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It is recommended to use a checklist of the entire surgical procedure which explicitly includes the patient's COVID-19 situation
Compromiso por la calidad de las Sociedades Científicas en España
Asociación Española de Cirujanos
It is suggested to designate an operating room and all its equipment (respirator, etc.) exclusively for COVID-19 patients, which will be used for this use throughout the epidemic. Ideally it should be independent or away from other operating rooms. An adequate transfer circuit for these patients must be planned from the corresponding isolation area (in ICU, plant, etc.) to the designated surgical area. Important considerations to keep in mind during the course of surgery. • Limit the number ...
ver más ... 2020A Personal Protective Equipment (PPE) must be used under surgical clothing to ensure adequate protection for operating room personnel in the event of intervention on a confirmed COVID-19 positive ...
Compromiso por la calidad de las Sociedades Científicas en España
Asociación Española de Cirujanos
Elements of Personal Protective Equipment (PPE). PPE will be necessary in any procedure considered as “close contact”, which includes surgical intervention, as well as other operating room procedures (intubation, regional anesthesia, canalization of the airways, etc.). Personal protective equipment, as established by Royal Decree 773/1997 regarding its use, will provide effective protection against the risks that motivate its use, without assuming or causing additional risks or unnecessary ...
ver más ... 2020Recommendations for surgery in patients with highly fluid transmissible viral diseases recommend minimally invasive access to minimize contagion to members of the surgical team.
Compromiso por la calidad de las Sociedades Científicas en España
Asociación Española de Cirujanos
During gastrointestinal surgery the use of the scalpel and the opening of the digestive tract can generate aerosols. Likewise, among the other energy sources, the use of the ultrasonic scalpel is not recommended as it causes greater aerosolization. Laparoscopy involves the interposition of a physical barrier between the surgeon and the possible source of infection, avoiding occupational exposure and cross infection. In addition, efforts will be made to avoid the prolonged Trendelenburg position ...
ver más ... 2020It is recommended do routine testing for COVID-19 before urgent or elective surgery.
Compromiso por la calidad de las Sociedades Científicas en España
Asociación Española de Cirujanos
The test to be carried out will depend largely on the means available. Ideally, a diagnostic PCR will be performed, although its results may take hours, which in the case of a non-delayed emergency, can be critical. So-called quick “tests” provide results in minutes, but their limited current disposition and the considerable false negative rate mean that, unfortunately, they cannot be indicated in a generalized way. On the other hand, a simple chest radiograph in patients with typical ...
ver más ... 2020It is essential to divide emergency and hospitalized patients into a suspicion group and a confirmation group as a precautionary measure in case a patient needs to have a surgery during the pandemic ...
Compromiso por la calidad de las Sociedades Científicas en España
Asociación Española de Cirujanos
This document explains the main measures to take into account in case of care for COVID-19 patients or suspicion both during their evaluation and in case of requiring surgical treatment. The route of entry of patients to the General Surgery Service is based on two branches: emergency and hospitalization. Both routes will have a pre-established location in advance according to the protocols of each hospital for the location of this type of patient. It is essential to divide the patients into two ...
ver más ... 2020