Research Article
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Year 2022, Volume: 8 Issue: 1, 91 - 97, 04.01.2022
https://doi.org/10.18621/eurj.898281

Abstract

References

  • 1. World Health Organization. WHO Director-General's opening remarks at the media briefing on COVID-19--11 March 2020. https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19-11-March-2020. Accessed March 11, 2020.
  • 2. American College of Surgeons. COVID 19 and Surgery, Available at https://www.facs.org/covid-19/clinical-guidance/resuming-elective-surgery Accessed April 17, 2020.
  • 3. American College of Surgeons. COVID-19: Elective Case Triage Guidelines for Surgical Care. https://www.facs.org/covid-19/clinical-guidance/elective-case. Accessed 14 April 2020.
  • 4. American College of Surgeons COVID-19 guidelines for triage of cancer surgery patients. Available at: https://www.facs.org/covid-19/clinical-guidance/elective-case/cancer-surgery. Accessed April 24, 2020.
  • 5. Finley C, Prashad A, Camuso N, Daly C, Aprikian A, Ball CG, et al. Guidance for management of cancer surgery during the COVID-19 pandemic. Can J Surg 2020;63:2-4.
  • 6. Bartlett DL, Howe JR, Chang G, Crago A, Hogg M, Karakousis G, et al. Management of cancer surgery cases during the COVID-19 pandemic: considerations. Ann Surg Oncol 2020;27:1717-20.
  • 7. COVID-19: Considerations for Optimum Surgeon Protection Before, During, and After Operation. Available at: https://www.facs.org/covid 19/clinicalguidance/surgeon-protection-perative-risks. Accessed April 1, 2020.
  • 8. Guidance for surgeons working during the COVID-19 pandemic. Royal Collage of Surgeons. Available at: https://www.rcseng.ac.uk/coronavirus/joint-guidance-for-surgeons/Accessed March 20, 2020.
  • 9. Chen YH, Peng JS. [Treatment strategy for gastrointestinal tumor under the outbreak of novel coronavirus pneumonia in China]. Zhonghua Wei Chang Wai Ke Za Zhi 2020;23:I-IV. [Article in Chinese]
  • 10. Fernández Pérez C, Mayol J. Elective surgery after the pandemic: waves beyond the horizon. Br J Surg 2020;107:1091-3.
  • 11. Wong J, Goh QY, Tan Z, Lie SA, Tay YC, Ng SY, et al. Preparing for a covid-19 pandemic: a review of operating room outbreak respons e measures in a large tertiary hospital in Singapore. Can J Anaesth 2020;67:732-45.
  • 12. Lie SA, Wong SW, Wong LT, Wong TGL, Chong SY. Practical considerations for performing regional anesthesia: lessons learned from the COVID-19 pandemic. Can J Anaesth 2020;67:885-92.
  • 13. Cappelleri G, Fanelli A, Ghisi D, Russo G, Giorgi A, Torrano V, et al. The role of regional anesthesia during the SARS-CoV2 pandemic: appraisal of clinical, pharmacological and organizational aspects. Front Pharmacol 2021;12:574091.
  • 14. Hotta K. Regional anesthesia in the time of COVID‑19: a mini-review. J Anesth 2021;35:341-4.
  • 15. Price A, Shearman AD, Hamilton TW, Alvand A, Kendrick B. 30-day outcome after orthopaedic surgery in patients assessed as negative for COVID-19 at the time of surgery during the peak of the pandemic. Bone Jt Open 2020;1:474-80.
  • 16. El-Boghdadly K, Chin KJ, Chan VW. Phrenic nerve palsy and regional anesthesia for shoulder surgery: anatomical, physiologic, and clinical considerations. Anesthesiology 2017;127:173-91.
  • 17. Tran K, Cimon K, Severn M, Pessoa-Silva CL, Conly J. Aerosol generating procedures and risk of transmission of acute respiratory infections to healthcare workers: a systematic review. PLoS One 2012;7:e35797.
  • 18. Perioperative considerations for the 2019 novel coronavirus (COVID-19). Anesthesia patient safety foundation. Available at: https://www.apsf.org/news-updates/perioperative-considerations-for-the-2019-novel-coronavirus-covid-19/ Accessed April 23, 2020.
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  • 20. Prakash L, Dhar S.A, Mushtaq M. COVID-19 in the operating room: a review of evolving safety protocols. Patient Saf Surg 2020;30:3-8.
  • 21. Pedersen T, Eliasen K, Henriksen E. A prospective study of mortality associated with anaesthesia and surgery: risk indicators of mortality in hospital. Acta Anaesthesiol Scand 1990;34:176-82.
  • 22. Tocaciu S, Thiagarajan J, Maddern GJ, Wichmann MW. Mortality after emergency abdominal surgery in a non-metropolitan Australian centre. Aust J Rural Health 2018;26:408-15.
  • 23. Bhattacharyya T, Iorio R, Healy WL. Rate of and risk factors for acute inpatient mortality after orthopaedic surgery. J Bone Joint Surg 2002;84:562-72.
  • 24. Wu C, Hannan EL, Ryan TJ, Bennett E, Culliford AT, Gold JP, et al. Is the impact of hospital and surgeon volumes on the in-hospital mortality rate for coronary artery bypass graft surgery limited to patients at high risk? Circulation 2004;110:784-9.
  • 25. Senders JT, Muskens IS, Cote DJ, Goldhaber NH, Dawood HY, Gormley WB, et al. Thirty-day outcomes after craniotomy for primary malignant brain tumors: a National Surgical Quality Improvement Program Analysis. Neurosurgery 2018;83:1249-59.
  • 26. Maria FM, Lorena MR, Maria Luz FV, Cristina RV, Dolores PD, Fernando TF. Overall management of emergency general surgery patients during the surge of the COVID-19 pandemic: an analysis of procedures and outcomes from a teaching hospital at the worst hit area in Spain. Eur J Trauma Emerg Surg 2021;47:695-702.
  • 27. Grassner L, Petr O, Warner FM, Dedeciusova M, Mathis AM, Pinggera D, et al. Trends and outcomes for non-elective neurosurgical procedures in Central Europe during the COVID-19 pandemic. Sci Rep 2021;11:6171.

