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
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.

Identifiants

pubmed: 32454574
pmc: PMC7241605

Types de publication

Journal Article

Langues

eng

Pagination

212-218

Informations 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.

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Auteurs

Vivek Arora (V)

is an Anesthesiologist and Surgical Intensivist, is an Operating Room Registered Nurse Educator, is a Surgical Intensivist and Chief of General Surgery, and is an Anesthesiologist and Surgical Intensivist, all at VA Puget Sound Health Care System in Seattle, Washington. Vivek Arora and Alex Lee are affiliated with the Department of Anesthesiology and Pain Medicine and Lorrie Langdale is affiliated with the Department of Surgery, University of Washington in Seattle.

Connie Evans (C)

is an Anesthesiologist and Surgical Intensivist, is an Operating Room Registered Nurse Educator, is a Surgical Intensivist and Chief of General Surgery, and is an Anesthesiologist and Surgical Intensivist, all at VA Puget Sound Health Care System in Seattle, Washington. Vivek Arora and Alex Lee are affiliated with the Department of Anesthesiology and Pain Medicine and Lorrie Langdale is affiliated with the Department of Surgery, University of Washington in Seattle.

Lorrie Langdale (L)

is an Anesthesiologist and Surgical Intensivist, is an Operating Room Registered Nurse Educator, is a Surgical Intensivist and Chief of General Surgery, and is an Anesthesiologist and Surgical Intensivist, all at VA Puget Sound Health Care System in Seattle, Washington. Vivek Arora and Alex Lee are affiliated with the Department of Anesthesiology and Pain Medicine and Lorrie Langdale is affiliated with the Department of Surgery, University of Washington in Seattle.

Alex Lee (A)

is an Anesthesiologist and Surgical Intensivist, is an Operating Room Registered Nurse Educator, is a Surgical Intensivist and Chief of General Surgery, and is an Anesthesiologist and Surgical Intensivist, all at VA Puget Sound Health Care System in Seattle, Washington. Vivek Arora and Alex Lee are affiliated with the Department of Anesthesiology and Pain Medicine and Lorrie Langdale is affiliated with the Department of Surgery, University of Washington in Seattle.

Classifications MeSH