Surgery in times of COVID-19-recommendations for hospital and patient management
Surgery in times of COVID-19-recommendations for hospital and patient management
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DOI：
10.1007/s00423-020-01888-x
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发表时间：
2020-05-08
影响因子：
2.3
通讯作者：
Wiegering, A.
中科院分区：
文献类型：
--
作者：
Flemming, S.;Hankir, M.;Wiegering, A.
由严重急性呼吸综合征冠状病毒2型（SARS-CoV-2）引起的2019新型冠状病毒病（COVID-19）已迅速升级为全球大流行病，将全球医疗保健系统扩展到极限。外科医生必须立即对这一前所未有的临床挑战作出反应，系统地重新利用外科病房。PurposeTo提供一套详细的指导方针，在维尔茨堡大学医院外科病房开发，以安全地容纳呈指数增长的SARS-CoV-2感染患者病例，而不影响急诊手术和肿瘤患者的护理或危及健康。结论SARS-CoV-2感染和手术患者群体的动态优先级是在维持高手术标准的同时保护生命的关键。在急诊室、非重症监护病房和手术区严格隔离患者群体，防止病毒传播，同时充分培训和精心挑选医院工作人员，使他们能够自信地成功履行各自的临床职责。
BackgroundThe novel coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has escalated rapidly to a global pandemic stretching healthcare systems worldwide to their limits. Surgeons have had to immediately react to this unprecedented clinical challenge by systematically repurposing surgical wards.PurposeTo provide a detailed set of guidelines developed in a surgical ward at University Hospital Wuerzburg to safely accommodate the exponentially rising cases of SARS-CoV-2 infected patients without compromising the care of emergency surgery and oncological patients or jeopardizing the well-being of hospital staff.ConclusionsThe dynamic prioritization of SARS-CoV-2 infected and surgical patient groups is key to preserving life while maintaining high surgical standards. Strictly segregating patient groups in emergency rooms, non-intensive care wards and operating areas prevents viral spread while adequately training and carefully selecting hospital staff allow them to confidently and successfully undertake their respective clinical duties.