Preparing previously COVID-19-positive patients for elective surgery: a framework for preoperative evaluation.
Naomi BuiMareli CoetzerKatie J SchenningAvital Y O'GlasserPublished in: Perioperative medicine (London, England) (2021)
The preoperative evaluation and risk assessment has always been a critical aspect of safe surgical practice, and in the midst of the SARS-CoV-2 pandemic, it has become even more crucial to patient safety. Emerging data show that surgical procedures in patients who test positive for coronavirus disease (COVID) are associated with worse clinical outcomes and increased postoperative complications and mortality. In addition to personal protective equipment (PPE) management, isolation protocols, preoperative SARS-CoV-2 screening, and steps to ensure clinician safety, determining how to deem patients who have recovered from COVID-19 safe to proceed is an added challenge. We present a preoperative protocol for evaluation of previously COVID-positive patients for elective surgery.
Keyphrases
- sars cov
- coronavirus disease
- end stage renal disease
- patients undergoing
- patient safety
- respiratory syndrome coronavirus
- ejection fraction
- risk assessment
- chronic kidney disease
- prognostic factors
- quality improvement
- acute coronary syndrome
- coronary artery disease
- percutaneous coronary intervention
- coronary artery bypass
- big data
- data analysis