Preparing previously COVID-19-positive patients for elective surgery: a framework for preoperative evaluation

被引:37
作者
Bui, Naomi [1 ]
Coetzer, Mareli [2 ]
Schenning, Katie J. [1 ]
O'Glasser, Avital Y. [2 ]
机构
[1] Oregon Hlth & Sci Univ, Dept Anesthesiol & Perioperat Med, 3181 SW Sam Jackson Pk Rd, Portland, OR 97239 USA
[2] Oregon Hlth & Sci Univ, Dept Med, 3181 SW Sam Jackson Pk Rd,CHH2 8008, Portland, OR 97239 USA
关键词
Preoperative medicine; COVID-19; Elective surgery; Preoperative protocol; STROKE;
D O I
10.1186/s13741-020-00172-2
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
The preoperative evaluation and risk assessment has always been a critical aspect of safe surgical practice, and in the midst of the SARS-CoV-2 pandemic, it has become even more crucial to patient safety. Emerging data show that surgical procedures in patients who test positive for coronavirus disease (COVID) are associated with worse clinical outcomes and increased postoperative complications and mortality. In addition to personal protective equipment (PPE) management, isolation protocols, preoperative SARS-CoV-2 screening, and steps to ensure clinician safety, determining how to deem patients who have recovered from COVID-19 safe to proceed is an added challenge. We present a preoperative protocol for evaluation of previously COVID-positive patients for elective surgery.
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页数:4
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