학술논문
Global guidance for surgical care during the COVID-19 pandemic
Document Type
Academic Journal
Author
Bhangu, Aneel; Lawani, Ismail; Ng-Kamstra, Joshua S; Wang, Yanfeng; Chan, Albert; Futaba, Kaori; Ng, Simon; Ebele, Emery; Lederhuber, Hans; Tabiri, Stephen; Ghosh, Dhruv; Gallo, Gaetano; Pata, Francesco; Di Saverio, Salomone; Spinelli, Antonino; Medina, Antonio Ramos-De; Ademuyiwa, Adesoji O; Akinbode, Gbemisola; Ingabire, JC Allen; Ntirenganya, Faustin; Kamara, Thaim B; Goh, Minghui; Moore, Rachel; Kim, Hye Jin; Lee, Suk-Hwan; Minaya-Bravo, Ana; Abbott, Tom; Chakrabortee, Sohini; Denning, Max; Fitzgerald, J Edward; Glasbey, James; Griffiths, Ewen; Halkias, Constantine; Harrison, Ewen M; Jones, Conor S; Kinross, James; Lawday, Samuel; Li, Elizabeth; Markar, Sheraz; Morton, Dion G; Nepogodiev, Dmitri; Pinkney, Thomas D; Simoes, Joana; Warren, Oliver; Wong, Danny JN; Bankhead-Kendall, Brittany; Breen, Kerry A; Davidson, Giana H; Kaafarani, Haytham; Keller, Deborah S; Mazingi, Dennis; Kamarajah, Sivesh K; Blackwell, Sue; Dames, Nicola
Source
British Journal of Surgery. August 2020, Vol. 107 Issue 9, p1097, 7 p.
Subject
Language
English
ISSN
0007-1323
Abstract
Background Surgeons urgently need guidance on how to deliver surgical services safely and effectively during the COVID-19 pandemic. The aim was to identify the key domains that should be considered when developing pandemic preparedness plans for surgical services. Methods A scoping search was conducted to identify published articles relating to management of surgical patients during pandemics. Key informant interviews were conducted with surgeons and anaesthetists with direct experience of working during infectious disease outbreaks, in order to identify key challenges and solutions to delivering effective surgical services during the COVID-19 pandemic. Results Thirteen articles were identified from the scoping search, and surgeons and anaesthetists representing 11 territories were interviewed. To mount an effective response to COVID-19, a pandemic response plan for surgical services should be developed in advance. Key domains that should be included are: provision of staff training (such as patient transfers, donning and doffing personal protection equipment, recognizing and managing COVID-19 infection); support for the overall hospital response to COVID-19 (reduction in non-urgent activities such as clinics, endoscopy, non-urgent elective surgery); establishment of a team-based approach for running emergency services; and recognition and management of COVID-19 infection in patients treated as an emergency and those who have had surgery. A backlog of procedures after the end of the COVID-19 pandemic is inevitable, and hospitals should plan how to address this effectively to ensure that patients having elective treatment have the best possible outcomes. Conclusion Hospitals should prepare detailed context-specific pandemic preparedness plans addressing the identified domains. Specific guidance should be updated continuously to reflect emerging evidence during the COVID-19 pandemic. CAPTION(S): Appendix S1: Supporting information Byline: , Aneel Bhangu, Ismail Lawani, Joshua S Ng-Kamstra, Yanfeng Wang, Albert Chan, Kaori Futaba, Simon Ng, Emery Ebele, Hans Lederhuber, Stephen Tabiri, Dhruv Ghosh, Gaetano Gallo, Francesco Pata, Salomone Di Saverio, Antonino Spinelli, Antonio Ramos-De Medina, Adesoji O Ademuyiwa, Gbemisola Akinbode, JC Allen Ingabire, Faustin Ntirenganya, Thaim B Kamara, Minghui Goh, Rachel Moore, Hye Jin Kim, Suk-Hwan Lee, Ana Minaya-Bravo, Tom Abbott, Sohini Chakrabortee, Max Denning, J Edward Fitzgerald, James Glasbey, Ewen Griffiths, Constantine Halkias, Ewen M Harrison, Conor S Jones, James Kinross, Samuel Lawday, Elizabeth Li, Sheraz Markar, Dion G Morton, Dmitri Nepogodiev, Thomas D Pinkney, Joana Simoes, Oliver Warren, Danny JN Wong, Brittany Bankhead-Kendall, Kerry A Breen, Giana H Davidson, Haytham Kaafarani, Deborah S Keller, Dennis Mazingi, Sivesh K Kamarajah, Sue Blackwell, Nicola Dames