Surgery in COVID-19 patients: operational directives

被引:209
作者
Coccolini, Federico [1 ,2 ,21 ]
Perrone, Gennaro [3 ]
Chiarugi, Massimo [1 ,2 ]
Di Marzo, Francesco [4 ]
Ansaloni, Luca [5 ]
Scandroglio, Ildo [6 ]
Marini, Pierluigi [7 ]
Zago, Mauro [8 ]
De Paolis, Paolo [9 ]
Forfori, Francesco [10 ]
Agresta, Ferdinando [11 ]
Puzziello, Alessandro [12 ]
D'Ugo, Domenico [13 ]
Bignami, Elena [14 ]
Bellini, Valentina [14 ]
Vitali, Pietro [15 ]
Petrini, Flavia [16 ]
Pifferi, Barbara [14 ]
Corradi, Francesco [10 ]
Tarasconi, Antonio [3 ]
Pattonieri, Vittoria [3 ]
Bonati, Elena [3 ]
Tritapepe, Luigi [17 ]
Agnoletti, Vanni [18 ]
Corbella, Davide [19 ]
Sartelli, Massimo [20 ]
Catena, Fausto [3 ]
机构
[1] Pisa Univ Hosp, Emergency Surg Unit, Pisa, Italy
[2] Pisa Univ Hosp, Ctr Trauma, Pisa, Italy
[3] Maggiore Hosp, Emergency & Trauma Surg, Parma, Italy
[4] Sansepolcro Hosp, Dept Gen Surg, Sansepolcro, Italy
[5] Bufalini Hosp, Gen Emergency & Trauma Surg Dept, Cesena, Italy
[6] Busto Arsizio Hosp, Dept Gen Surg, Busto Arsizio, Italy
[7] Osped San Camillo Forlanini, Gen Surg Dept, Rome, Italy
[8] A Manzoni Hosp, Gen & Emergency Surg Dept, Lecce, Italy
[9] Osped Gradenigo, Dept Gen Surg, Turin, Italy
[10] Pisa Univ Hosp, ICU Dept, Pisa, Italy
[11] Osped Civile, Gen Surg Dept, Adria, Italy
[12] Salerno Univ Hosp, Gen Surg Dept, Salerno, Italy
[13] Policlin Gemelli Univ Hosp, Dept Gen Surg, Rome, Italy
[14] Parma Univ Hosp, ICU Dept, Parma, Italy
[15] Parma Univ Hosp, Igiene & Publ Hlth Dept, Parma, Italy
[16] Chieti Univ Hosp, ICU Dept, Chieti, Italy
[17] San Camillo Forlanini Hosp, ICU Dept, Rome, Italy
[18] Bufalini Hosp, ICU Dept, Cesena, Italy
[19] Papa Giovanni XXIII Hosp, Neuro ICU Dept, Bergamo, Italy
[20] Macerata Hosp, Gen & Emergency Surg, Macerata, Italy
[21] Pisa Univ Hosp, Gen Emergency & Trauma Surg, Via Paradisia 1, I-56100 Pisa, Italy
关键词
Coronavirus; COVID-19; Epidemic; Pandemic; Mass casualties; Management; Resources; Criticalities; WSES;
D O I
10.1186/s13017-020-00307-2
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
The current COVID-19 pandemic underlines the importance of a mindful utilization of financial and human resources. Preserving resources and manpower is paramount in healthcare. It is important to ensure the ability of surgeons and specialized professionals to function through the pandemic. A conscious effort should be made to minimize infection in this sector. A high mortality rate within this group would be detrimental. This manuscript is the result of a collaboration between the major Italian surgical and anesthesiologic societies: ACOI, SIC, SICUT, SICO, SICG, SIFIPAC, SICE, and SIAARTI. We aim to describe recommended clinical pathways for COVID-19-positive patients requiring acute non-deferrable surgical care. All hospitals should organize dedicated protocols and workforce training as part of the effort to face the current pandemic.
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页数:7
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