Global guidance for surgical care during the COVID-19 pandemic
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 w...
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| Veröffentlicht in: | British journal of surgery 2020-08, Vol.107 (9), p.1097-1103 |
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| creator | Bhangu, Aneel Lawani, Ismail Ng‐Kamstra, Joshua S Wang, Yanfeng Chan, Albert Futaba, Kaori Ng, Simon Ebele, Emery Lederhuber, Hans Tabiri, Stephen Ghosh, Dhruv Gallo, Gaetano Pata, Francesco Di Saverio, Salomone Spinelli, Antonino Medina, Antonio Ramos‐De Ademuyiwa, Adesoji O Akinbode, Gbemisola Ingabire, JC Allen Ntirenganya, Faustin Kamara, Thaim B Goh, Minghui Moore, Rachel Kim, Hye Jin Lee, Suk‐Hwan Minaya‐Bravo, Ana Abbott, Tom Chakrabortee, Sohini Denning, Max Fitzgerald, J Edward Glasbey, James Griffiths, Ewen Halkias, Constantine Harrison, Ewen M Jones, Conor S Kinross, James Lawday, Samuel Li, Elizabeth Markar, Sheraz Morton, Dion G Nepogodiev, Dmitri Pinkney, Thomas D Simoes, Joana Warren, Oliver Wong, Danny JN Bankhead‐Kendall, Brittany Breen, Kerry A Davidson, Giana H Kaafarani, Haytham Keller, Deborah S Mazingi, Dennis Kamarajah, Sivesh K Blackwell, Sue Dames, Nicola |
| description | 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.
Graphical Abstract
During pandemics, surgical services need to balance supporting the whole hospital response and minimizing the risk of nosocomial spread of COVID-19 against continuing care for acute surgical conditions and managing urgent elective surgery. This article identifies the key considerations that should be included in pandemic plans for surgical services.
Graphical Abstract
Best available advice |
| doi_str_mv | 10.1002/bjs.11646 |
| format | Article |
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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.
Graphical Abstract
During pandemics, surgical services need to balance supporting the whole hospital response and minimizing the risk of nosocomial spread of COVID-19 against continuing care for acute surgical conditions and managing urgent elective surgery. This article identifies the key considerations that should be included in pandemic plans for surgical services.
Graphical Abstract
Best available advice</description><identifier>ISSN: 0007-1323</identifier><identifier>ISSN: 1365-2168</identifier><identifier>EISSN: 1365-2168</identifier><identifier>DOI: 10.1002/bjs.11646</identifier><identifier>PMID: 32293715</identifier><language>eng</language><publisher>Chichester, UK: Oxford University Press</publisher><subject>Coronavirus Infections - epidemiology ; Coronavirus Infections - prevention & control ; COVID-19 ; Cross Infection - prevention & control ; Emergency preparedness ; Humans ; Pandemics ; Pandemics - prevention & control ; Pneumonia, Viral - epidemiology ; Pneumonia, Viral - prevention & control ; Practice Guidelines as Topic - standards ; Review ; Surgeons ; Surgery ; Surgical Procedures, Operative - standards</subject><ispartof>British journal of surgery, 2020-08, Vol.107 (9), p.1097-1103</ispartof><rights>2020 BJS Society Ltd Published by John Wiley & Sons Ltd 2020</rights><rights>2020 BJS Society Ltd Published by John Wiley & Sons Ltd</rights><rights>2020 BJS Society Ltd Published by John Wiley & Sons Ltd.