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新型冠状病毒肺炎与手术:面对新常态的挑战性问题——一篇叙述性综述

Covid-19 and surgery: Challenging issues in the face of new normal - A narrative review.

作者信息

Huda Farhanul, Kumar Praveen, Singh Sudhir K, Agrawal Saumya, Basu Somprakas

机构信息

Department of General Surgery, All India Institute of Medical Sciences, Rishikesh, District Dehradun, Uttarakhand, 249203, India.

出版信息

Ann Med Surg (Lond). 2020 Dec;60:162-167. doi: 10.1016/j.amsu.2020.10.039. Epub 2020 Oct 23.

Abstract

This review aims to outline the current perspectives of surgery in the COVID 19 pandemic associated with the pitfalls in implementing the emerging guidelines to continue patient care without compromising safety, both from the surgeons' and the patients' points of view. The fight between the surgeon and the pandemic will be a dragging one since the post-pandemic infflux of surgical patients coupled with the 'new normal' practices to prevent COVID 19 spread requires pertinent resources, well-trained personnel, and co-operation among different departments. Emergency surgeries and cancer care have continued all this while, undoubtedly, with unwanted delays and distress. While we continue to prepare ourselves and work in a whole new environment, surgeons are facing the increased chances of litigations and compromised safety. We review what we have come to understand about safe surgical practices during and after the pandemic and the unanswered questions.

摘要

本综述旨在概述在新冠疫情期间外科手术的当前观点,涉及在不危及安全的情况下实施新出现的指南以继续患者护理过程中所面临的陷阱,这是从外科医生和患者的角度来看的。外科医生与疫情之间的斗争将是一场持久战,因为疫情后手术患者的涌入,再加上为防止新冠病毒传播而采取的“新常态”做法,需要相关资源、训练有素的人员以及不同部门之间的合作。在此期间,急诊手术和癌症护理一直在持续进行,毫无疑问,出现了不必要的延误和困扰。当我们继续在全新的环境中做好准备并开展工作时,外科医生面临着诉讼风险增加和安全受损的情况。我们回顾了我们对疫情期间及之后安全手术操作的理解以及尚未解决的问题。

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