COVID-19 SALGININDA AMELİYATHANE VE VAKA YÖNETİMİ

Abstract

Koronavirüs hastalığı 2019 (COVID-19), şiddetli akut solunum yolu sendromu koronavirüsü 2'nin (SARS-CoV-2) neden olduğu bulaşıcı bir solunum yolu hastalığıdır. Bu hastalık ilk olarak 2019 yılında Çin'in Vuhan şehrinde ortaya çıkmış, ortaya çıkışından bu yana dünya çapında yayılarak 2019-2020 koronavirüs pandemisine yol açmıştır. Hastaneler COVID-19 salgını açısından yüksek riskli ve iyi yönetilmesi gereken kurumların başında gelmektedir. Hastanelerde de en riskli alanlar yoğun bakımlar ve ameliyathanelerdir. Salgının başlamasıyla birlikte cerrahi müdahale gerekli olan tüm hastalar, olası enfekte kabul edilerek hareket edilmelidir. Ameliyathanelerde cerrahi ekip (cerrah, hemşire, anestezist ve diğer yardımcı sağlık personeli) koordineli biçimde olası/kesin tanılı COVID-19 hastaların yönetiminde bulaş önlemlerini acilen hayata geçirmelidir. Önlemlerin amacı; olası/kesin tanılı COVID-19 hastalarının ameliyat sürecini kolaylaştırmak, sağlık çalışanlarına ve diğer hastalara yönelik viral bulaşma riskini azaltmaktır. Bu makalede, olası/kesin tanılı COVID-19 hastalarının ameliyat sürecinde alınması gereken önlemlere yönelik bir izolasyon ameliyathanesinin tanımlanması, iş akışı ve süreçlerinin belirlenmesi, personelin ve hastanın perioperatif dönem yönetimine ilişkin önlemler açıklanmıştır. 

Keywords

• Koronavirüs
• COVID-19
• Ameliyathane
• Cerrahi
• Hemşire

OPERATING ROOM AND CASE MANAGEMENT DURING COVID-19 OUTBREAK

Abstract

Coronavirus disease 2019 (COVID-19) is an infectious respiratory disease caused by severe acute respiratory tract syndrome coronavirus 2 (SARS-CoV-2). It first appeared in Wuhan, China, in 2019. Since then, it has spread worldwide and led to a coronavirus pandemics. Hospitals are the most important places which have high risk and must be managed well. The riskiest parts of hospitals are intensive care units and operating rooms. After the outbreak, all patients need to surgery should be considered as infected and measures should be taken accordingly. The surgical team (including a surgeon, nurse, anesthetist and other health staff) should urgently implement precautions against the spread of the infection to manage patients diagnosed as or suspected of having COVID-19. The aims of these precautions were to facilitate the surgical process of patients with suspected or confirmed COVID-19 and to reduce the risk of the disease transmission to health professionals and other patients. In this article, an isolation operating theatre for surgeries on patients suspected with or confirmed diagnosis of COVID-19 was described, the work flow and processes were determined and precautions about perioperative management of the surgical team and patients were explained.

Keywords

• Coronavirus
• COVID-19
• Operating room
• Surgery
• Nurse

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