</rights><rights>Copyright © 2020 BJS Society Ltd. Published by John Wiley & Sons, Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5326-e0ee4d7f5f8a761654b0bd9a9a85c8b5ed93dcf2ed1fd32c26e4a0affc3d61ca3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fbjs.11646$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fbjs.11646$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32293715$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bhangu, Aneel</creatorcontrib><creatorcontrib>Lawani, Ismail</creatorcontrib><creatorcontrib>Ng‐Kamstra, Joshua S</creatorcontrib><creatorcontrib>Wang, Yanfeng</creatorcontrib><creatorcontrib>Chan, Albert</creatorcontrib><creatorcontrib>Futaba, Kaori</creatorcontrib><creatorcontrib>Ng, Simon</creatorcontrib><creatorcontrib>Ebele, Emery</creatorcontrib><creatorcontrib>Lederhuber, Hans</creatorcontrib><creatorcontrib>Tabiri, Stephen</creatorcontrib><creatorcontrib>Ghosh, Dhruv</creatorcontrib><creatorcontrib>Gallo, Gaetano</creatorcontrib><creatorcontrib>Pata, Francesco</creatorcontrib><creatorcontrib>Di Saverio, Salomone</creatorcontrib><creatorcontrib>Spinelli, Antonino</creatorcontrib><creatorcontrib>Medina, Antonio Ramos‐De</creatorcontrib><creatorcontrib>Ademuyiwa, Adesoji O</creatorcontrib><creatorcontrib>Akinbode, Gbemisola</creatorcontrib><creatorcontrib>Ingabire, JC Allen</creatorcontrib><creatorcontrib>Ntirenganya, Faustin</creatorcontrib><creatorcontrib>Kamara, Thaim B</creatorcontrib><creatorcontrib>Goh, Minghui</creatorcontrib><creatorcontrib>Moore, Rachel</creatorcontrib><creatorcontrib>Kim, Hye Jin</creatorcontrib><creatorcontrib>Lee, Suk‐Hwan</creatorcontrib><creatorcontrib>Minaya‐Bravo, Ana</creatorcontrib><creatorcontrib>Abbott, Tom</creatorcontrib><creatorcontrib>Chakrabortee, Sohini</creatorcontrib><creatorcontrib>Denning, Max</creatorcontrib><creatorcontrib>Fitzgerald, J Edward</creatorcontrib><creatorcontrib>Glasbey, James</creatorcontrib><creatorcontrib>Griffiths, Ewen</creatorcontrib><creatorcontrib>Halkias, Constantine</creatorcontrib><creatorcontrib>Harrison, Ewen M</creatorcontrib><creatorcontrib>Jones, Conor S</creatorcontrib><creatorcontrib>Kinross, James</creatorcontrib><creatorcontrib>Lawday, Samuel</creatorcontrib><creatorcontrib>Li, Elizabeth</creatorcontrib><creatorcontrib>Markar, Sheraz</creatorcontrib><creatorcontrib>Morton, Dion G</creatorcontrib><creatorcontrib>Nepogodiev, Dmitri</creatorcontrib><creatorcontrib>Pinkney, Thomas D</creatorcontrib><creatorcontrib>Simoes, Joana</creatorcontrib><creatorcontrib>Warren, Oliver</creatorcontrib><creatorcontrib>Wong, Danny JN</creatorcontrib><creatorcontrib>Bankhead‐Kendall, Brittany</creatorcontrib><creatorcontrib>Breen, Kerry A</creatorcontrib><creatorcontrib>Davidson, Giana H</creatorcontrib><creatorcontrib>Kaafarani, Haytham</creatorcontrib><creatorcontrib>Keller, Deborah S</creatorcontrib><creatorcontrib>Mazingi, Dennis</creatorcontrib><creatorcontrib>Kamarajah, Sivesh K</creatorcontrib><creatorcontrib>Blackwell, Sue</creatorcontrib><creatorcontrib>Dames, Nicola</creatorcontrib><creatorcontrib>COVIDSurg Collaborative</creatorcontrib><title>Global guidance for surgical care during the COVID-19 pandemic</title><title>British journal of surgery</title><addtitle>Br J Surg</addtitle><description>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.
Graphical Abstract
During pandemics, surgical services need to balance supporting the whole hospital response and minimizing the risk of nosocomial spread of COVID-19 against continuing care for acute surgical conditions and managing urgent elective surgery. This article identifies the key considerations that should be included in pandemic plans for surgical services.
