Evaluation of Preoperative Tests in Elective Surgeries of Asymptomatic Patients During Covid-19 Pandemic

Öz

With the Covid-19 pandemic, some changes have been made in health practices. In this study, the action plan applied in the preoperative evaluation of patients with no symptoms and contact history planned during the pandemic was presented in light of the Ministry of Health communique and the literature. Preoperative Evaluation Action Plans were determined in each hospital. The first aim is to distinguish patients who are asymptomatic and have no contact history. Then, these patients are evaluated before the operation with the tests and physical examination. Various changes were made in the tests used in preoperative evaluation during the pandemic process. Initially, the first preferred test was thorax computed tomography, while the polymerase chain reaction test is now recommended. Accurate information and compliance with determined action plans are of great importance in the planning of elective surgeries. It is evident that preoperative evaluation criteria may change according to the characteristics of the pandemic process

Anahtar Kelimeler

• Consent forms
• Covid-19
• elective surgical procedures
• pandemic
• PCR
• thorax computed tomography

Kaynakça

1. Ai, T., Yang, Z., Hou, H., Zhan, C., Chen, C., Lv, W., Xia, L. (2020). Correlation of chest CT and RT-PCR testing in coronavirus disease 2019 (Covid-19) in China: a report of 1014 cases. Radiology, 296(2), 32-40. Doi:10.1148/radiol.2020200642
2. Calucho, E. (2020). Lateral flow devices for Covid-19-related biomarkers. Biosensors for pandemics, 29 Ergil, J., Karaaslan, K., Tomak, Y., Turgut, N. (2020). Recommendations for starting electrical surgery in the Covid-19 pandemia normalization period. Türk Anesteziyoloji ve Reanimasyon Derneği. http://www.tard.org.tr/assets/pdf/COVID-Elektif-Cerrahilere-Basslama-Kilavuzu-2.1.pdf
3. Erturk, S. M. (2020). CT of coronavirus disease (Covid-19) pneumonia: a reference standard is needed. American Journal of Roentgenology, 215(1), 20. Doi: 10.2214/AJR.20.23286
4. Gürbüz, M. (2020). Molecular and serological tests for Covid-19. Eurasian Journal of Pulmonology, Additional number, 52-61
5. Kong, W., Agarwal, P. P. (2020). Chest imaging appearance of Covid-19 infection. Radiology: Cardiothoracic Imaging, 2(1), e200028
6. Li, Q., Guan, X., Wu, P., Wang, X., Zhou, L., Tong, Y., Wong, J. Y. et al. (2020). Early transmission dynamics in Wuhan, China, of novel coronavirus–infected pneumonia. New England Journal of Medicine, 382(13), 1199-1207. Doi: 10.1056/NEJMoa2001316
7. Liang, T. (2020). Handbook of Covid-19 prevention and treatment. The First Affiliated Hospital, Zhejiang University School of Medicine. Compiled According to Clinical Experience Ministry of Health (2020). Study guide for health ınstitutions in normalization period in covid-19 pandemic. https://covid19bilgi.saglik.gov.tr/tr/covid-19-pandemisinde-normallesme-doneminde-saglik-kurumlarindacalisma-rehberi.html (accessed 24 July 2020)
8. Özdemir, M., Taydaş, O., Öztürk, M. H. (2020). Thorax computed tomography findings in Covid-19 infection. Journal of Biotechnology and Strategic Health Research, 1(special issue), 91-96

9. Xie, X., Zhong, Z., Zhao, W., Zheng, C., Wang, F., Liu, J. (2020). Chest CT for typical 2019-nCoV pneumonia: relationship to negative RT-PCR testing. Radiology, 296(2), 41-45. Doi: 10.1148/radiol.2020200343
10. Yang, Y., Yang, M., Shen, C., Wang, F., Yuan, J., Li, J., Wei, J. (2020). Laboratory diagnosis and monitoring the viral shedding of 2019-nCoV infections. medRxiv. https://doi.org/10.1101/2020.02.11.20021493