Managing Vascular Surgery Emergencies and Referrals During the COVID-19 Pandemic at a Tertiary Centre in Oman.
Adult
Aged
Aged, 80 and over
Amputation, Surgical
/ methods
Aortic Dissection
/ therapy
Angioplasty
/ methods
Aortic Aneurysm
/ therapy
Arteriovenous Shunt, Surgical
COVID-19
/ complications
Carotid Stenosis
/ therapy
Disease Management
Embolectomy
/ methods
Emergencies
Female
Graft Occlusion, Vascular
/ complications
Humans
Ischemia
/ therapy
Lower Extremity
Male
Middle Aged
Oman
Referral and Consultation
SARS-CoV-2
Tertiary Care Centers
Upper Extremity
Vascular Diseases
/ therapy
Vascular Surgical Procedures
/ methods
COVID-19
Emergencies
Oman
Vascular Surgery
Journal
Sultan Qaboos University medical journal
ISSN: 2075-0528
Titre abrégé: Sultan Qaboos Univ Med J
Pays: Oman
ID NLM: 101519915
Informations de publication
Date de publication:
Feb 2021
Feb 2021
Historique:
received:
24
06
2020
revised:
30
08
2020
accepted:
16
09
2020
entrez:
29
3
2021
pubmed:
30
3
2021
medline:
2
4
2021
Statut:
ppublish
Résumé
This study aimed to discuss the different challenges faced while managing emergency vascular surgery cases during the COVID-19 pandemic and how these challenges were overcome. This study details 14 emergency cases that were managed during a period of one month from mid-March to mid-April at Sultan Qaboos University Hospital, Muscat, Oman. The cases included acute limb ischaemia, critical limb ischaemia, type B dissection of the thoracic aorta, thoraco-abdominal aneurysm, critical internal carotid artery stenosis, trauma, infected arteriovenous forearm loop graft and thrombosed arteriovenous fistulas. Only one patient was confirmed to have COVID-19. Five were negative for COVID-19 while the remaining eight were not tested. Various strategies on how the vascular surgical team accommodated changes in hospital protocols and nationwide lockdown are discussed in detail. With the judicious use of personal protective equipment and consumable surgical and endovascular devices, communication with support services and other hospitals and implementation of triage protocols, it was possible to manage vascular surgery emergencies effectively.
Identifiants
pubmed: 33777432
doi: 10.18295/squmj.2021.21.01.016
pii: squmj2102-e116-119
pmc: PMC7968903
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e116-e119Informations de copyright
© Copyright 2021, Sultan Qaboos University Medical Journal, All Rights Reserved.
Déclaration de conflit d'intérêts
CONFLICT OF INTEREST The author declares no conflicts of interest.
Références
J Vasc Surg. 2020 Aug;72(2):396-402
pubmed: 32361072