Graphical Abstract
Best available advice</description><subject>Coronavirus Infections - epidemiology</subject><subject>Coronavirus Infections - prevention & control</subject><subject>COVID-19</subject><subject>Cross Infection - prevention & control</subject><subject>Emergency preparedness</subject><subject>Humans</subject><subject>Pandemics</subject><subject>Pandemics - prevention & control</subject><subject>Pneumonia, Viral - epidemiology</subject><subject>Pneumonia, Viral - prevention & control</subject><subject>Practice Guidelines as Topic - standards</subject><subject>Review</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Surgical Procedures, Operative - standards</subject><issn>0007-1323</issn><issn>1365-2168</issn><issn>1365-2168</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kclOwzAQhi0EoqVw4AVQJDhwSesldppLJShQiir1wHK1HHvSusqG04D69qQLFSBxmtHMN79m5kfonOAuwZj24kXVJUQE4gC1CRPcp0T0D1EbYxz6hFHWQidVtcCYMMzpMWoxSiMWEt5Gg1FaxCr1ZrU1KtfgJYXzqtrNrG6qWjnwTO1sPvOWc_CG07fxnU8ir1S5gczqU3SUqLSCs13soNeH-5fhoz-ZjsbDm4mvOaPCBwwQmDDhSV-FgggexDg2kYpUn-t-zMFEzOiEgiGJYVRTAYHCKkk0M4JoxTposNUt6zgDoyFfOpXK0tlMuZUslJW_O7mdy1nxIUMqKCO4EbjeCbjivYZqKTNbaUhTlUNRV5KyCBMRiTBo0Ms_6KKoXd6cJ2lAOedhyNfUxc-N9qt8v7YBelvg06aw2vcJlmvPZOOZ3Hgmb5-eN0kzcbWdKOryf559AeCHlCs</recordid><startdate>202008</startdate><enddate>202008</enddate><creator>Bhangu, Aneel</creator><creator>Lawani, Ismail</creator><creator>Ng‐Kamstra, Joshua S</creator><creator>Wang, Yanfeng</creator><creator>Chan, Albert</creator><creator>Futaba, Kaori</creator><creator>Ng, Simon</creator><creator>Ebele, Emery</creator><creator>Lederhuber, Hans</creator><creator>Tabiri, Stephen</creator><creator>Ghosh, Dhruv</creator><creator>Gallo, Gaetano</creator><creator>Pata, Francesco</creator><creator>Di Saverio, Salomone</creator><creator>Spinelli, Antonino</creator><creator>Medina, Antonio Ramos‐De</creator><creator>Ademuyiwa, Adesoji O</creator><creator>Akinbode, Gbemisola</creator><creator>Ingabire, JC Allen</creator><creator>Ntirenganya, Faustin</creator><creator>Kamara, Thaim B</creator><creator>Goh, Minghui</creator><creator>Moore, Rachel</creator><creator>Kim, Hye Jin</creator><creator>Lee, Suk‐Hwan</creator><creator>Minaya‐Bravo, Ana</creator><creator>Abbott, Tom</creator><creator>Chakrabortee, Sohini</creator><creator>Denning, Max</creator><creator>Fitzgerald, J Edward</creator><creator>Glasbey, James</creator><creator>Griffiths, Ewen</creator><creator>Halkias, Constantine</creator><creator>Harrison, Ewen M</creator><creator>Jones, Conor S</creator><creator>Kinross, James</creator><creator>Lawday, Samuel</creator><creator>Li, Elizabeth</creator><creator>Markar, Sheraz</creator><creator>Morton, Dion G</creator><creator>Nepogodiev, Dmitri</creator><creator>Pinkney, Thomas D</creator><creator>Simoes, Joana</creator><creator>Warren, Oliver</creator><creator>Wong, Danny JN</creator><creator>Bankhead‐Kendall, Brittany</creator><creator>Breen, Kerry A</creator><creator>Davidson, Giana H</creator><creator>Kaafarani, Haytham</creator><creator>Keller, Deborah S</creator><creator>Mazingi, Dennis</creator><creator>Kamarajah, Sivesh K</creator><creator>Blackwell, Sue</creator><creator>Dames, Nicola</creator><general>Oxford University Press</general><general>John Wiley & Sons, Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>202008</creationdate><title>Global guidance for surgical care during the COVID-19 pandemic</title><author>Bhangu, Aneel ; Lawani, Ismail ; Ng‐Kamstra, Joshua S ; Wang, Yanfeng ; Chan, Albert ; Futaba, Kaori ; Ng, Simon ; Ebele, Emery ; Lederhuber, Hans ; Tabiri, Stephen ; Ghosh, Dhruv ; Gallo, Gaetano ; Pata, Francesco ; Di Saverio, Salomone ; Spinelli, Antonino ; Medina, Antonio Ramos‐De ; Ademuyiwa, Adesoji O ; Akinbode, Gbemisola ; Ingabire, JC Allen ; Ntirenganya, Faustin ; Kamara, Thaim B ; Goh, Minghui ; Moore, Rachel ; Kim, Hye Jin ; Lee, Suk‐Hwan ; Minaya‐Bravo, Ana ; Abbott, Tom ; Chakrabortee, Sohini ; Denning, Max ; Fitzgerald, J Edward ; Glasbey, James ; Griffiths, Ewen ; Halkias, Constantine ; Harrison, Ewen M ; Jones, Conor S ; Kinross, James ; Lawday, Samuel ; Li, Elizabeth ; Markar, Sheraz ; Morton, Dion G ; Nepogodiev, Dmitri ; Pinkney, Thomas D ; Simoes, Joana ; Warren, Oliver ; Wong, Danny JN ; Bankhead‐Kendall, Brittany ; Breen, Kerry A ; Davidson, Giana H ; Kaafarani, Haytham ; Keller, Deborah S ; Mazingi, Dennis ; Kamarajah, Sivesh K ; Blackwell, Sue ; Dames, Nicola</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5326-e0ee4d7f5f8a761654b0bd9a9a85c8b5ed93dcf2ed1fd32c26e4a0affc3d61ca3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Coronavirus Infections - epidemiology</topic><topic>Coronavirus Infections - prevention & control</topic><topic>COVID-19</topic><topic>Cross Infection - prevention & control</topic><topic>Emergency preparedness</topic><topic>Humans</topic><topic>Pandemics</topic><topic>Pandemics - prevention & control</topic><topic>Pneumonia, Viral - epidemiology</topic><topic>Pneumonia, Viral - prevention & control</topic><topic>Practice Guidelines as Topic - standards</topic><topic>Review</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Surgical Procedures, Operative - standards</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bhangu, Aneel</creatorcontrib><creatorcontrib>Lawani, Ismail</creatorcontrib><creatorcontrib>Ng‐Kamstra, Joshua S</creatorcontrib><creatorcontrib>Wang, Yanfeng</creatorcontrib><creatorcontrib>Chan, Albert</creatorcontrib><creatorcontrib>Futaba, Kaori</creatorcontrib><creatorcontrib>Ng, Simon</creatorcontrib><creatorcontrib>Ebele, Emery</creatorcontrib><creatorcontrib>Lederhuber, Hans</creatorcontrib><creatorcontrib>Tabiri, Stephen</creatorcontrib><creatorcontrib>Ghosh, Dhruv</creatorcontrib><creatorcontrib>Gallo, Gaetano</creatorcontrib><creatorcontrib>Pata, Francesco</creatorcontrib><creatorcontrib>Di Saverio, Salomone</creatorcontrib><creatorcontrib>Spinelli, Antonino</creatorcontrib><creatorcontrib>Medina, Antonio Ramos‐De</creatorcontrib><creatorcontrib>Ademuyiwa, Adesoji O</creatorcontrib><creatorcontrib>Akinbode, Gbemisola</creatorcontrib><creatorcontrib>Ingabire, JC Allen</creatorcontrib><creatorcontrib>Ntirenganya, Faustin</creatorcontrib><creatorcontrib>Kamara, Thaim B</creatorcontrib><creatorcontrib>Goh, Minghui</creatorcontrib><creatorcontrib>Moore, Rachel</creatorcontrib><creatorcontrib>Kim, Hye Jin</creatorcontrib><creatorcontrib>Lee, Suk‐Hwan</creatorcontrib><creatorcontrib>Minaya‐Bravo, Ana</creatorcontrib><creatorcontrib>Abbott, Tom</creatorcontrib><creatorcontrib>Chakrabortee, Sohini</creatorcontrib><creatorcontrib>Denning, Max</creatorcontrib><creatorcontrib>Fitzgerald, J Edward</creatorcontrib><creatorcontrib>Glasbey, James</creatorcontrib><creatorcontrib>Griffiths, Ewen</creatorcontrib><creatorcontrib>Halkias, Constantine</creatorcontrib><creatorcontrib>Harrison, Ewen M</creatorcontrib><creatorcontrib>Jones, Conor S</creatorcontrib><creatorcontrib>Kinross, James</creatorcontrib><creatorcontrib>Lawday, Samuel</creatorcontrib><creatorcontrib>Li, Elizabeth</creatorcontrib><creatorcontrib>Markar, Sheraz</creatorcontrib><creatorcontrib>Morton, Dion G</creatorcontrib><creatorcontrib>Nepogodiev, Dmitri</creatorcontrib><creatorcontrib>Pinkney, Thomas D</creatorcontrib><creatorcontrib>Simoes, Joana</creatorcontrib><creatorcontrib>Warren, Oliver</creatorcontrib><creatorcontrib>Wong, Danny JN</creatorcontrib><creatorcontrib>Bankhead‐Kendall, Brittany</creatorcontrib><creatorcontrib>Breen, Kerry