Sarac Benjamin A, Schoenbrunner Anna R, Wilson Stelios C, Chiu Ernest S, Janis Jeffrey E
Ohio State University College of Medicine, Columbus, Ohio.
Department of Plastic and Reconstructive Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio.
Plast Reconstr Surg Glob Open. 2020 May 11;8(5):e2904. doi: 10.1097/GOX.0000000000002904. eCollection 2020 May.
Vague recommendations regarding elective surgery have been proposed by national organizations in an attempt to conserve personal protective equipment and to protect healthcare workers during the coronavirus disease 2019 pandemic. In response, some states have attempted to provide more clear guidance.
An internet search was performed to identify and analyze what guidance each state published through government websites through April 10, 2020.
Thirty-five states and the District of Columbia published guidance in the form of either a recommendation or a mandate. Procedures relating to cosmetics and malignancy were found to be mentioned in 4 and 12 states, respectively, but ultimately lacked case-specific information.
Current government and state recommendations do not provide clear guidance on how plastic and reconstructive surgeons should approach elective surgeries. Ultimately, it is the responsibility of all plastic and reconstructive surgeons to operate under appropriate law while individualizing their practices to best suit the needs of their patients while being mindful of resource limitations and exposure risks.
在2019冠状病毒病大流行期间,国家组织提出了关于择期手术的模糊建议,试图节约个人防护装备并保护医护人员。作为回应,一些州试图提供更明确的指导。
进行了一项网络搜索,以识别和分析截至2020年4月10日每个州通过政府网站发布的指导意见。
35个州和哥伦比亚特区以建议或指令的形式发布了指导意见。分别在4个和12个州发现了与美容和恶性肿瘤相关的手术,但最终缺乏具体病例信息。
目前政府和州的建议并未就整形外科医生应如何处理择期手术提供明确指导。最终,所有整形外科医生有责任在适当的法律框架下开展手术,同时根据患者的具体情况进行个性化操作,以最好地满足患者需求,同时要注意资源限制和暴露风险。