medigraphic.com
ISSN 1996-3521 (Electronic)

2020, Number 33

<< Back Next >>

INFODIR 2020; 16 (33)

Considerations on management of surgical patients during the epidemic of COVID-19 in Cuba

Torres PR

Language: Spanish
References: 26
Page: 1-16
PDF size: 403.52 Kb.


ABSTRACT

The elective surgical activity stopped in Cuba at the end of March and the hospitals were divided into those designed to face the COVID 19 and those with surgical units aimed at treatment of urgent and oncological patients. This paper aims at providing information related to surgical treatment during COVID-19. The review looks in depth at questions such as: when to consider that an urgent condition requires surgical intervention, in which cancer patients surgery can be safely deferred and for how long, what type of surgery to perform, and what level of protection is necessary depending on the patients to be operated on. It is concluded that the possibility of a prolongation of the epidemic, not predictable in time, will impose the need of evaluating new standards in surgical practice.


REFERENCES

  1. Denis M, Vandeweerd V, Verbeke R, Van der Vliet D. Overview of information available to support the development of medical countermeasures and interventions against COVID-19. Transdisciplinary Insights - Living Paper. Version: dd. 20 Apr 20 [acceso 30/04/2020]. Disponible en: http://zenodo.org/record/3765227#.XrLqtU-f-uI

  2. Jogalekar MP, Veerabathini A, Gangadaran P. Novel 2019 coronavirus: Genome structure, clinical trials, and outstanding questions. Experimental Biology and Medicine. 2020;0:1–6. DOI: https://doi.org/10.1177/1535370220920540

  3. Ministerio de Salud Pública. Protocolo vs Covid-19. La Habana: MINSAP. 2020 [acceso 30/04/2020]. Disponible en: https://instituciones.sld.cu/facultadfinlayalbarran/files/2020/04/Protocolo-Cuba-vs-COVID-4-4-2020.pdf

  4. Alonso R, Figueredo O, Doimeadios D, Fuentes T, Izquierdo L, Romeo L, et al. Incrementa Cuba medidas para enfrentar la COVID-19. Mesa Redonda. 2020 [acceso 30/04/2020]. Disponible en: http://mesaredonda.cubadebate.cu/mesa-redonda/2020/03/23/incrementa-cuba-medidas-para-enfrentar-la-covid-19-video/

  5. Pryor A. SAGES and EAES Recommendations Regarding Surgical Response to COVID-19 Crisis. SAGES. 2020 [acceso 30/04/2020]. Disponible en: https://www.sages.org/recommendations-surgical-response-covid-19/

  6. Zheng MH, Boni L, Fingerhut A. Minimally invasive surgery and the novel coronavirus outbreak: lessons learned in China and Italy. Annals of Surgery. 2020. DOI: https://doi.org/1097/SLA.0000000000003924

  7. Gorter RR, Eker HH, Gorter-Stam MA, Abis GS, Acharya A, Ankersmit M, et al. Diagnosis and management of acute appendicitis. EAES consensus development conference 2015. Surg Endosc. 2016; 30:4668-90

  8. Ansaloni L, Pisano M, Coccolini F, Peitzmann AB, Fingerhut A, Catena F, et al. WSES guidelines on acute calculous cholecystitis. World Journal of Emergency Surgery. 2016;11:25

  9. SAGES. AEC-Recommendations for the management of patients with Covid-19 infection in the context of an urgent or elective surgical intervention. Spanish. SAGES. 2020 [acceso 30/04/2020]. Disponible en: https://www.sages.org/covid-19-statement-and-recommendations-from-the-asociacion-espanola-de-cirujanos/

  10. SAGES. AEC-What should surgeons know in cases of oncological pathology in the context of Covid-19 pandemic. Spanish. SAGES. 2020 [acceso 30/04/2020]. Disponible en: https://www.sages.org/covid-19-statement-and-recommendations-from-the-asociacion-espanola-de-cirujanos/

  11. EFE. España estudia la prevalencia de la COVID-19 y prepara el desconfinamiento. Madrid. 2020 [acceso 05/05/2020]. Disponible en: https://www.efe.com/efe/america/sociedad/espana-estudia-la-prevalencia-de-covid-19-y-prepara-el-desconfinamiento/20000013-4231621

