Elective Surgery during SARS-Cov-2/COVID-19 Pandemic: Safety Protocols with Literature Review

Autor: Lázaro Cárdenas-Camarena, MD, Jorge Enrique Bayter-Marin, MD, Héctor Durán, MD, Alfredo Hoyos, MD, César Octavio López-Romero, MD, José Antonio Robles-Cervantes, MD, MSc, PhD, Ernesto Eduardo Echeagaray-Guerrero, MD
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Plastic and Reconstructive Surgery, Global Open, Vol 8, Iss 6, p e2973 (2020)
Druh dokumentu: article
ISSN: 2169-7574
00000000
DOI: 10.1097/GOX.0000000000002973
Popis: Background:. Health care systems worldwide have been affected by the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) emergence since December 2019. The coronavirus disease 2019 (COVID-19) pandemic caused a steep decrease in elective surgery scheduling, to the extent of complete cancellation without future planning of safe development. Purpose:. We performed a review of the literature and diagnosis data analysis with the aim to reduce the risk of operating a patient infected with SARS-CoV-2/COVID-19 during the incubation period. Methods:. We searched for specific words and phrases about SARS-CoV-2 and COVID-19 in the PubMed database (US National Library of Medicine) from December 2019 to April 2020. A detailed analysis of the clinical picture and existing diagnostic tests for COVID-19 was performed to achieve the desired objectives. Results:. A total of 1273 out of 5930 articles about COVID-19/SARS-CoV-2 did meet the criteria for the searched terms. We reviewed 105 articles, and 60 were selected for analysis. Specific recommendations were described based on our revision. Conclusions:. With the combination of immunoglobulin M and immunoglobulin G antibody tests + real-time polymerase chain reaction for SARS-CoV-2 implemented in different time periods by taking into account the natural history of the disease, it is possible to decrease the risk of operating a patient during the incubation period higher than 93%. Adding other security measures can further increase this percentage. As long as there is no immunity to COVID-19, these measures will help us to perform safer elective surgeries.
Databáze: Directory of Open Access Journals