为既往新冠病毒检测呈阳性的患者进行择期手术做准备：术前评估框架
Preparing previously COVID-19-positive patients for elective surgery: a framework for preoperative evaluation.
作者信息
Bui Naomi, Coetzer Mareli, Schenning Katie J, O'Glasser Avital Y
机构信息
Department of Anesthesiology & Perioperative Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Portland, OR, 97239, USA.
Department of Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, CHH2 8008, Portland, OR, 97239, USA.
出版信息
Perioper Med (Lond). 2021 Jan 7;10(1):1. doi: 10.1186/s13741-020-00172-2.
Abstract
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.
摘要
术前评估和风险评估一直是安全手术操作的关键环节，在严重急性呼吸综合征冠状病毒2（SARS-CoV-2）大流行期间，这对患者安全变得更加至关重要。新出现的数据表明，冠状病毒病（COVID）检测呈阳性的患者进行手术与更差的临床结局、术后并发症增加及死亡率上升相关。除了个人防护装备（PPE）管理、隔离方案、术前SARS-CoV-2筛查以及确保临床医生安全的措施外，确定如何判定从COVID-19中康复的患者可以安全进行手术是一项额外的挑战。我们提出了一项针对择期手术评估既往COVID阳性患者的术前方案。
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