Evaluation of anesthetic approaches to surgical patients during early COVİD-19 pandemic

Year 2022, Volume: 8 Issue: 1, 91 - 97, 04.01.2022
https://doi.org/10.18621/eurj.898281

Abstract

Objectives: We aimed to evaluate the anesthetic approaches of patients who underwent surgery in our hospital during the early COVID-19 pandemic period. 

Methods: All patients admitted to general surgery (GS), orthopedics, neurosurgery (NS), urology, cardiovascular surgery (CVS), thoracic surgery, ear nose throat, and plastic and reconstructive surgery at the operating rooms in our hospital in early pandemic periods were scanned retrospectively. Demographical data, surgical indications, urgency, anesthetic methods, and complications are evaluated. Anesthetic methods used in the operations were examined as general anesthesia, regional anesthesia, and sedoanalgesia. In addition, patients’ hospital stay period, intensive care unit admission rate, 30 days mortality, and COVID-19 positivity after surgery were examined. 

Results: Two hundred and ninety patients were admitted for operation in our hospital during a pandemic. CVS, Orthopedics, and GS were departments that admitted the most number of patients with ratios of 27.2%, 26.2%, and 25.2% respectively. The patients who underwent emergency surgery were seen in the CVS with 79 patients and the orthopedics with 73 patients. In anesthesia management, the application rate of general anesthesia was 44.1%, regional anesthesia 33.1%, and sedoanalgesia 22.8%. Totally 61 patients were admitted to ICU. According to surgical branches, 30-day mortality rates were determined as 8.3% in NS, 6.6% in GS, 3.8% in CVS, and 2.7% in orthopedics respectively. Four patients were postoperative COVID-19 positive in total. 

Conclusions: Anesthetic approaches in surgical patients may affect the length of hospital stay, referral to the intensive care unit, and mortality in the early period of the COVID-19 pandemic.

