Calcara Calcedonio, Ciscato Camilla, Amato Arnaldo, Sinagra Emanuele, Alvisi Costanza, Ardizzone Sandro, Anderloni Andrea, Gambitta Pietro
Endoscopy Unit, ASST Ovest Milanese, Magenta, Milan, Italy.
Gastroenterology and Digestive Endoscopy Unit, ASST Ovest Milanese, Legnano, Milan, Italy.
Clin Endosc. 2022 Jan;55(1):49-57. doi: 10.5946/ce.2021.191. Epub 2022 Jan 27.
BACKGROUND/AIMS: The coronavirus disease 2019 (COVID-19) outbreak has modified the activities of endoscopy units worldwide. Herein, we investigated the impact of the COVID-19 outbreak on anesthesiologist assistance for endoscopic procedures in Lombardy, Italy.
A questionnaire concerning anesthesiologist assistance provided from October 26 to December 6, 2020, in comparison with the same period in 2019, was sent to endoscopic units in Lombardy.
Approximately 54% (34/63) of the units responded. A reduction in the number of all endoscopies (-33.5%; 18792 in 2020 vs. 28264 in 2019) and anesthesiologist-assisted endoscopies (-15.3%; 2652 in 2020 vs. 3132 in 2019) was reported. A greater reduction in anesthesiologist assistance was observed in government community units (-29.5%) than in academic (-14%) and private community units (-4.6%). Among all units, 85% reported a reduction in anesthesiologist assistance; 65% observed a delay/cancellation of procedures; 59%, a restricted patient selection; 17%, the need to transfer some patients to other hospitals; and 32%, a related worsening of procedure quality.
The COVID-19 pandemic compromised the anesthesiologist assistance for endoscopic procedures in Lombardy, which worsened the procedure quality mainly in government community units. The COVID-19 "stress test" suggests a more balanced allocation of anesthesiologic resources in the future.
背景/目的：2019年冠状病毒病（COVID-19）疫情改变了全球内镜科室的工作。在此，我们调查了COVID-19疫情对意大利伦巴第地区内镜手术麻醉医生协助工作的影响。
向伦巴第地区的内镜科室发送了一份关于2020年10月26日至12月6日期间与2019年同期相比麻醉医生协助情况的调查问卷。
约54%（34/63）的科室做出了回应。报告显示，所有内镜检查的数量减少了33.5%（2020年为18792例，2019年为28264例），麻醉医生协助的内镜检查减少了15.3%（2020年为2652例，2019年为3132例）。政府社区科室麻醉医生协助工作的减少幅度（29.5%）大于学术科室（14%）和私立社区科室（4.6%）。在所有科室中，85%报告麻醉医生协助工作减少；65%观察到手术延迟/取消；59%，患者选择受限；17%，需要将一些患者转至其他医院；32%，手术质量因此下降。
COVID-19大流行影响了伦巴第地区内镜手术的麻醉医生协助工作，主要在政府社区科室导致手术质量下降。COVID-19“压力测试”表明未来需要更均衡地分配麻醉资源。
