International cooperation group of emergency surgery during the COVID-19 pandemic
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ORIGINAL ARTICLE
International cooperation group of emergency surgery during the COVID‑19 pandemic Carlos Yánez Benítez1 · Marcelo A. F. Ribeiro Jr2 · Henrique Alexandrino3 · Piotr Koleda4 · Sérgio Faria Baptista5 · Mohammad Azfar6 · Salomone Di Saverio7 · Luca Ponchietti8 · Antonio Güemes9 · Juan L. Blas1 · Carlos Mesquita3 Received: 19 July 2020 / Accepted: 26 September 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Purpose The COVID-19 pandemic has changed working conditions for emergency surgical teams around the world. International surgical societies have issued clinical recommendations to optimize surgical management. This international study aimed to assess the degree of emergency surgical teams’ adoption of recommendations during the pandemic. Methods Emergency surgical team members from over 30 countries were invited to answer an anonymous, prospective, online survey to assess team organization, PPE-related aspects, OR preparations, anesthesiologic considerations, and surgical management for emergency surgery during the pandemic. Results One-hundred-and-thirty-four questionnaires were returned (N = 134) from 26 countries, of which 88% were surgeons, 7% surgical trainees, 4% anesthetists. 81% of the respondents got involved with COVID-19 crisis management. Social media were used by 91% of the respondents to access the recommendations, and 66% used videoconference tools for team communication. 51% had not received PPE training before the pandemic, 73% reported equipment shortage, and 55% informed about re-use of N95/FPP2/3 respirators. Dedicated COVID operating areas were cited by 77% of the respondents, 44% had performed emergency surgical procedures on COVID-19 patients, and over half (52%), favored performing laparoscopic over open surgical procedures. Conclusion Surgical team members have responded with leadership to the COVID-19 pandemic, with crisis management principles. Social media and videoconference have been used by the vast majority to access guidelines or to communicate during social distancing. The level of adoption of current recommendations is high for organizational aspects and surgical management, but not so for PPE training and availability, and anesthesiologic considerations. Keywords Coronavirus infections · Pandemic · Personal protective equipment · Surgery · Patient care team Abbreviations COA COVID operating areas ICU Intensive Care Unit OR Operating room OTI Orotracheal intubation PPE Personal protective equipment Po/PACU Preoperative–Postoperative Anesthesia Care Unit RSI Rapid sequence induction RT-PCR Reverse transcriptase-polymerase chain reaction
* Carlos Yánez Benítez [email protected]; [email protected] Extended author information available on the last page of the article
SARS-CoV-2 Severe Respiratory Syndrome Coronavirus 2 WHO World Health Organization
Introduction In December of 2019, the world learned about the emergence of a new coronavirus outbreak, this time in Wuhan, Hubei province, China. Initi
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