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.

Global guidance for surgical care during the COVID-19 pandemic / Bhangu, A.; Lawani, I.; Ng-Kamstra, J. S.; Wang, Y.; Chan, A.; Futaba, K.; Ng, S.; Ebele, E.; Lederhuber, H.; Tabiri, S.; Ghosh, D.; Gallo, G.; Pata, F.; Di Saverio, S.; Spinelli, A.; la Medina, A. R. -D.; Ademuyiwa, A. O.; Akinbode, G.; Ingabire, J. C. A.; Ntirenganya, F.; Kamara, T. B.; Goh, M.; Moore, R.; Kim, H. J.; Lee, S. -H.; Minaya-Bravo, A.; Abbott, T.; Chakrabortee, S.; Denning, M.; Fitzgerald, J. E.; Glasbey, J.; Griffiths, E.; Halkias, C.; Harrison, E. M.; Jones, C. S.; Kinross, J.; Lawday, S.; Li, E.; Markar, S.; Morton, D. G.; Nepogodiev, D.; Pinkney, T. D.; Simoes, J.; Warren, O.; Wong, D. J. N.; Bankhead-Kendall, B.; Breen, K. A.; Davidson, G. H.; Kaafarani, H.; Keller, D. S.; Mazingi, D.; Kamarajah, S. K.; Blackwell, S.; Dames, N.. - In: BRITISH JOURNAL OF SURGERY. - ISSN 0007-1323. - 107:9(2020), pp. 1097-1103. [10.1002/bjs.11646]

Global guidance for surgical care during the COVID-19 pandemic

Gallo G.;Pata F.;
2020

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.
2020
COVID-19; coronavirus; surgery; guidance
01 Pubblicazione su rivista::01a Articolo in rivista
Global guidance for surgical care during the COVID-19 pandemic / Bhangu, A.; Lawani, I.; Ng-Kamstra, J. S.; Wang, Y.; Chan, A.; Futaba, K.; Ng, S.; Ebele, E.; Lederhuber, H.; Tabiri, S.; Ghosh, D.; Gallo, G.; Pata, F.; Di Saverio, S.; Spinelli, A.; la Medina, A. R. -D.; Ademuyiwa, A. O.; Akinbode, G.; Ingabire, J. C. A.; Ntirenganya, F.; Kamara, T. B.; Goh, M.; Moore, R.; Kim, H. J.; Lee, S. -H.; Minaya-Bravo, A.; Abbott, T.; Chakrabortee, S.; Denning, M.; Fitzgerald, J. E.; Glasbey, J.; Griffiths, E.; Halkias, C.; Harrison, E. M.; Jones, C. S.; Kinross, J.; Lawday, S.; Li, E.; Markar, S.; Morton, D. G.; Nepogodiev, D.; Pinkney, T. D.; Simoes, J.; Warren, O.; Wong, D. J. N.; Bankhead-Kendall, B.; Breen, K. A.; Davidson, G. H.; Kaafarani, H.; Keller, D. S.; Mazingi, D.; Kamarajah, S. K.; Blackwell, S.; Dames, N.. - In: BRITISH JOURNAL OF SURGERY. - ISSN 0007-1323. - 107:9(2020), pp. 1097-1103. [10.1002/bjs.11646]
File allegati a questo prodotto
File Dimensione Formato  
Bhangu_Global-guidance_2020.pdf

accesso aperto

Tipologia: Versione editoriale (versione pubblicata con il layout dell'editore)
Licenza: Tutti i diritti riservati (All rights reserved)
Dimensione 458.95 kB
Formato Adobe PDF
458.95 kB Adobe PDF

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1541825
Citazioni
  • ???jsp.display-item.citation.pmc??? 375
  • Scopus 493
  • ???jsp.display-item.citation.isi??? 517
social impact