Recommendations for outpatient activity in COVID-19 pandemic
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 de...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
De Gruyter
2021-11-01
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| Series: | Open Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1515/med-2021-0378 |
| _version_ | 1811252807582351360 |
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| author | Palumbo Piergaspare Massimi Fanny Biondi Antonio Cirocchi Roberto De Luca Giuseppe Massimiliano Giraudo Giorgio Intini Sergio Giuseppe Monzani Roberta Sozio Giampaolo Usai Sofia |
| author_facet | Palumbo Piergaspare Massimi Fanny Biondi Antonio Cirocchi Roberto De Luca Giuseppe Massimiliano Giraudo Giorgio Intini Sergio Giuseppe Monzani Roberta Sozio Giampaolo Usai Sofia |
| author_sort | Palumbo Piergaspare |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-12T16:40:15Z |
| format | Article |
| id | doaj.art-43dba15b0cb74cd984765734f02d14c4 |
| institution | Directory Open Access Journal |
| issn | 2391-5463 |
| language | English |
| last_indexed | 2024-04-12T16:40:15Z |
| publishDate | 2021-11-01 |
| publisher | De Gruyter |
| record_format | Article |
| series | Open Medicine |
| spelling | doaj.art-43dba15b0cb74cd984765734f02d14c42022-12-22T03:24:48ZengDe GruyterOpen Medicine2391-54632021-11-011611696170410.1515/med-2021-0378Recommendations for outpatient activity in COVID-19 pandemicPalumbo Piergaspare0Massimi Fanny1Biondi Antonio2Cirocchi Roberto3De Luca Giuseppe Massimiliano4Giraudo Giorgio5Intini Sergio Giuseppe6Monzani Roberta7Sozio Giampaolo8Usai Sofia9Department of Surgical Sciences, “Sapienza” University of Rome, Viale Regina Elena 324, 00161 Rome, ItalyDepartment of Surgical Sciences, “Sapienza” University of Rome, Viale Regina Elena 324, 00161 Rome, ItalyDepartment of General Surgery and Surgical Specialities, University of Catania, Catania, ItalyDeparment of Surgical and Biomedical Sciences, University of Perugia, Perugia, ItalyDepartment of Biomedical Sciences and Human Oncology, University of Bari, Bari, ItalyDepartment of Surgery, Santa Croce e Carle Hospital, Cuneo, ItalyDepartment of General Surgery, University of Udine, Udine, ItalyDepartment of Anesthesia and Intensive Care, Humanitas Research Hospital, Rozzano (MI), ItalyDepartment of General Surgery and Emergency, Alta Val D’Elsa Hospital, Poggibonsi (SI), ItalyDepartment of Surgical Sciences, “Sapienza” University of Rome, Viale Regina Elena 324, 00161 Rome, ItalyThe 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.https://doi.org/10.1515/med-2021-0378day surgeryday casecovid |
| spellingShingle | Palumbo Piergaspare Massimi Fanny Biondi Antonio Cirocchi Roberto De Luca Giuseppe Massimiliano Giraudo Giorgio Intini Sergio Giuseppe Monzani Roberta Sozio Giampaolo Usai Sofia Recommendations for outpatient activity in COVID-19 pandemic Open Medicine day surgery day case covid |
| title | Recommendations for outpatient activity in COVID-19 pandemic |
| title_full | Recommendations for outpatient activity in COVID-19 pandemic |
| title_fullStr | Recommendations for outpatient activity in COVID-19 pandemic |
| title_full_unstemmed | Recommendations for outpatient activity in COVID-19 pandemic |
| title_short | Recommendations for outpatient activity in COVID-19 pandemic |
| title_sort | recommendations for outpatient activity in covid 19 pandemic |
| topic | day surgery day case covid |
| url | https://doi.org/10.1515/med-2021-0378 |
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