COVID-19 Pandemisinin İlk Yılında Ameliyathanemizin Non- COVID-19 Onkolojik - Onkolojik Tanı Alabilecek Ameliyatlarının Anestezi Değerlendirilmesi: Retrospektif Çalışma

Amaç: Koronavirüs hastalığı-2019 (COVID-19) pandemisi tüm dünyada olduğu gibi ülkemizde de sağlık hizmetlerinde ciddi değişimlere neden olmuştur. En çok etkilenen grup, onkolojik bir tanı ile ameliyat olacak veya onkolojik bir tanı ile teşhis edilebilecek olanlardır. Çalışmanın amacı pandeminin ilk yılında üçüncü basamak üniversite hastanemizin ameliyathanesinde patolojik inceleme gerektirecek veya onkolojik tanılı ameliyatlarda demografik, cerrahi branş, ameliyat süresi ve anestezi tipi açısından değişiklikleri gözlemlemektir. Gereç ve Yöntem: Kriterleri sağlayan hastaların ameliyat hasta dosyaları retrospektif tarama yöntemiyle incelendi (retrospektif kesitsel çalışma). Bulgular: Ameliyathanemizin olgu sayısının en fazla olduğu ilk 3 cerrahi branş değişmezken, Amerikan Anesteziyoloji Derneği (ASA) II-III skorlamasında (p

Anesthesia Evaluation of Non-COVID-19 Oncological - Non-Oncological Operations in Our Operating Room in the First Year of the COVID-19 Pandemic: A Retrospective Study

Aim: The Coronavirus disease-2019 (COVID-19) pandemic has caused serious changes in health services in our country as well as all over the world. The most affected group includes those who will undergo surgery with an oncological diagnosis or who can be diagnosed with an oncological diagnosis. It is aimed to observe the changes in the operations with oncological diagnoses, which will require pathological examination in the operating room of our tertiary university hospital, in terms of demographics, surgical branch, duration of the operation and type of anesthesia in the first year of the pandemic. Materials and Methods: The retrospective scanning method was used to scan the surgical patient files of the patients who met the criteria (Retrospective cross-sectional study). Results: While the first 3 branches of our operating room with the highest number of cases did not change, there was a difference in the American Society of Anesthesiology (ASA) II-III scoring (p

PDF

___

1. WHO declares COVID-19 a pandemic. Accessed September 15, 2021. https:// www.jwatch.org/fw116441/2020/03/11/who-declares-covid-19-pandemic
2. COVIDSurg Collaborative. Elective surgery cancellations due to the COVID-19 pandemic: global predictive modelling to inform surgical recovery plans. Br J Surg. 2020;107:1440-9.
3. Bogani G, Signorelli M, Ditto A, Raspagliesi F. Surgical oncology at the time of COVID-19 outbreak. J Surg Oncol. 2020;122:115-6.
4. Dotzauer R, Böhm K, Brandt MP, Sparwasser P, Haack M, Frees SK, et al. Global change of surgical and oncological clinical practice in urology during early COVID-19 pandemic. World J Urol. 2021;39:3139-45.
5. Finley C, Prashad A, Camuso N, Daly C, Aprikian A, Ball CG, et al. Guidance for management of cancer surgery during the COVID-19 pandemic. Can J Surg. 2020;63:S2-4.
6. MacInnes EG, Piper J, Tait C, Waterworth A, Achuthan R, Hogan B, et al. Breast Cancer Surgery During the COVID-19 Pandemic Peak in the UK: Operative Outcomes. Cureus. 2020;12:e9280.
7. Mazzaferro V, Danelli P, Torzilli G, Droz Dit Busset M, Virdis M, Sposito C. A Combined Approach to Priorities of Surgical Oncology During the COVID-19 Epidemic. Ann Surg. 2020;272:e84-6.
8. Sozutek A, Seker A, Kuvvetli A, Ozer N, Genc IC. Evaluating the feasibility of performing elective gastrointestinal cancer surgery during the COVID-19 pandemic: An observational study with 60 days follow-up results of a tertiary referral pandemic hospital. J Surg Oncol. 2021;123:834-41.
9. Schrag D, Hershman DL, Basch E. Oncology Practice During the COVID-19 Pandemic. JAMA. 2020;323:2005-6.
10. Tuech J-J, Gangloff A, Di Fiore F, Michel P, Brigand C, Slim K, et al. Strategy for the practice of digestive and oncological surgery during the Covid-19 epidemic. J Visc Surg. 2020;157(Suppl 1):S7-12.
11. Yıldırım AC, Ekici MF, Zeren S, Yaylak F, Algın MC. Triage of General Oncological Surgery During COVID-19 Pandemic. Kafkas J Med Sci. 2020;10:257-63.
12. Moriarty P, Chang J, Kayani B, Roberts L, Bourke N, Dann C, et al. The Development of a Surgical Oncology Center During the COVID-19 Pandemic. J Patient Saf. 2021;17:81-6.
13. Pawlik TM, Tyler DS, Sumer B, Meric-Bernstam F, Okereke IC, Beane JD, et al. COVID-19 Pandemic and Surgical Oncology: Preserving the Academic Mission. Ann Surg Oncol. 2020;27:2591-9.
14. Wagh HD. Advocate for regional anesthesia in the corona pandemic? Reg Anesth Pain Med. 2021;46:186.
15. Herman JA, Urits I, Kaye AD, Urman RD, Viswanath O. COVID-19: Recommendations for regional anesthesia. J Clin Anesth. 2020;65:109885.
16. Uppal V, Sondekoppam RV, Landau R, El-Boghdadly K, Narouze S, Kalagara HKP. Neuraxial anaesthesia and peripheral nerve blocks during the COVID-19 pandemic: a literature review and practice recommendations. Anaesthesia. 2020;75:1350-63.