Surgery during the COVID-19 pandemic: A comprehensive overview and perioperative care

Evaluating the Strategies for Orthopedic and Spine Surgeries during COVID-19 Pandemic in India- a Retrospective Analysis of 24 Patients in a Multispecialty Hospital- Are We Heading to a New Normal?

“…Each person (patient and relative both) has to ll and sign self declaration form regarding any symptoms such as fever, cough, sore throat, body ache, head ache, history of close contact to Covid patient, history of travel or returning from international destination. Any patient or relative having positive history from the form or raised temperature on thermal screening was directed to the special Flu clinic which was created before ER [18]. Rest of the screened patients with one relative was allowed to attend outpatient department (OPD) where social distancing were strictly monitored during entire patient cycle.…”

“…All patients seeking admission either from OPD or u clinic were directed to the physician where x-ray chest were re-examined with patient. In any doubt, high-resolution CT (HRCT) of thorax was advised before getting clearance for the admission [18]. One relative policy was implemented for all patients.…”

“…Management of patient in wards: Upon admission of a patient in ward, immediate medical treatment started for every patient before preoperative investigations. All patients were explained that they would be kept only in single occupancy rooms instead of keeping in sharing room for their safety purpose [18,20]. Payment of the additional cost for the single room from the less-affording patients was not asked by the hospital.…”

“…All routine preoperative investigations, cardiac work-up, preoperative physician and anesthetist clearance and additional investigations related to surgeries, such as MRI or CT scans were carried out from the wards with help of residents [20]. If any patient having complains of sore throat, fever, cough or breathlessness found, we shifted that patient to isolation ward immediately, and investigated for Covid-19 RT-PCR [18]. If any patient reported positive, immediately shifted to Covid-19 special care facility.…”

Prolonged nucleic acid conversion and false-negative RT-PCR results in Indonesian patients with COVID-19: A case series

“…This high mortality rate is due to the highly infectious nature of the virus, with an estimated reproductive numbers (R0) in the range of 2.20 -2.58. This important epidemiological estimate means that each patient is able to spread the infection to 2 or 3 healthy people [4].…”