Experience from a Singapore tertiary hospital with restructuring of a vascular surgery practice in response to national and institutional policies during the COVID-19 pandemic
Experience from a Singapore tertiary hospital with restructuring of a vascular surgery practice in response to national and institutional policies during the COVID-19 pandemic
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DOI：
10.1016/j.jvs.2020.05.026
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发表时间：
2020-10-01
影响因子：
4.3
通讯作者：
Choong, Andrew M. T. L.
中科院分区：
文献类型：
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作者：
Ng, Jun Jie;Gan, Tiffany R. X.;Choong, Andrew M. T. L.
新加坡是最早受到COVID-19影响的国家之一，该指数患者于2020年1月23日确诊。在2月份的两周内，我们的COVID-19病例数仅次于中国。在本文中，我们总结了为应对COVID-19而实施的主要国家和机构政策。我们还详细描述了我们的血管外科实践如何因这些政策和COVID-19而发生变化，并提供了相关数据。我们表明，在隔离的团队模式下，血管外科病房仍然可以发挥作用，同时降低交叉污染的风险。我们解释了为减少门诊和住院人数而采取的各种策略。我们提供COVID-19大流行期间进行的血管手术病例类型的详细分类，并与前几个月进行比较。我们讨论我们在管理COVID-19患者时的手术室和个人防护设备协议，并分享我们如何在大流行期间继续进行手术培训。我们亦讨论随着COVID-19疫情消退，我们未来可能面临的挑战。
Singapore was one of the first countries to be affected by COVID-19, with the index patient diagnosed on January 23, 2020. For 2 weeks in February, we had the highest number of COVID-19 cases behind China. In this article, we summarize the key national and institutional policies that were implemented in response to COVID-19. We also describe in detail, with relevant data, how our vascular surgery practice has changed because of these policies and COVID-19. We show that with a segregated team model, the vascular surgery unit can still function while reducing risk of cross-contamination. We explain the various strategies adopted to reduce outpatient and inpatient volume. We provide a detailed breakdown of the type of vascular surgical cases that were performed during the COVID-19 pandemic and compare it with preceding months. We discuss our operating room and personal protective equipment protocols in managing a COVID-19 patient and share how we continue surgical training amid the pandemic. We also discuss the challenges we might face in the future as COVID-19 regresses.