  12. Centro Nacional de Información de Ciencias Médicas. Inicia en Cuba estudio de seroprevalencia y prevalencia de la COVID-19. La Habana: CNICM. 2020 [acceso 05/05/2020]. Disponible en: http://www.sld.cu/noticia/2020/05/05/inicia-en-cuba-estudio-de-seroprevalencia-y-prevalencia-de-la-covid-19

  13. Liang W. Cancer patients in SARS-CoV-2 infection: a nationwide analysis in China. Lancet Oncol. 2020;21:335-7.

  14. Mehta V, Goel S, Kabarriti R, Cole D, Goldfinger M, Acuna-Villaorduna A. et al. Case Fatality Rate of Cancer Patients with COVID-19 in a New York Hospital System. Cancer Discovery. 2020. DOI: https://doi.org/10.1158/2159-8290.CD-20-0516.

  15. Ministerio de Salud Pública de la República de Cuba. Coronavirus en Cuba. Información Oficial del MINSAP. Partes diarios 21 de marzo – 3 de mayo 2020. 2020 [acceso 04/05/2020]. Disponible en: https://salud.msp.gob.cu/

  16. Kwak HD, Kim SH, Seo YS. Detecting hepatitis B virus in surgical smoke emitted during laparoscopic surgery. Occup Environ Med. 2016;73:857-63.

  17. Choi SH, Kwon TG, Chung SK, Kim TH. Surgical smoke may be a biohazard to surgeons performing laparoscopic surgery. Surg Endosc. 2014;28(8):2374-80.

  18. SAGES. AEC-Recommendations for residents of general surgery in the face of the SARS-Cov-2 pandemic. Spanish. SAGES. 2020 [acceso 30/04/2020]. Disponible en: https://www.sages.org/wp-content/uploads/2020/03/aec-recommendations-for-residents-of-general-surgery-in-the-face-of-the-sars-cov-2-pandemic.pdf

  19. Organización Panamericana de la Salud. Guía para el cuidado crítico de pacientes adultos graves con coronavirus (COVID-19) en las Américas. Versión Larga OPS. 2020 [acceso 04/05/2020]. Disponible en: https://www.paho.org/es/documentos/guia-para-cuidado-critico-pacientes-adultos-graves-con-coronavirus-covid-19-americas

  20. Bowen LE. Does That Face Mask Really Protect You? Applied Biosafety. 2010;15(2):67-71.

  21. SAGES. AEC-Recommendations for the management of patients with breast pathology in the face of the covid-9 pandemic [acceso 03/05/2020]. Disponible en: https://www.sages.org/aec-recommendations-for-the-management-of-patients-with-breast-pathology-in-the-face-of-the-covid-19-pandemic.pdf

  22. SAGES. N95 Mask Re-Use Strategies. SAGES. 2020 [acceso 03/05/2020]. Disponible en: https://www.sages.org/n-95-re-use-instructions/#

  23. Organización Mundial de la Salud. Requerimientos para uso de equipos de protección personal (EPP) para el nuevo coronavirus (2019-nCoV) en establecimientos de salud. OMS. 2020 [acceso 03/05/2020]. Disponible en: https://iris.paho.org/bitstream/handle/10665.2/51905/requirements-%20PPE-coronavirusspa.pdf?sequence=1&isAllowed=y

  24. SAGES. AEC-Covid 19 Case Management in the surgical área. SAGES. 2020 [acceso 04/05/2020]. Disponible en: https://www.sages.org/AEC-Covid-19-Case-Management-in-the-surgical-area.pdf

  25. Ti LK, Ang LS, Foonge TW, Ng BSW. What we do when a COVID-19 patient needs an operation: operating room preparation and guidance. Can J Anesth. 2020 [acceso 28/05/2020]. Disponible en: https://link.springer.com/article/10.1007/s12630-020-01617-4

  26. SAGES. Management of Endoscopes, Endoscope Reprocessing, and Storage Areas during the COVID-19 Pandemic. SAGES. 2020 [acceso 30/05/2020]. Disponible en: https://www.sages.org/management-endoscopes-reprocessing-storage-covid-19/




2020     |     www.medigraphic.com