Recommendations for outpatient activity in COVID-19 pandemic.

COVID day case day surgery

Journal

Open medicine (Warsaw, Poland)
ISSN: 2391-5463
Titre abrégé: Open Med (Wars)
Pays: Poland
ID NLM: 101672167

Informations de publication

Date de publication:
2021
Historique:
received: 17 06 2021
revised: 23 08 2021
accepted: 04 10 2021
entrez: 22 11 2021
pubmed: 23 11 2021
medline: 23 11 2021
Statut: epublish

Résumé

The spread of the COVID-19 disease substantially influenced the International Healthcare system, and the national governments worldwide had before long to decide how to manage the available resources, giving priority to the treatment of the COVID-infected patients. Then, in many countries, it was decided to limit the elective procedures to surgical oncology and emergency procedures. In fact, most of the routine, middle-low complexity surgical interventions were reduced, and the day surgery (DS) activities were almost totally interrupted. As a result of this approach, the waiting list of these patients has significantly increased. In the current phase, with a significant decrease in the incidence of COVID-19 cases, the surgical daily activity can be safely and effectively restarted. Adjustments are mandatory to resume the DS activity. The whole separation of pathways with respect to the long-stay and emergency surgery, an accurate preoperative protocol of patient management, with a proper selection and screening of all-day cases, careful scheduling of surgical organization in the operating room, and planning of the postoperative pathway are the goals for a feasible, safe, and effective resumption of DS activity.

Identifiants

pubmed: 34805532
doi: 10.1515/med-2021-0378
pii: med-2021-0378
pmc: PMC8578809
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

1696-1704

Informations de copyright

© 2021 Piergaspare Palumbo et al., published by De Gruyter.

Déclaration de conflit d'intérêts

Conflict of interest: All authors state no conflict of interest.

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Auteurs

Piergaspare Palumbo (P)

Department of Surgical Sciences, "Sapienza" University of Rome, Viale Regina Elena 324, 00161 Rome, Italy.

Fanny Massimi (F)

Department of Surgical Sciences, "Sapienza" University of Rome, Viale Regina Elena 324, 00161 Rome, Italy.

Antonio Biondi (A)

Department of General Surgery and Surgical Specialities, University of Catania, Catania, Italy.

Roberto Cirocchi (R)

Deparment of Surgical and Biomedical Sciences, University of Perugia, Perugia, Italy.

Giuseppe Massimiliano De Luca (GM)

Department of Biomedical Sciences and Human Oncology, University of Bari, Bari, Italy.

Giorgio Giraudo (G)

Department of Surgery, Santa Croce e Carle Hospital, Cuneo, Italy.

Sergio Giuseppe Intini (SG)

Department of General Surgery, University of Udine, Udine, Italy.

Roberta Monzani (R)

Department of Anesthesia and Intensive Care, Humanitas Research Hospital, Rozzano (MI), Italy.

Giampaolo Sozio (G)

Department of General Surgery and Emergency, Alta Val D'Elsa Hospital, Poggibonsi (SI), Italy.

Sofia Usai (S)

Department of Surgical Sciences, "Sapienza" University of Rome, Viale Regina Elena 324, 00161 Rome, Italy.

Classifications MeSH