Humanitarian Surgical Missions in Times of COVID-19: Recommendations to Safely Return to a Sub-Saharan Africa Low-Resource Setting
| Autor: | María Ángeles Alcedo Rodríguez, Quiteria Hernández, Winnie Kanyi, Miguel Agustín González Gonzalez, Dolores Palazon, Elisa García-Vazquez, Alberto Baroja-Mazo, Ana Gabriela Ramos Morales, Nuria M. Torregrosa, José Gil Martinez, J K Ndungu, José M. Rodríguez, Victor Lopez-Lopez, Jose A Tortosa |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
MEDLINE Declaration Context (language use) Surgery in Low and Middle Income Countries 03 medical and health sciences 0302 clinical medicine Multidisciplinary approach medicine Humans Elective surgery Duration (project management) Pandemics Africa South of the Sahara health care economics and organizations business.industry COVID-19 Medical Missions Vascular surgery medicine.disease Surgical Procedures Operative 030220 oncology & carcinogenesis Life expectancy 030211 gastroenterology & hepatology Surgery Medical emergency business |
| Zdroj: | World Journal of Surgery |
| ISSN: | 1432-2323 0364-2313 |
| DOI: | 10.1007/s00268-021-06001-x |
| Popis: | Background Since the declaration of the pandemic, humanitarian medicine has been discontinued. Until now, there have been no general recommendations on how humanitarian surgical missions should be organized. Methods Based on our experience in the field of humanitarian surgical missions to Sub-Saharan Africa, a panel of recommendations in times of COVID-19 was developed. The fields under study were as follows: (1) Planning of a multidisciplinary project; (2) Organization of the infrastructure; (3) Screening, management and treatment of SARS-COV-2; (4) Diagnostic tests for SARS-COV-2; (5) Surgical priorization and (6) Context of patients during health-care assistance. We applied a risk bias measurement to obtain a consensus among humanitarian health-care providers with experience in this field. Results A total of 94.36% of agreement were reached for the approval of the recommendations. Emergency surgery must be a priority, and elective surgery adapted. For emergency surgery, we established a priority level 1a ( |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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