Mitigation Guidelines for Non-Emergency Surgeries During Pandemic
Explore preoperative guidelines and mitigation strategies for non-emergency surgeries amidst a pandemic. Learn about the objectives, considerations, and steps recommended to ensure safe surgical practices. Stay informed to protect healthcare workers and patients.
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Presentation Transcript
Preoperative Preoperative Guidelines; Mitigation Guidelines; Mitigation of of Ban Ban on on Non Non- -Emergency Surgeries Surgeries Emergency Prof. EHAB TAHA YASEEN Head of Department of Surgery, College of Medicine, Mustansiriyah University Consultant Otolaryngologist, Al-Yarmouk Teaching Hospital
Reasons behind these Guidelines Reasons behind these Guidelines (Objectives): (Objectives): The development of consensus regarding approaches. To be a part of a pandemic suppression campaign. Guidance to continue head and neck services. Surgeon s knowledge. Avoid disastrous consequences.
Facts to be considered in the constructions of guidelines: Facts to be considered in the constructions of guidelines: Health authority instructions This pandemic is keep changing. The R0 for COVID-19 (2 3.5). Availability. Costs. Risks to Healthcare workers (3.8% / China). Surgeon role. Experience. Asymptomatic patients (30 50 %) False negative patients. (30%) ( medical & political consequences) Type of surgery (elective vs. emergency)
Guidelines Guidelines 1) National health situation.( Health authority instructions) 2) Consider the possibility of COVID-19 infection in every patient. 3) Types discretionary) of surgery (emergency/ urgent/urgent-elective/elective essential, 4) Clinical assessment: (clinical and epidemiological points) History of exposure & travel, temp., resp. symptoms and sign, PO2(happy hypoxia) 5) Perform PCR test and Ab. test 24 hours before the surgery for all patients. 6) Imaging (false ve tests vs. high clinical suspicion) 7) Isolate patients.
Interpretation of the results of screening tests: Interpretation of the results of screening tests: There are 3 possibilities 1) + ve. PCR: patients isolated / surgery is postponed. 2) - ve. PCR + ve. Ab. not require further testing during their hospital stay tested with PCR every week during their hospital stay, and always undergo an exit test PCR on discharge 3) - ve. PCR -ve. Ab.
