Munir Muhammad Ardi, Tandiabang Pascal Adventra, Basry Amirah, Setyawati Try, Mahardinata Nur Azid, Rahman Nurulhuda
Departement of Bioethics, Medical Humanities and Social Health Science, Faculty of Medicine, Tadulako University, Palu, (Central Sulawesi), Indonesia.
Departement of Orthopaedic and Traumatology Surgery, Undata General Hospital, Palu, (Central Sulawesi), Indonesia.
Ann Med Surg (Lond). 2022 Jun;78:103845. doi: 10.1016/j.amsu.2022.103845. Epub 2022 May 24.
Orthopaedic surgeons may wonder what preparation and recuperation would be like during pandemics. We are concerned about the patient's safety during the operation. All surgical centres have received instructions to discontinue all elective surgery operations, although urgent surgical cases are still being carried out. This procedure should not be delayed in orthopaedic issues such as fracture repositioning surgery, as the unionization process is ongoing.
We gather review articles from a variety of sources. The keywords "Ethics," "COVID-19," "Elective Surgery," and "Orthopedic Surgery" were used to filter the documents. We found 863 documents and then set the criteria for including documents that we thought eligible for review articles, such as research journals and newspaper pieces from reliable sources, resulting in the discovery of 40 papers that met our requirements.
We will discuss four basic principles of medical ethics: beneficence, nonmaleficence, autonomy, and justice. Orthopaedic surgeons will face many decisions that will challenge these ethical principles, especially in performing elective surgery during a pandemic.
Physicians must protect the most vulnerable, but they are under no obligation to administer treatment they believe to be ineffective. In individuals who are positive for COVID-19, orthopaedic surgical procedures have a significant mortality rate. Surgical leaders must remain attentive, and surgical services must be reintroduced gradually and carefully. A good option is to carry out treatment at a different place and time and ensure that the patient has tested negative for COVID-19 before the procedure, thereby creating safety for patients and health workers.
骨科医生可能会想在大流行期间准备工作和康复情况会是怎样。我们担心手术期间患者的安全。所有手术中心都已接到指示停止所有择期手术，不过紧急手术病例仍在进行。在诸如骨折复位手术等骨科问题上，这一程序不应延迟，因为愈合过程正在进行。
我们从各种来源收集综述文章。使用关键词“伦理”“COVID - 19”“择期手术”和“骨科手术”来筛选文献。我们找到了863篇文献，然后设定了纳入我们认为符合综述文章条件的文献的标准，比如来自可靠来源的研究期刊和报纸文章，结果发现了40篇符合我们要求的论文。
我们将讨论医学伦理的四项基本原则：行善、不伤害、自主和公正。骨科医生将面临许多会挑战这些伦理原则的决策，尤其是在大流行期间进行择期手术时。
医生必须保护最脆弱的人群，但他们没有义务提供他们认为无效的治疗。对于COVID - 19检测呈阳性的个体，骨科手术程序有显著的死亡率。手术负责人必须保持警惕，手术服务必须逐步且谨慎地重新引入。一个好的选择是在不同的时间和地点进行治疗，并确保患者在手术前COVID - 19检测呈阴性，从而为患者和医护人员创造安全环境。
