Where have the surgical patients gone during the COVID-19 pandemic?

Pereira, Xavier; Lima, Diego Laurentino; Moran-Atkin, Erin; Malcher, Flavio

doi:10.1590/0100-6991e-20202733

Cited by 5 publications

(5 citation statements)

References 5 publications

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“…It is known that patients are afraid of going to pandemic hospitals. 30 However, the fact that the university hospital where the data were collected was not a pandemic hospital, that suspected and confirmed COVID-19 cases were treated in another public hospital in the same city, and the high vaccination rates of patients (89.3%) may explain the low level of fear of Coronavirus among the patients.…”

Section: Discussionmentioning

confidence: 99%

The Fear of Surgery and Coronavirus in Patients Who Will Undergo a Surgical Intervention

Işıklı

Özkan²,

Buberka³

2023

Journal of PeriAnesthesia Nursing

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Section: Discussionmentioning

confidence: 99%

The Fear of Surgery and Coronavirus in Patients Who Will Undergo a Surgical Intervention

Işıklı

Özkan²,

Buberka³

2023

Journal of PeriAnesthesia Nursing

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“…In moments of greatest upsurge of the pandemic, world health authorities recommended that elective operations be avoided, to reduce the care burden caused by the new coronavirus by reducing the exposure of medical teams and patients to potential contamination 2,3 . Such recommendations also directly impacted the teaching and training of new medical professionals, especially those inserted in medical residency programs in surgical specialties [4][5][6] .…”

Section: Introductionmentioning

confidence: 99%

Residency training for minimally invasive surgery

Campos

Monteiro

Kakehasi

2022

Rev. Col. Bras. Cir.

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Objective: to develop a training program in minimally invasive surgery, based on simulation and with an emphasis on the acquisition of laparoscopic competences. Methods: this was a prospective, observational study carried out at a university hospital in Belo Horizonte, Brazil, between April 2020 and January 2021. We recruited residents of surgical specialties for structured, progressive training according to instructional principles to promote learning, such as motivation, activation, demonstration, application, and integration. We filmed the skill tests at the program’s beginning, middle, and end, which were then anonymously evaluated by a surgical education expert. Individual performances were scored using the global assessment tools “GOALS” and “specific checklist for suture”. At the end, all participants received individual feedback and completed a questionnaire to assess the impact of training on the Kirkpatrick model. Results: 43 residents completed the program. The evolution of performances was evident and grew between tests. The average achievements were 29% in the initial test, 43% in the intermediate test, and 88% in the final test, with significant differences between all mean scores, with H=97.59, GL=2, p<0.0001. The program evaluation and learning perceptions were excellent, but only 10.7% of residents felt fully capable of performing unsupervised, low-complexity laparoscopic surgery at the end of training. Conclusions: the training program developed in this study proved to be feasible and promising as a strategy for teaching laparoscopic surgery.

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“…The most widespread recommendation by scholars was that surgical departments prepare for changes in the acute surgical needs of the population they assist, which could allow for a better allocation of limited resources. ( 10 , 11 ) Given this context, in order to follow institutional technical standards for disease prevention and control during surgical care practices throughout the perioperative period, it is believed that these services continue to overcome managerial, cultural, philosophical and structural challenges based on effective and safe strategies to maintain their proper functioning. Listing these challenges is important so that professionals from the surgical team understand the motivations that forced changes in their work routine and so that they can reflect on the different strategies to overcome the challenges also arising from these changes.…”

Section: Introductionmentioning

confidence: 99%

Challenges for maintaining surgical care practices in the COVID-19 pandemic: an integrative review

Ferreira

Cavalcante

Jansen

et al. 2022

invest. educ. enferm

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Objective: To present the knowledge produced on challenges of health services for maintaining surgical care practices in times of the COVID-19 pandemic. Methods: This is an integrative literature review, performed with descriptors ‘Operating rooms’ and ‘Coronavirus Infections’ in the MEDLINE/PubMed Central, IBECS, LILACS, BDENF, Coleta SUS, BIGG, BINACIS, SciELO, PubMed, Science Direct, and Cochrane Library databases. Results: Of the 405 studies analyzed, 27 met the inclusion criteria. The main challenges for surgical services during the pandemic were: (i) rearrangement of general practice in surgical units; (ii) administration and management of resources and elective surgeries; (iii) follow-up and control of preoperative patients to medium term; (iv) maintenance of patients’ and health professionals’ autonomy and mental health in this context; and (v) teaching health residents in the operating room. Conclusion: For surgical care services, the challenges caused by managing the high demand of patients in need of care resulted in the transfer of own resources to other units and the consequent hiring of professionals to meet the demand for these services due to the damming of postponed elective surgeries. This knowledge will allow us to propose strategies in decision making in this scenario, considering the new waves that may arise from this disease.

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Where have the surgical patients gone during the COVID-19 pandemic?

Abstract: A Commentary on Emergency Surgery at the Epicenter of the COVID-19 Pandemic.

Cited by 5 publications

References 5 publications

The Fear of Surgery and Coronavirus in Patients Who Will Undergo a Surgical Intervention

The Fear of Surgery and Coronavirus in Patients Who Will Undergo a Surgical Intervention

Residency training for minimally invasive surgery

Challenges for maintaining surgical care practices in the COVID-19 pandemic: an integrative review

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