What is the ‘new normal’ in surgical procedures in the era of COVID-19?

Cimen, Cansu; Keske, Şiran; Ergönül, Önder

doi:10.1016/j.cmi.2020.09.038

Cited by 3 publications

(5 citation statements)

References 11 publications

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“…Due to the low sensitivity of detecting SARS-CoV-2 during the incubation period using RT-PCR test, preoperative selfisolation and quarantining patients 14 days before the planned surgery date has been reported to be able to possibly eliminate the risk of it going undetected (11). However, the general opinion is that RT-PCR test screening should be performed to manage patients' pre-surgery (3,4). Although the use of serological tests are frequently used for screening in the diagnosis of infectious agents, their use for SARS-COV-2 infections is a controversial point, with complementary and epidemiological studies thought to be needed regarding the diagnosis of COVID-19 (12).…”

Section: Discussionmentioning

confidence: 99%

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Preoperative Screening for COVID-19: Results from a Clinical Diagnostic Laboratory

Aydoğan¹,

Şaylan²,

Güven³

et al. 2022

experimed

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Objective:The study aimed to determine what proportion of Turkiye's preoperative patient population has tested positive for COVID-19 and to ascertain whether the increasing or decreasing trend in the numbers of positive preoperative patients resembles the general population of Turkiye during the same period. Materials and Methods:The study cohort involved of the 14,776 patients from various services between January 1-December 31, 2021 who needed preoperative COVID-19 test reports. The patient's SARS-CoV-2 RNA's were detected with real-time polymerase chain reaction (RT-PCR) technique.Results: SARS-CoV-2 RT-PCR positivity was detected in 422 (2.86%) patients, of which 59.72% (n = 252) were female and 40.28% (n = 170) were male; their mean age was 40.2 years. Of the 422 positive cases, 84.12% were young adults (18-65 years), and 9% were middle-aged (66-79 years). Positive cases involving those under the age of 18 were found to account for 5.22% (n = 22) of the total. The highest positivity rate was observed in April 2021 at 8.28% of all test requests, while the lowest positivity rate was observed in June 2021, at 0.36% of all test requests. The highest positivity rate of April was followed by March (5.07%), October (4.74%), and August (3.13%). Conclusion:In conclusion, the COVID-19 RT-PCR positivity rate in the series was detected as 2.85% in preoperative patients over the oneyear period. Monthly positivity rates in screening results are consistent with the number of cases seen in the general population.

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Section: Discussionmentioning

confidence: 99%

“…due to the prevalence of asymptomatic and presymptomatic patients being unknown (3,4). The COVID-19 RT-PCR test is performed approximately 48 hours before the operation date on preoperative patients, as suspected COVID-19 patients may pose a risk to healthcare workers and other patients.…”

Section: Aydogan Et Al Preoperative Screening For Covid-19mentioning

confidence: 99%

Preoperative Screening for COVID-19: Results from a Clinical Diagnostic Laboratory

Aydoğan¹,

Şaylan²,

Güven³

et al. 2022

experimed

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“…Inhospital COVID-19 infection was reported from 31.5% of the centers, of them 41.4% failed to trace it and 19.7% reported the infection originating from asymptomatic patients/staff members. Recently, Cimen C. et al [3], suggest that the symptom questionnaire plus PCR testing are important tools for screening preoperative patients, and possibly the symptom questionnaire will be more directive in the future.…”

Section: Discussionmentioning

confidence: 99%

“…Whether PCR testing should be performed for all or selected elective surgery patients, even those who are asymptomatic, remains unclear, and available data regarding a universal strategy or high risk surgeries limited model effectiveness has been limited [2,3]. To maintain a safe environment for all patients and health care workers (HCW), in our health area we established an admission screening plan of testing for SARS-CoV-2, giving priority to surgical procedures with potential risk of adverse surgery outcomes related to the presence of asymptomatic patients who were infected with the virus upon admission.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of a SARS-CoV-2 infection prevention model in elective surgery patients – a prospective study: does universal screening make sense?

Moreno-Pérez

Merino

Chico-Sánchez

et al. 2021

Journal of Hospital Infection

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“…Ao final do procedimento, no despertar da indução, a administração de antieméticos pode ser realizada para minimizar a ocorrência de vômitos (11) . Além disso, embora um pouco combatida, alguns estudos sugerem evitar a realização de cirurgias laparoscópicas (3) , devido à possibilidade…”

Section: Guilabert Giménezunclassified

A pandemia de COVID-19 e seu impacto na cirurgia

Magalhães¹,

Tomaz²,

Borges

et al. 2022

RevCienti HMJMA

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A pandemia ocasionada pela COVID-19 alterou a rotina de médicos cirurgiões em todo o mundo. Cirurgias eletivas foram inicialmente canceladas e postergadas até que novos protocolos de operacionalização fossem estabelecidos objetivando uma maior segurança dos profissionais e pacientes. Atualmente, indica-se a testagem de todos os pacientes que serão submetidos a algum procedimento invasivo, de modo que uma eventual infecção enseja o adiamento por um prazo que pode variar de 4 a 12 semanas a depender das condições clínicas do paciente. A nível intra operatório, apesar da equipe de centro cirúrgico já possuir o costume de utilizar equipamentos de proteção individual (EPIs) para evitar contaminações principalmente por fluídos e secreções, em tempos de pandemia, a utilização desses EPIs ganharam importância ainda maior nesse cenário de contaminação por partículas de aerossóis. O presente trabalho tem como objetivo apresentar os impactos da pandemia de COVID-19 no cenário da cirurgia com as principais medidas a serem adotadas durante os procedimentos cirúrgicos eletivos para prevenção e controle de infecção por COVID-19. Para tanto, foi realizada uma revisão de literatura, sendo as pesquisas realizadas no período de agosto e setembro de 2021. Concluiu-se que em face do padrão da doença, a adoção de medidas de segurança relacionadas ao vírus deve perdurar por período ainda indeterminado, sendo importante a adoção de cuidados relacionados à infecção por aerossol no pré operatório, no intra operatório e no pós operatório a fim de garantir uma maior segurança aos médicos e aos pacientes envolvidos.

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What is the ‘new normal’ in surgical procedures in the era of COVID-19?

Cited by 3 publications

References 11 publications

Preoperative Screening for COVID-19: Results from a Clinical Diagnostic Laboratory

Preoperative Screening for COVID-19: Results from a Clinical Diagnostic Laboratory

Effectiveness of a SARS-CoV-2 infection prevention model in elective surgery patients – a prospective study: does universal screening make sense?

A pandemia de COVID-19 e seu impacto na cirurgia

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