What to Do When A Patient Infected With COVID-19 Needs An Operation: A Pre-surgery, Peri-surgery and Post-surgery Guide

Kamer, Erdinç; Çolak, Tahsin

doi:10.4274/tjcd.galenos.2020.2020-3-7

Cited by 64 publications

(125 citation statements)

References 10 publications

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“…Such cases should be performed with airborne precautions (N95 with face shield) and preferably in a negative pressure room. [11,16,50,51] All staff in the OR must use N95 or FFP2/FFP3 respirator, face mask (OR face shields/masks worn over N95), gown, gloves, hair cover, and shoe covers or plastic boots (Fig. 3a, b).…”

Section: Operating Roommentioning

confidence: 99%

“…[7] RECOMMENDATIONS Since the announcement of the first cases of COVID-19 centers, as in all the health-care systems, have been trying to be adapting the new situation, and various preliminary guidelines have been published. [11][12][13][14][15][16] In this section, evidence-based recommendations are presented based on current data. The summary of recommendations can be seen in Table 1.…”

Section: Introductionmentioning

confidence: 99%

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Recommendations for Trauma and Emergency General Surgery Practice During COVID-19 Pandemic

Gök

Eryılmaz

Özmen

et al. 2020

Ulus Travma Acil Cerrahi Derg

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COVID-19 is a new disease, based on currently available limited information, older adults and people of any age who have severe underlying medical conditions may be at higher risk for severe illness from COVID-19. People of all age groups are also at risk. Healthcare providers have always been the professionals most exposed to the risk of contracting to any kind of infection due to the nature of their profession. Elective interventions have been postponed to give care of patients with COVID-19. However, some interventions cannot be delayed, such as trauma surgery, acute abdomen, and emergency endoscopies. To maintain the sustainability of the healthcare system, the protection of healthcare providers should be the top priority. On the other hand, patients, who need emergency healthcare, should also be provided with appropriate treatment. Healthcare professionals should choose a treatment method appropriately in the circumstances to protect themselves and their patients as much as possible. This paper aims to summarize how a surgeon may act appropriately when an intervention is inevitable during the COVID-19 pandemic.

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Section: Operating Roommentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Recommendations for Trauma and Emergency General Surgery Practice During COVID-19 Pandemic

Gök

Eryılmaz

Özmen

et al. 2020

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

show abstract

“…In the operating room, the staff and the doctors are required to operate using personal protective equipment. [4,7,22]…”

Section: What To Do In Patients Who Have a Surgical Decision?mentioning

confidence: 99%

The COVID 19 Pandemic and Colorectal Cancer: 5W1H - What Should We Do to Whom, When, Why, Where and How?

Akyol¹,

Koç²,

Utkan³

et al. 2020

tjcd

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Kansere bağlı ölümlerin önemli bir nedeni olan ve halen önemli bir toplum sağlığı sorunu olan kolorektal kanserin tedavisi, Aralık 2019'da ortaya çıkan COVID-19 pandemisi nedeniyle tartışma konusu halini almıştır. Yapılacak düzenlemeler hastaların pandemiden daha az etkilenmesini, hastane kaynaklarının pandemi için daha etkili kullanılmasını sağlamalı, sağlık çalışanlarını riske sokmadan planlanmalıdır. Ancak onkolojik ve cerrahi sonuçların bu yapılacak tedavi değişikliklerinden etkilenmemesi ana amaç olmalıdır. Bu çalışmada, kişiselleştirlmiş tedavi ile güncel uluslararası kılavuzlar da tartışılarak, pandemi döneminde kolorektal kanserin cerrahi, kemoterapi, radyoterapi seçenekleri kullanılarak multimodal tedavisinin nasıl planlanacağı tartışılmıştır.

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“…The novel coronavirus (nCOV-2019) was first identified in Wuhan Province, China, on December 2019 and it was declared as a pandemic on February 2020 by the World Health Organization [1][2][3]. Since then, it has remained as an important health problem worldwide.…”

Section: Introductionmentioning

confidence: 99%

Cytokine Hemoadsorption in the Management of a Pregnant Woman with COVID-19 Pneumonia: Case Report

Keklik

Dal

Bozok

2020

SN Compr. Clin. Med.

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Here, we discussed a 22-year-old pregnant woman (gestational age: 32 weeks) infected with COVID-19 who presented with fever (39.1°C) and respiratory symptoms. Thoracic computed tomography could not be obtained due to pregnancy. PCR testing was positive. The patient was treated with supportive care and anti-viral and anti-inflammatory agents; however, general health status deteriorated and patient was admitted to intensive care unit on day 3. After admission to COVID-19 ICU, clinical picture was rapidly worsened with development of respiratory failure and acute respiratory distress syndrome (ARDS). Thus, "extracorporeal cytokine hemoadsorption" (CytoSorb®, Cytosorbents Corporation, Monmouth Junction, NJ, USA) was planned and performed with regular intervals in order to remove inflammatory cytokines from circulation and to relieve systemic inflammatory response. The fever response and CRP elevation were controlled by hemoadsorption and cytokine filter performed in alternate days. On day 7 of ICU admission, it was decided to terminate pregnancy due to worsening hypoxemia and a healthy, premature infant was born. On day 2 after cesarean section, the patient was intubated and mechanical ventilation support was initiated. However, the patient showed an increasingly complicated clinical course and died on day 22 after ICU admission. It is seen that COVID-19 positivity carries an important risk for both mother and fetus, particularly in those at advanced stages of gestation, by physiological changes in the mother during pregnancy. We believe that, in the treatment of COVID-19 and its complications during pregnancy, cytokine filter treatment can give time to patient for hemodynamic and metabolic stabilization.

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What to Do When A Patient Infected With COVID-19 Needs An Operation: A Pre-surgery, Peri-surgery and Post-surgery Guide

Cited by 64 publications

References 10 publications

Recommendations for Trauma and Emergency General Surgery Practice During COVID-19 Pandemic

Recommendations for Trauma and Emergency General Surgery Practice During COVID-19 Pandemic

The COVID 19 Pandemic and Colorectal Cancer: 5W1H - What Should We Do to Whom, When, Why, Where and How?

Cytokine Hemoadsorption in the Management of a Pregnant Woman with COVID-19 Pneumonia: Case Report

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