but we can estimate it from online surveys performed in headache units 15 or rheumatology services.…”

Section: Changes In Chronic Pain Management During the Covid-19 Pandemicmentioning

confidence: 99%

“…Concerning the measures to mitigate the impact of the pandemic on the management of chronic pain, we found a report proposing specific measures for the reestablishment of the pain units activity. 1 In this article, the authors reviewed different pain treatments and made proposals of interventions with minimal interference on the immune system, as well as recommendations to guarantee the safety of the patients. In this line, other publication made recommendations about pharmacological therapy for chronic pain patients depending on the presence of not of COVID-19 infection or immunity.…”

Section: Changes In Chronic Pain Management During the Covid-19 Pandemicmentioning

confidence: 99%

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Effects of the COVID-19 pandemic on chronic pain in Spain: a scoping review

Carrillo-de-la-Peña

González-Villar

Triñanes

2021

PR9

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The COVID-19 outbreak has been a great challenge in the management of chronic pain patients. We have conducted a rapid scoping review to assess the impact of the pandemic (and the associated public health measures) on the health status and management practices of chronic pain patients in Spain. To this end, we performed a bibliographic search in LitCOVID and PubMed, and reviewed official websites and documents, and expert reports. The review showed that (1) the studies consistently indicate that the pandemic has had a very negative impact on the physical and psychological health of chronic pain patients; (2) there are scarce data on how the pandemic affected pain unit consultations and a lack of protocols to organize health care in the face of future waves of contagion, with little implementation of telehealth. We make proposals to improve management of chronic pain patients in pandemic situations, which should pivot around 3 axes: (1) a coordinated response of all the relevant stakeholders to define a future roadmap and research priorities, (2) a biopsychosocial approach in pain management, and (3) development and implementation of novel telemedicine solutions.

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Section: Changes In Chronic Pain Management During the Covid-19 Pandemicmentioning

confidence: 99%

Section: Changes In Chronic Pain Management During the Covid-19 Pandemicmentioning

confidence: 99%

Effects of the COVID-19 pandemic on chronic pain in Spain: a scoping review

Carrillo-de-la-Peña

González-Villar

Triñanes

2021

PR9

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“…The COVID-19 pandemic has resulted in increased burden on national health systems and cancellation of all non-urgent surgery and oncological activity during the lockdown. This situation has generated a crisis regarding the situation of oncology patients in our country as well as in other European countries (40)(41)(42). The limited access to consultations in the primary care system and specialized polyclinics has led to a delay in diagnosing oncological diseases, which explains the higher rate of acute abdomen by stenotic or perforated tumors among the emergency room visits, as an initial presentation of cancer.…”

Section: Sars-cov 2 Infection-a Novel Cause Of Differential Diagnosismentioning

confidence: 99%

“…These patients are particularly vulnerable to SARS-Cov 2 infection, due to immunosuppression related to neoplasia and related treatments. New guidelines for the therapeutic approach have been established to offer these patients a reasonable time frame for surgery and complementary therapies (40)(41)(42).…”

Section: Sars-cov 2 Infection-a Novel Cause Of Differential Diagnosismentioning

confidence: 99%

Acute surgical abdomen during the COVID‑19 pandemic: Clinical and therapeutic challenges

et al. 2021

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The present study investigated the effects of the COVID-19 pandemic on the clinical presentation and therapeutic management of acute surgical abdomen. A retrospective study of emergency hospitalizations with a diagnosis of acute surgical abdomen between April and July 2020 vs. a similar period in 2019 was performed. The observation sheets and the operating protocols were analyzed. Between April and July 2020, 50 cases of acute surgical abdomen were hospitalized and treated, compared to 43 cases in the same period last year. The main types of pathology in both groups included: Occlusions (60%, respectively 44.2% in 2019) and peritonitis (32%, respectively 41.8% in 2019). There was an increased rate of patients with colorectal cancers neglected therapeutically or uninvestigated, who presented during the pandemic period with emergencies for complications such as occlusion or tumor perforation (32 vs. 6.97%, P=0.0039). One case, with gastric perforation, was COVID-positive, with no pulmonary symptoms at admission. The number of postoperative infectious complications was lower during the pandemic (2 vs. 13.95%, P=0.0461). As the COVID-19 pandemic appears to be still far from ending, we should learn to adapt our surgical protocols to the new evidence.Oncological patients are a vulnerable group, who were neglected in the first months of the pandemic. SARS-Cov-2 infection may be a cause of abdominal pain and should be taken into account in different diagnoses of acute abdomen in surgical wards. Correct wearing of adequate personal protective equipment (PPE) and respecting strict rules of asepsis and antisepsis are required for preventing in-hospital transmission of infection.

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“…The measures that have been described are directly related to how to deal with the impact of the pandemic on HCWs. It remains to be seen which interventions and actions are put in place to recover the health systems from the effect of COVID-19 and to support the workforce in facing the new health challenges, such as the recovery of the suspended activity during this period [29,30].…”

Section: Discussionmentioning

confidence: 99%

Strategies for the Psychological Support of the Healthcare Workforce during the COVID-19 Pandemic: The ERNST Study

López-Pineda

Carrillo

Mula

et al. 2022

IJERPH

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The COVID-19 pandemic led to the implementation of interventions to provide emotional and psychological support to healthcare workers in many countries. This ecological study aims to describe the strategies implemented in different countries to support healthcare professionals during the outbreak. Data were collected through an online survey about the measures to address the impact of the pandemic on the mental health of healthcare workers. Healthcare professionals, researchers, and academics were invited to respond to the survey. Fifty-six professionals from 35 countries contributed data to this study. Ten countries (28.6%) reported that they did not launch any national interventions. Both developed and developing countries launched similar initiatives. There was no relationship between the existence of any type of initiative in a country with the incidence, lethality, and mortality rates of the country due to COVID-19, and per capita income in 2020. The 24 h hotline for psychological support was the most frequent intervention. Tools for self-rescue by using apps or websites were extensively used, too. Other common interventions were the development of action protocols, availability of regular and updated information, implantation of distance learning systems, early detection of infection programs for professionals, economic reinforcements, hiring of staff reinforcement, and modification of leave and vacation dates.

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How to Restart the Interventional Activity in the COVID‐19 Era: The Experience of a Private Pain Unit in Spain

Cited by 5 publications

References 45 publications

Effects of the COVID-19 pandemic on chronic pain in Spain: a scoping review

Effects of the COVID-19 pandemic on chronic pain in Spain: a scoping review

Acute surgical abdomen during the COVID‑19 pandemic: Clinical and therapeutic challenges

Strategies for the Psychological Support of the Healthcare Workforce during the COVID-19 Pandemic: The ERNST Study

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