A</creatorcontrib><creatorcontrib>Davidson, Giana H</creatorcontrib><creatorcontrib>Kaafarani, Haytham</creatorcontrib><creatorcontrib>Keller, Deborah S</creatorcontrib><creatorcontrib>Mazingi, Dennis</creatorcontrib><creatorcontrib>Kamarajah, Sivesh K</creatorcontrib><creatorcontrib>Blackwell, Sue</creatorcontrib><creatorcontrib>Dames, Nicola</creatorcontrib><creatorcontrib>COVIDSurg Collaborative</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>British journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bhangu, Aneel</au><au>Lawani, Ismail</au><au>Ng‐Kamstra, Joshua S</au><au>Wang, Yanfeng</au><au>Chan, Albert</au><au>Futaba, Kaori</au><au>Ng, Simon</au><au>Ebele, Emery</au><au>Lederhuber, Hans</au><au>Tabiri, Stephen</au><au>Ghosh, Dhruv</au><au>Gallo, Gaetano</au><au>Pata, Francesco</au><au>Di Saverio, Salomone</au><au>Spinelli, Antonino</au><au>Medina, Antonio Ramos‐De</au><au>Ademuyiwa, Adesoji O</au><au>Akinbode, Gbemisola</au><au>Ingabire, JC Allen</au><au>Ntirenganya, Faustin</au><au>Kamara, Thaim B</au><au>Goh, Minghui</au><au>Moore, Rachel</au><au>Kim, Hye Jin</au><au>Lee, Suk‐Hwan</au><au>Minaya‐Bravo, Ana</au><au>Abbott, Tom</au><au>Chakrabortee, Sohini</au><au>Denning, Max</au><au>Fitzgerald, J Edward</au><au>Glasbey, James</au><au>Griffiths, Ewen</au><au>Halkias, Constantine</au><au>Harrison, Ewen M</au><au>Jones, Conor S</au><au>Kinross, James</au><au>Lawday, Samuel</au><au>Li, Elizabeth</au><au>Markar, Sheraz</au><au>Morton, Dion G</au><au>Nepogodiev, Dmitri</au><au>Pinkney, Thomas D</au><au>Simoes, Joana</au><au>Warren, Oliver</au><au>Wong, Danny JN</au><au>Bankhead‐Kendall, Brittany</au><au>Breen, Kerry A</au><au>Davidson, Giana H</au><au>Kaafarani, Haytham</au><au>Keller, Deborah S</au><au>Mazingi, Dennis</au><au>Kamarajah, Sivesh K</au><au>Blackwell, Sue</au><au>Dames, Nicola</au><aucorp>COVIDSurg Collaborative</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Global guidance for surgical care during the COVID-19 pandemic</atitle><jtitle>British journal of surgery</jtitle><addtitle>Br J Surg</addtitle><date>2020-08</date><risdate>2020</risdate><volume>107</volume><issue>9</issue><spage>1097</spage><epage>1103</epage><pages>1097-1103</pages><issn>0007-1323</issn><issn>1365-2168</issn><eissn>1365-2168</eissn><abstract>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.
Graphical Abstract
During pandemics, surgical services need to balance supporting the whole hospital response and minimizing the risk of nosocomial spread of COVID-19 against continuing care for acute surgical conditions and managing urgent elective surgery. This article identifies the key considerations that should be included in pandemic plans for surgical services.
Graphical Abstract
Best available advice</abstract><cop>Chichester, UK</cop><pub>Oxford University Press</pub><pmid>32293715</pmid><doi>10.1002/bjs.11646</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0007-1323 |
| ispartof | British journal of surgery, 2020-08, Vol.107 (9), p.1097-1103 |
| issn | 0007-1323 1365-2168 1365-2168 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7262310 |
| source | Oxford University Press Journals All Titles (1996-Current); MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Coronavirus Infections - epidemiology Coronavirus Infections - prevention & control COVID-19 Cross Infection - prevention & control Emergency preparedness Humans Pandemics Pandemics - prevention & control Pneumonia, Viral - epidemiology Pneumonia, Viral - prevention & control Practice Guidelines as Topic - standards Review Surgeons Surgery Surgical Procedures, Operative - standards |
| title | Global guidance for surgical care during the COVID-19 pandemic |
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