• Users Online: 249
  • Print this page
  • Email this page
REVIEW ARTICLE
Year : 2020  |  Volume : 17  |  Issue : 3  |  Page : 170-173

Challenges in providing surgical care during and after COVID-19 pandemic


1 Department of Orthopaedics, Apollo Hospital, Muscat, Sultanate of Oman
2 Department of Orthopedics, Indraprastha Apollo Hospitals, New Delhi, India
3 Department of Orthopaedics, Indraprastha Apollo Hospitals, New Delhi, India

Correspondence Address:
Saseendar Shanmugasundaram
Apollo Hospital, Muscat
Sultanate of Oman
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/am.am_69_20

Rights and Permissions

COVID-19 has changed the way clinical practice and orthopedic care services existed. The pandemic has affected almost all types of health-care delivery, more importantly the surgical care of patients. Although there have been a flurry of opinions and scientific reports on health-care delivery during and after the COVID-19 pandemic, no established consensus exists on the guidelines to the surgical care of patients. We summarize the available evidence on the principles and guidelines to be followed in the care of the surgical patient. Care starts with precautions of infection prevention and care in the outpatient department, which includes sufficient protection of the medical staff, planning to avoid crowding, and smart usage of resources and workforce. Surgery should be contemplated only when absolutely indicated. Surgical care of the patient should encompass not only the prevention of morbidity associated with operating on COVID-19 patients but also the prevention of transmission of infection to other health-care staff and non-COVID-19 patients. Precautions should be taken at multiple levels and include but are not limited to proper preoperative, anesthetic, and surgical considerations and a coordinated functioning of the COVID-dedicated Operating Room (COR). The health-care personnel should be trained on the dos and don'ts in every step in the execution of a surgical procedure on a COVID-19 patient. Senior health-care staff need to overlook the adherence of the health-care personnel to these guidelines. Sanitization of the OR and disposal of infected material carry prime importance after the procedure. In all, it is necessary to accept the new normal resulting from the COVID-19 pandemic to better accept and execute protective measures.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed555    
    Printed18    
    Emailed0    
    PDF Downloaded32    
    Comments [Add]    

Recommend this journal