COVID 19 Sürecinde Akut Cerrahi Hastasına Yaklaşım Nasıl Olmalıdır?

COVID-19 pandemisi sağlık sisteminde birçok zorunlu değişikliğe sebep olmuştur. Bu bağlamda, acil cerrahi müdahaleler için bazı değişiklikler ve stratejiler oluşturulmuştur. Bu amaçla literatürde pandemi süresince cerrahi müdahaleyi konu alan bir çok makale yayınlanmıştır. Biz bu çalışmada pandemi süresince acil cerrahi yaklaşımın nasıl olması gerektiği konusunda literatürü derlemeye çalıştık. Ayrıca acil cerrahi hastasının seçimi, hastanın ve cerrahi ekibin pre-operatif dönemde hazırlanması, ameliyat sırasında anestezi ve cerrahi ekibe yönelik alınması gereken önlemler ve post-operatif dönemde yapılması gerekenleri sunmaya çalıştık.

The Assessment of Emergency Surgery Patient in the COVID 19 Pandemic Period

The COVID-19 pandemic has led to many compulsory alterations at health system. Emergency surgery is an area that is facing the need for many adaptations in health system. In literature, many articles have been published about surgery during the pandemic. In this review, we analysed the articles about the emergency surgery at COVID-19 pandemic period. We presented the emergency surgery patients’ selections. In addition we tried to standardize the preparation of the patient and the surgical team in the pre-operative period, measures for anaesthesia and surgeon in per-operative period, and some basic measures to be taken in the post-operative period.

Keywords:

COVID-19, Pandemic, Emergency surgery,

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1. Brindle ME, Gawande A. Managing COVID-19 in surgical systems. Annals of Surgery 2020.
2. Shinde RS, Naik MD, Shinde SR, Bhandare MS, Chaudhari VA, Shrikhande SV, ve ark. To Do or Not to Do?—A Review of Cancer Surgery Triage Guidelines in COVID-19 Pandemic. Indian Journal of Surgical Oncology 2020; 1.
3. COVID-19 and Surgery: Resources for the Surgical Community. American College of Surgeons Guidelines 2020.
4. Coronavirus announcements, Society of American Gastrointestinal and Endoscopic Surgeons, April 11 2020.
5. World Health Organization. Coronavirus disease (COVID-19) advice for the public. 2020.
6. Centers for Disease Control and Prevention. "How to protect yourself & others." April 8 2020.
7. Liu, XM, Wang, DQ Consideration and suggestions on development of blood transfusion department under the epidemic situation of novel coronavirus pneumonia. Zhonghua yi xue za zhi, 100, E013. 2020.
8. Di Saverio S, Podda M, De Simone B Diagnosis and treatment of acute appendicitis: 2020 update of the WSES Jerusalem guidelines. World J Emerg Surg 2020; 15: 27.
9. Corman VM, Landt O, Kaiser M, Molenkamp R, Meijer A, Chu DK ve ark. Detection of 2019 novel coronavirus (2019-nCoV) by real-time RT-PCR. Eurosurveillance 2020; 25:45.
10. Cheng Z, Lu Y, Cao Q, Qin L, Pan Z, Yan F ve ark. Clinical features and chest CT manifestations of coronavirus disease 2019 (COVID-19) in a single-center study in Shanghai, China. American Journal of Roentgenology 2020; 1:6.
11. Coimbra R, Edwards S, Kurihara H, Bass G A, Balogh, Z J, Tilsed J,ve ark. European Society of Trauma and Emergency Surgery (ESTES) recommendations for trauma and emergency surgery preparation during times of COVID-19 infection. European Journal of Trauma and Emergency Surgery, 2020; 1:6.
12. Chang D, Xu H, Rebaza A, Sharma L, Cruz CSD. Protecting health-care workers from subclinical coronavirus infection. The Lancet Respiratory Medicine 2020; 8: 3-13.
13. Kamer E, Çolak T. What to do when a patient infected with COVID-19 needs an operation: a pre-surgery, peri-surgery and post-surgery guide. Turk J Colorectal Dis 2020; 30: 1-8.
14. Ti LK, Ang LS, Foong TW, Ng BSW. What we do when a COVID-19 patient needs an operation: operating room preparation and guidance. Canadian Journal of Anesthesia/Journal canadien d'anesthésie 2020: 1-3.
15. De Simone B, Chouillard E, Di Saverio S, Pagani L, Sartelli M, Biffl WL ve ark. Emergency surgery during the COVID-19 pandemic: what you need to know for practice. The Annals of The Royal College of Surgeons of England 2020;102: 323-332.
16. Wax RS, Christian MD. Practical recommendations for critical care and anesthesiology teams caring for novel coronavirus (2019-nCoV) patients. Canadian Journal of Anesthesia/Journal canadien d'anesthésie 2020: 1-9.
17. Resources for Smoke and Gas Evacuation During Open, Laparoscopic, and Endoscopic Procedures. Society of American Gastrointestinal and Endoscopic Surgeons Marc 29, 2020.
18. Elmashae Y, Koehler RH, Yermakov M, Reponen T, Grinshpun SA. Surgical smoke simulation study: physical characterization and respiratory protection. Aerosol Science and Technology 2018; 52: 38-45.
19. Alp E, Bijl D, Bleichrodt RP, Hansson B, Voss A. Surgical smoke and infection control. Journal of Hospital infection 2006; 62: 1-5.
20. Coccolini F, Perrone G, Chiarugi M, Di Marzo F, Ansaloni L, Scandroglio I ve ark. Surgery in COVID-19 patients: operational directives. World Journal of Emergency Surgery 2020; 15: 1-7.