Evidence-Based Recommendations for Surgical Care during the COVID-19 Pandemic

Öz

During the COVID-19 pandemic, surgical services should be provided at the highest level and health resources should be optimally used to save life, maintain organ function and avoid further damage of the underlying disease. In this review, we aimed to present evidence-based guideline recommendations to guide healthcare professionals who play a role in surgical care during the pandemic process. Hospitals should possess surgical resources appropriate for the number and type of surgical procedures performed and have policies regarding how and when to use these resources. Surgical priority levels should be given a thought. A safe and quality care should be provided throughout each stage of the perioperative care. The conditions for restarting elective surgery should be met. Preparing for the pandemic in the surgical environment includes changing the infrastructure and processes, personnel and material management, and infection prevention strategies. Surgical teams should respond appropriately to this worldwide public health crisis and adapt to the rapidly changing environment in order to improve patient outcomes and minimize the burden on the health system and society.

Anahtar Kelimeler

• COVID-19
• SARS-CoV-2
• surgery
• perioperative care

COVID-19 Pandemisinde Cerrahi Bakıma Yönelik Kanıta Dayalı Öneriler

Öz

Özet

COVID-19 pandemisi sırasında yaşamı kurtarmak, organ işlevini korumak, altta yatan hastalığın daha fazla zarar vermesinden kaçınmak için cerrahi hizmetlerin en yüksek düzeyde sağlanması ve sağlık kaynaklarının en uygun şekilde kullanılması gerekmektedir. Bu derlemede, pandemi sürecinde cerrahi bakımda rol alan sağlık çalışanlarına uygulamalarında yol göstermek üzere kanıta dayalı kılavuz önerilerinin sunulması amaçlanmıştır. Hastaneler, yapılan cerrahi işlemlerin sayısı ve türüne uygun cerrahi kaynaklara ve bunların nasıl ve ne zaman kullanılacağına ilişkin politikalara sahip olmalıdır. Cerrahi öncelik düzeyleri düşünülmelidir. Perioperatif bakımın her aşaması boyunca güvenli ve kaliteli bakım sağlanmalıdır. Elektif cerrahiye yeniden başlama koşulları karşılanmalıdır. Cerrahi ortamda pandemi için hazırlık, altyapı ve süreçlerin değiştirilmesini, personel ve malzeme yönetimini ve enfeksiyon önleme stratejilerini içerir. Cerrahi ekipler, hasta sonuçlarını iyileştirmek, sağlık sistemi ve toplum üzerindeki yükü en aza indirmek için dünya çapındaki bu toplum sağlığı krizine uygun şekilde yanıt vermeli, hızla değişen ortama uyum sağlamalıdır.

Anahtar Kelimeler: COVID-19, SARS-CoV-2, cerrahi, perioperatif bakım.

Abstract

During the COVID-19 pandemic, surgical services should be provided at the highest level and health resources should be optimally used to save life, maintain organ function and avoid further damage of the underlying disease. In this review, we aimed to present evidence-based guideline recommendations to guide healthcare professionals who play a role in surgical care during the pandemic process. Hospitals should possess surgical resources appropriate for the number and type of surgical procedures performed and have policies regarding how and when to use these resources. Surgical priority levels should be given a thought. A safe and quality care should be provided throughout each stage of the perioperative care. The conditions for restarting elective surgery should be met. Preparing for the pandemic in the surgical environment includes changing the infrastructure and processes, personnel and material management, and infection prevention strategies. Surgical teams should respond appropriately to this worldwide public health crisis and adapt to the rapidly changing environment in order to improve patient outcomes and minimize the burden on the health system and society.

Keywords: COVID-19, SARS-CoV-2, surgery, perioperative care.

Anahtar Kelimeler

• COVID-19
• SARS-CoV-2
• cerrahi
• perioperatif bakım

Kaynakça

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