关键词: Coronavirus Infecciones Infections Procedimientos quirúrgicos Safety Seguridad Surgical procedures

Mesh : Airway Management Anesthesia / adverse effects methods Antibiotic Prophylaxis COVID-19 / diagnosis epidemiology prevention & control transmission COVID-19 Testing Checklist Consensus Cross Infection / prevention & control Elective Surgical Procedures Emergencies Equipment Contamination Humans Hygiene Infection Control / methods standards Infectious Disease Transmission, Patient-to-Professional / prevention & control Infectious Disease Transmission, Professional-to-Patient / prevention & control Medical Waste Disposal Operating Rooms Pandemics Patient Safety Personal Protective Equipment Practice Guidelines as Topic / standards Recovery Room SARS-CoV-2 / isolation & purification physiology Spain / epidemiology Surgical Procedures, Operative Time-to-Treatment

来  源:   DOI:10.1016/j.jhqr.2020.11.005   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
BACKGROUND: The interruption of surgical care in Spain caused by the pandemic must end. Recovery from this activity must be carried out on an elective basis and in conjunction with possible cases of COVID-19. The objective of this review was to incorporate good practice criteria related to COVID-19 into the context of safe surgery, which would make it possible to develop a proposed surgical safety checklist adapted to patients with this disease.
METHODS: Narrative literature review, following the PRISMA protocol, in the Medline and Cochrane directories, using the MeSH terms (coronavirus, infections, safety, surgical procedures, operative, checklist) and the Boolean operator AND. In addition, recommendations from scientific bodies and societies were reviewed (grey literature).
RESULTS: Thirty-three final studies were included with recommendations for safe surgery and surgical safety checklist adapted for COVID-19, the most frequent being aspects related to treatment (41.3%) and prevention and control measures (27.6%).
CONCLUSIONS: The existence of a broad consensus on good practices recommended for COVID surgical patients makes it possible to make a proposal for surgical safety checklist to these patients.
摘要:
背景:必须结束由大流行引起的西班牙外科护理中断。从这项活动中恢复必须选择性地进行,并与可能的COVID-19病例结合进行。本综述的目的是将与COVID-19相关的良好实践标准纳入安全手术的背景中,这将有可能制定适合该疾病患者的拟议手术安全检查表。
方法:叙事文献综述,遵循PRISMA协议,在Medline和Cochrane目录中,使用MeSH术语(冠状病毒,感染,安全,外科手术,Operative,清单)和布尔运算符AND。此外,审查了来自科学机构和社会的建议(灰色文献)。
结果:33项最终研究包括安全手术建议和适用于COVID-19的手术安全检查表,最常见的是与治疗相关的方面(41.3%)和预防和控制措施(27.6%)。
结论:对COVID手术患者推荐的良好做法存在广泛共识,因此有可能向这些患者提出手术安全清单的建议。
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