You Need a Plan: A Stepwise Protocol for Operating Room Preparedness During an Infectious Pandemic.
Journal
Federal practitioner : for the health care professionals of the VA, DoD, and PHS
ISSN: 1078-4497
Titre abrégé: Fed Pract
Pays: United States
ID NLM: 9500574
Informations de publication
Date de publication:
May 2020
May 2020
Historique:
entrez:
27
5
2020
pubmed:
27
5
2020
medline:
27
5
2020
Statut:
ppublish
Résumé
The worldwide spread of SARS-CoV-2, the coronavirus that causes the syndrome designated COVID-19, presents a challenge for emergency operative management. The transmission and virulence of this new pathogen has raised concern for how best to protect operating room staff while effectively providing care to the infected patient requiring urgent or emergent surgery. Establishment of a clear protocol that adheres to rigorous infection control measures while providing a safe system for interfacility transport and operative care is vital to a successful surgical pandemic response. While emergency protocols must be rapidly developed, they should be collaboratively improved and incorporate new knowledge as and when it becomes available. These measures combined with practice drills to keep operating room personnel ready and able should help construct processes that are useful, easy to follow, and tailored to the unique local environment of each health care setting. After the initial apprehensions and struggles during our confrontation with the COVID-19 crisis, it is our hope that the experience we share will be helpful to surgical staff at other institutions grappling with the challenges of operative care in the pandemic environment. While this protocol focuses on the current COVID-19 pandemic, these recommendations serve as a template for surgical preparedness that can be readily adapted to infectious disease crisis that unfortunately might emerge in the future.
Sections du résumé
BACKGROUND
BACKGROUND
The worldwide spread of SARS-CoV-2, the coronavirus that causes the syndrome designated COVID-19, presents a challenge for emergency operative management. The transmission and virulence of this new pathogen has raised concern for how best to protect operating room staff while effectively providing care to the infected patient requiring urgent or emergent surgery.
OBSERVATIONS
METHODS
Establishment of a clear protocol that adheres to rigorous infection control measures while providing a safe system for interfacility transport and operative care is vital to a successful surgical pandemic response. While emergency protocols must be rapidly developed, they should be collaboratively improved and incorporate new knowledge as and when it becomes available. These measures combined with practice drills to keep operating room personnel ready and able should help construct processes that are useful, easy to follow, and tailored to the unique local environment of each health care setting.
CONCLUSIONS
CONCLUSIONS
After the initial apprehensions and struggles during our confrontation with the COVID-19 crisis, it is our hope that the experience we share will be helpful to surgical staff at other institutions grappling with the challenges of operative care in the pandemic environment. While this protocol focuses on the current COVID-19 pandemic, these recommendations serve as a template for surgical preparedness that can be readily adapted to infectious disease crisis that unfortunately might emerge in the future.
Types de publication
Journal Article
Langues
eng
Pagination
212-218Informations de copyright
Copyright © 2020 Frontline Medical Communications Inc., Parsippany, NJ, USA.
Déclaration de conflit d'intérêts
Author disclosures The authors report no actual or potential conflicts of interest with regard to this article.
Références
Viruses. 2019 Oct 12;11(10):
pubmed: 31614743
Anesthesiology. 2020 Jun;132(6):1333-1338
pubmed: 32195704
Am J Infect Control. 2014 Nov;42(11):1223-5
pubmed: 25444268
Br J Anaesth. 2020 May;124(5):497-501
pubmed: 32115186
J Hosp Infect. 2006 Dec;64(4):371-8
pubmed: 17046110
Br J Anaesth. 2003 Jun;90(6):715-8
pubmed: 12765882
Anesthesiology. 2020 Jun;132(6):1307-1316
pubmed: 32195699
Can J Anaesth. 2006 Feb;53(2):122-9
pubmed: 16434750
Can J Anaesth. 2020 Jun;67(6):756-758
pubmed: 32144591
MMWR Recomm Rep. 2005 Dec 30;54(RR-17):1-141
pubmed: 16382216
N Engl J Med. 2020 Mar 5;382(10):929-936
pubmed: 32004427
Infect Control Hosp Epidemiol. 2018 Dec 11;:1-17
pubmed: 30526699
Anesth Analg. 2020 Mar 26;:
pubmed: 32217947