Are Surgeons in India prepared for COVID−19?

Bhattacharya, Kaushik

doi:10.1007/s12262-020-02185-z

Cited by 8 publications

(15 citation statements)

References 3 publications

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“…It is advisable to dedicate an OT for conducting surgeries in COVID-19 positive/suspected cases to reduce cross-contamination between OTs. [ 14 , 15 ] OT rooms should be preferably situated on one side of the hospital complex. [ 13 ] OT rooms for suspected or confirmed COVID-19 patients should be adequately filtered and ventilated with an integrated HEPA filter.…”

Section: Domains Of Mismentioning

confidence: 99%

“…Fecal-oral transmission for COVID-19 has not been reported though it may be possible. [ 15 , 19 ] Therefore, it is better to minimize bowel handling and opening during surgical procedures to reduce the risk virus dissemination with CO 2 . [ 14 ] Although no evidence of COVID-19 transmission through the urine is demonstrated,[ 19 , 20 ] however, urethral or ureteral catheterization during the laparoscopic and robotic procedures should be performed with caution, particularly if pneumoperitoneum is already induced.…”

Section: Domains Of Mismentioning

confidence: 99%

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Adaptations and Safety Modifications to Perform Safe Minimal Access Surgery (MIS: Laparoscopy and Robotic) During the COVID-19 Pandemic: Practice Modifications Expert Panel Consensus Guidelines from Academia of Minimal Access Surgical Oncology (AMASO)

Somashekhar

Acharya

Saklani

et al. 2020

Indian J Surg Oncol

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The pandemic of COVID-19 across the globe triggered national lockdowns hampering normal working for all the essential services including healthcare. In order to reduce transmission and safety of patients and healthcare workers, the elective surgeries have been differed. The visits to the hospitals for follow-ups and consultations received temporary halt. However, we cannot halt the treatment for cancer patients who may or may not be COVID-19 positives. These are emergencies and should be treated ASAP. Conducting emergency surgeries during pandemic like COVID-19 is challenge for surgeons and the entire hospital infrastructure. The available information about COVID-19 and its propensity of contamination through droplets and aerosol need some modifications for conducting surgeries successfully without contaminating the hospital buildings, protecting healthcare teams and the patient. With these objectives, some modifications in the operating theater including surgical techniques for minimal access, laparoscopy, and robotic surgery are proposed in this review article. This review article also discusses the safety measures to be followed for the suspected or confirmed COVID-19 patient and the guidelines and recommendations for healthcare teams while treating these patients. Although there is little evidence of viral transmission through laparoscopic or open approaches, modifications to surgical practice such as the use of safe smoke evacuation and minimizing energy device used to reduce the risk of exposure to aerosolized particles to healthcare team are proposed in this review article.

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Section: Domains Of Mismentioning

confidence: 99%

Section: Domains Of Mismentioning

confidence: 99%

Adaptations and Safety Modifications to Perform Safe Minimal Access Surgery (MIS: Laparoscopy and Robotic) During the COVID-19 Pandemic: Practice Modifications Expert Panel Consensus Guidelines from Academia of Minimal Access Surgical Oncology (AMASO)

Somashekhar

Acharya

Saklani

et al. 2020

Indian J Surg Oncol

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“…After the surgery, the anesthetic breathing circuit and the container of soda lime should be discarded immediately. 13 Neuraxial anesthesia may cause the risk of seeding infection into the central nervous system (CNS) in infected patients. Therefore, its use should be balanced against the risk of performing general anesthesia on patients with COVID-19.…”

Section: Anesthesia Modificationsmentioning

confidence: 99%

Adaptations and Safety Modifications to Perform Safe Minimal Access Surgery (Minimally Invasive Surgery: Laparoscopy and Robotic) during the COVID-19 Pandemic

et al. 2020

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It is inevitable that some patients with suspected or confirmed COVID-19 may require urgent surgical procedures. The objective of this review was to discuss the modifications required in the operating room during COVID-19 times for minimal access, laparoscopy, and robotic surgery, especially with regard to minimally invasive surgical instruments, buffalo filter, trocars with smoke evacuator, and special personal protection equipment. We have discussed the safety measures to be followed for the suspected or confirmed COVID-19 patient. In addition to surgical patients, health care workers should also protect themselves by following the guidelines and recommendations while treating these patients. Although there is little evidence of viral transmission through laparoscopic or open approaches, we recommend modifications to surgical practice such as the use of safe smoke evacuation and minimizing energy device use to reduce the risk of exposure to aerosolized particles to the health care team. Therefore, hospitals must follow specific protocols and arrange suitable training of the health care workers. Following well-established plans to accomplish un-deferrable surgeries in COVID-19–positive patients is strongly recommended.

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“…Their notions are shattered as most of the elective surgical procedures have been cancelled for about three months till now and are not expected to start very soon. Even if they are started, they will be conducted at a slower pace due to special requirements of wearing Personal Protective Equipment (PPE), increased time required for the airway intubation by anesthesiologist following special safety precautions and need for frequent fumigation of operation theaters(OT) in between surgeries [ 1 ].…”

mentioning

confidence: 99%