Perioperative Considerations in Urgent Surgical Care and Operating Room Practice and Guidance During COVID-19 Pandemic; Our Experiences

Aim: The novel coronavirus SARS-CoV-2 (COVID-19) can infect healthcare workers. We developed an institutional algorithm to protect operating room team members during the COVID-19 pandemic and rationally conserve personal protective equipment (PPE). We aimed to review the latest data on the COVID-19...

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Main Authors: Ayhan ŞAHİN, Ahmet GÜLTEKİN, Gülcan GÜCER ŞAHİN, İlker YILDIRIM, Cengiz MORDENİZ, M. Cavidan ARAR
Format: Article
Language:English
Published: Galenos Yayincilik 2020-12-01
Series:Namık Kemal Tıp Dergisi
Subjects:
Online Access: http://namikkemalmedj.com/archives/archive-detail/article-preview/perioperative-considerations-in-urgent-surgical-ca/43275
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author Ayhan ŞAHİN
Ahmet GÜLTEKİN
Gülcan GÜCER ŞAHİN
İlker YILDIRIM
Cengiz MORDENİZ
M. Cavidan ARAR
author_facet Ayhan ŞAHİN
Ahmet GÜLTEKİN
Gülcan GÜCER ŞAHİN
İlker YILDIRIM
Cengiz MORDENİZ
M. Cavidan ARAR
author_sort Ayhan ŞAHİN
collection DOAJ
description Aim: The novel coronavirus SARS-CoV-2 (COVID-19) can infect healthcare workers. We developed an institutional algorithm to protect operating room team members during the COVID-19 pandemic and rationally conserve personal protective equipment (PPE). We aimed to review the latest data on the COVID-19 pandemic and essential information for practice in emergency surgery and the operating room.Materials and Methods: An interventional platform (operating room, interventional suite, and endoscopy) with our committee formed with our doctors consisting of different branches, we developed our guidelines based on potential patterns of spread, risk of exposure, and conservation of PPE. We aimed to share our experiences with 128 patients who were taken into operation in a 2-month period. Anesthetic management and infection control guidelines for emergency procedures for patients with suspected 2019-nCoV were drafted and applied in Medical Faculty of Namık Kemal University.Results: A decision tree algorithm describing our institutional guidelines for precautions for operating room team members was created. This algorithm is based on the urgency of operation, anticipated viral burden at the surgical site, the opportunity for a procedure to aerosolize virus, and the likelihood a patient could be infected based on symptoms and testing.Conclusion: Despite COVID-19 being a new threat, we have shown that by developing an easy-to-follow decision algorithm for the interventional platform teams, we can ensure optimal healthcare worker safety.
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spelling doaj.art-114ab88a80e847e2869abe9df0afb0052023-02-15T16:09:33ZengGalenos YayincilikNamık Kemal Tıp Dergisi2587-02622020-12-018330331310.37696/nkmj.77148913049054Perioperative Considerations in Urgent Surgical Care and Operating Room Practice and Guidance During COVID-19 Pandemic; Our ExperiencesAyhan ŞAHİN0Ahmet GÜLTEKİN1Gülcan GÜCER ŞAHİN2İlker YILDIRIM3Cengiz MORDENİZ4M. Cavidan ARAR5 Department of Anesthesiology and Reanimation, Medical Faculty of Namık Kemal, Tekirdağ, TURKEY Department of Anesthesiology and Reanimation, Medical Faculty of Namık Kemal, Tekirdağ, TURKEY Department of Radiology, Medical Faculty of Namık Kemal, Tekirdağ, TURKEY Department of Anesthesiology and Reanimation, Medical Faculty of Namık Kemal, Tekirdağ, TURKEY Department of Anesthesiology and Reanimation, Medical Faculty of Namık Kemal, Tekirdağ, TURKEY Department of Anesthesiology and Reanimation, Medical Faculty of Namık Kemal, Tekirdağ, TURKEY Aim: The novel coronavirus SARS-CoV-2 (COVID-19) can infect healthcare workers. We developed an institutional algorithm to protect operating room team members during the COVID-19 pandemic and rationally conserve personal protective equipment (PPE). We aimed to review the latest data on the COVID-19 pandemic and essential information for practice in emergency surgery and the operating room.Materials and Methods: An interventional platform (operating room, interventional suite, and endoscopy) with our committee formed with our doctors consisting of different branches, we developed our guidelines based on potential patterns of spread, risk of exposure, and conservation of PPE. We aimed to share our experiences with 128 patients who were taken into operation in a 2-month period. Anesthetic management and infection control guidelines for emergency procedures for patients with suspected 2019-nCoV were drafted and applied in Medical Faculty of Namık Kemal University.Results: A decision tree algorithm describing our institutional guidelines for precautions for operating room team members was created. This algorithm is based on the urgency of operation, anticipated viral burden at the surgical site, the opportunity for a procedure to aerosolize virus, and the likelihood a patient could be infected based on symptoms and testing.Conclusion: Despite COVID-19 being a new threat, we have shown that by developing an easy-to-follow decision algorithm for the interventional platform teams, we can ensure optimal healthcare worker safety. http://namikkemalmedj.com/archives/archive-detail/article-preview/perioperative-considerations-in-urgent-surgical-ca/43275 covid-19cross-infectioninfection controloperating roomviral pneumonia
spellingShingle Ayhan ŞAHİN
Ahmet GÜLTEKİN
Gülcan GÜCER ŞAHİN
İlker YILDIRIM
Cengiz MORDENİZ
M. Cavidan ARAR
Perioperative Considerations in Urgent Surgical Care and Operating Room Practice and Guidance During COVID-19 Pandemic; Our Experiences
Namık Kemal Tıp Dergisi
covid-19
cross-infection
infection control
operating room
viral pneumonia
title Perioperative Considerations in Urgent Surgical Care and Operating Room Practice and Guidance During COVID-19 Pandemic; Our Experiences
title_full Perioperative Considerations in Urgent Surgical Care and Operating Room Practice and Guidance During COVID-19 Pandemic; Our Experiences
title_fullStr Perioperative Considerations in Urgent Surgical Care and Operating Room Practice and Guidance During COVID-19 Pandemic; Our Experiences
title_full_unstemmed Perioperative Considerations in Urgent Surgical Care and Operating Room Practice and Guidance During COVID-19 Pandemic; Our Experiences
title_short Perioperative Considerations in Urgent Surgical Care and Operating Room Practice and Guidance During COVID-19 Pandemic; Our Experiences
title_sort perioperative considerations in urgent surgical care and operating room practice and guidance during covid 19 pandemic our experiences
topic covid-19
cross-infection
infection control
operating room
viral pneumonia
url http://namikkemalmedj.com/archives/archive-detail/article-preview/perioperative-considerations-in-urgent-surgical-ca/43275
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