Surgical Management of Patients With COVID-19 Infection. Recommendations of the Spanish Association of Surgeons

Balibrea, José M.; Badia, Josep M.; Pérez, Inés Rubio; Antona, Esteban Martín; Peña, Estíbaliz Álvarez; Botella, Sandra García; Gallego, Mario Álvarez; Pérez, Elena Martín; Cortijo, Sagrario Martínez; Migueláñez, Isabel Pascual; Díaz, Lola Pérez; Rodríguez, José Luis Ramos; Basany, Eloy Espín; Santos, Raquel Sánchez; Aledo, Victoriano Soria; Barrachina, Ruth López; Morales‐Conde, Salvador

doi:10.1016/j.cireng.2020.04.003

Cited by 47 publications

(53 citation statements)

References 19 publications

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“…Many articles have tried to categorize various conditions according to urgency, [37,38] as well as guidelines put forth by international societies [45][46][47].…”

Section: What Should Be Offered To Patients As An Alternativementioning

confidence: 99%

COVID-19. An update for orthopedic surgeons

Abdelnasser

Morsy

Osman

et al. 2020

SICOT-J

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The COVID-19 pandemic has affected our world in a short period of time, and the orthopedic surgery practice was not an exclusion. Elective care was deferred in most health care facilities and emergency care was continued with strict precautions. With rapid progression of the pandemic, the response of the medical community is also rapidly changing in all aspects of delivering care. This led to a large number of publications with reports, guidelines, measures, ways to react to the crisis, and post-pandemic predictions and speculations. In this review we aimed at summarizing all the relevant information to the orthopedic surgery community. To do this, a comprehensive search was performed with all related terms on two scientific search engines, PubMed and SCOPUS, and the results were filtered by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) method. The result was 72 articles that were further reduced to 33 articles after full text reading. The resultant information was organized under 5 main headings; the impact of pandemic on the orthopedic practice, COVID-19 and the trauma patient, elective and emergency surgeries during the pandemic, peri-operative management of the patient with COVID-19, Miscellaneous effects of the pandemic such as those on training programs and the evolution of telemedicine. This review represents the most up to date information published in the literature that is a must-know to every orthopedic surgeon.

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“…Many articles have tried to categorize various conditions according to urgency, [37,38] as well as guidelines put forth by international societies [45][46][47].…”

Section: What Should Be Offered To Patients As An Alternativementioning

confidence: 99%

COVID-19. An update for orthopedic surgeons

Abdelnasser

Morsy

Osman

et al. 2020

SICOT-J

View full text Add to dashboard Cite

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“…Numerous patients with confirmed or suspected COVID-19 will require urgent surgical treatment (11). All postponable procedures must be rescheduled in order to reduce the exposure of the surgical team and the patient to potential contamination (4).…”

Section: Indications and Prioritization Of Surgeriesmentioning

confidence: 99%

“…Some actions must be taken in order to reduce the spread of the disease during surgery, such as: using as much disposable material as possible, keeping the operating room doors closed, except for the circulation of employees, patients and instruments. Never handle instruments without gloves, avoid using cutting materials when possible (11). To define the indications for endourological procedures, it is necessary to proceed with the same care.…”

Section: Indications and Prioritization Of Surgeriesmentioning

confidence: 99%

Endourology (Lithiasis). Management, surgical considerations and follow-up of patients in the COVID-19 era

Socarrás¹,

Esperto

Bapstistussi³

et al. 2020

Int. braz j urol.

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Purpose: To provide recommendations on the endourological management of lithiasis in the scenario of the COVID-19 pandemic. Materials and Methods: A non-systematic review in PubMed and the grey literature, as well as recommendations by a panel of stakeholders was made, regarding management, surgical considerations and follow-up of patients affected by lithiasis in the COVID-19 era. Results: Under the current outbreak and COVID-19 pandemic scenario, patients affected by lithiasis should be prioritized into low, intermediate and high risk categories, to decide their delay and save resources, healthcare personnel, beds and ventilators. However, patients with potentially serious septic complications need emergency interventions. The possibility of performing or restarting elective activity depends on local conditions, the availability of beds and ventilators, and the implementation of screening protocols in the context of the COVID-19 pandemic. Delaying lithiasis surgery and increasing waiting lists will have consequences and will require considerable additional effort. Teleconsultation may be useful in guiding these patients, reducing visits and unnecessary exposure. Conclusions: categorization and prioritization of patients affected by lithiasis is crucial for management, surgical selection and follow-up. Protocols, measures and additional efforts should be carried out in the current situation of the COVID-19 pandemic.

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“…Given the extent of the backlog and limitation on resources, prioritization of surgeries will be necessary. tested positive for COVID-19 (e.g., Spain 36 and Italy 37 ), with many advising that surgery should be postponed until the patient has been asymptomatic for 72 hours and has received a least 2 negative COVID-19 tests, 24 hours apart. 38 Testing for COVID-19 pre-surgery is also recommended, as an asymptotic patient undergoing surgery is at risk of increased complications and mortality.…”

Section: Prioritization Of Surgeriesmentioning

confidence: 99%

Backlog to Surgery due to COVID-19 and Considerations to Address to Catch-up Safely

Lewis¹

2020

JoARMST

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On March 11th 2020, COVID-19 met all criteria to be considered a pandemic. The resulting halt in surgery led to an estimated 28.4 million elective surgery cancellations around the globe. Figures suggest that the backlog to surgery may take years to clear, causing huge detrimental effects to both the economy and the health of patients. Addressing this surgical backlog, whilst ensuring the health and safety of healthcare professionals and patients during surgery, will require a multifaceted approach. Key aspects, such as providing a sufficient and stable supply of Personal Protective Equipment (PPE), adequate and efficient testing of healthcare staff and patients, and availability of post-acute care, need to be secured before surgery can recommence safely in this COVID-19 era.

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Surgical Management of Patients With COVID-19 Infection. Recommendations of the Spanish Association of Surgeons

Cited by 47 publications

References 19 publications

COVID-19. An update for orthopedic surgeons

COVID-19. An update for orthopedic surgeons

Endourology (Lithiasis). Management, surgical considerations and follow-up of patients in the COVID-19 era

Backlog to Surgery due to COVID-19 and Considerations to Address to Catch-up Safely

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