References

  • 1. World Health Organization. WHO Director-General's opening remarks at the media briefing on COVID-19--11 March 2020. https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19-11-March-2020. Accessed March 11, 2020.
  • 2. American College of Surgeons. COVID 19 and Surgery, Available at https://www.facs.org/covid-19/clinical-guidance/resuming-elective-surgery Accessed April 17, 2020.
  • 3. American College of Surgeons. COVID-19: Elective Case Triage Guidelines for Surgical Care. https://www.facs.org/covid-19/clinical-guidance/elective-case. Accessed 14 April 2020.
  • 4. American College of Surgeons COVID-19 guidelines for triage of cancer surgery patients. Available at: https://www.facs.org/covid-19/clinical-guidance/elective-case/cancer-surgery. Accessed April 24, 2020.
  • 5. Finley C, Prashad A, Camuso N, Daly C, Aprikian A, Ball CG, et al. Guidance for management of cancer surgery during the COVID-19 pandemic. Can J Surg 2020;63:2-4.
  • 6. Bartlett DL, Howe JR, Chang G, Crago A, Hogg M, Karakousis G, et al. Management of cancer surgery cases during the COVID-19 pandemic: considerations. Ann Surg Oncol 2020;27:1717-20.
  • 7. COVID-19: Considerations for Optimum Surgeon Protection Before, During, and After Operation. Available at: https://www.facs.org/covid 19/clinicalguidance/surgeon-protection-perative-risks. Accessed April 1, 2020.
  • 8. Guidance for surgeons working during the COVID-19 pandemic. Royal Collage of Surgeons. Available at: https://www.rcseng.ac.uk/coronavirus/joint-guidance-for-surgeons/Accessed March 20, 2020.
  • 9. Chen YH, Peng JS. [Treatment strategy for gastrointestinal tumor under the outbreak of novel coronavirus pneumonia in China]. Zhonghua Wei Chang Wai Ke Za Zhi 2020;23:I-IV. [Article in Chinese]
  • 10. Fernández Pérez C, Mayol J. Elective surgery after the pandemic: waves beyond the horizon. Br J Surg 2020;107:1091-3.
  • 11. Wong J, Goh QY, Tan Z, Lie SA, Tay YC, Ng SY, et al. Preparing for a covid-19 pandemic: a review of operating room outbreak respons e measures in a large tertiary hospital in Singapore. Can J Anaesth 2020;67:732-45.
  • 12. Lie SA, Wong SW, Wong LT, Wong TGL, Chong SY. Practical considerations for performing regional anesthesia: lessons learned from the COVID-19 pandemic. Can J Anaesth 2020;67:885-92.
  • 13. Cappelleri G, Fanelli A, Ghisi D, Russo G, Giorgi A, Torrano V, et al. The role of regional anesthesia during the SARS-CoV2 pandemic: appraisal of clinical, pharmacological and organizational aspects. Front Pharmacol 2021;12:574091.
  • 14. Hotta K. Regional anesthesia in the time of COVID‑19: a mini-review. J Anesth 2021;35:341-4.
  • 15. Price A, Shearman AD, Hamilton TW, Alvand A, Kendrick B. 30-day outcome after orthopaedic surgery in patients assessed as negative for COVID-19 at the time of surgery during the peak of the pandemic. Bone Jt Open 2020;1:474-80.
  • 16. El-Boghdadly K, Chin KJ, Chan VW. Phrenic nerve palsy and regional anesthesia for shoulder surgery: anatomical, physiologic, and clinical considerations. Anesthesiology 2017;127:173-91.
  • 17. Tran K, Cimon K, Severn M, Pessoa-Silva CL, Conly J. Aerosol generating procedures and risk of transmission of acute respiratory infections to healthcare workers: a systematic review. PLoS One 2012;7:e35797.
  • 18. Perioperative considerations for the 2019 novel coronavirus (COVID-19). Anesthesia patient safety foundation. Available at: https://www.apsf.org/news-updates/perioperative-considerations-for-the-2019-novel-coronavirus-covid-19/ Accessed April 23, 2020.
  • 19. Cook TM, El-Boghdadly K, McGuire B, McNarry AF, Patel A, et al. Consensus guidelines for managing the airway in patients with COVID-19. Anaesthesia 2020;75:785-99.
  • 20. Prakash L, Dhar S.A, Mushtaq M. COVID-19 in the operating room: a review of evolving safety protocols. Patient Saf Surg 2020;30:3-8.
  • 21. Pedersen T, Eliasen K, Henriksen E. A prospective study of mortality associated with anaesthesia and surgery: risk indicators of mortality in hospital. Acta Anaesthesiol Scand 1990;34:176-82.
  • 22. Tocaciu S, Thiagarajan J, Maddern GJ, Wichmann MW. Mortality after emergency abdominal surgery in a non-metropolitan Australian centre. Aust J Rural Health 2018;26:408-15.
  • 23. Bhattacharyya T, Iorio R, Healy WL. Rate of and risk factors for acute inpatient mortality after orthopaedic surgery. J Bone Joint Surg 2002;84:562-72.
  • 24. Wu C, Hannan EL, Ryan TJ, Bennett E, Culliford AT, Gold JP, et al. Is the impact of hospital and surgeon volumes on the in-hospital mortality rate for coronary artery bypass graft surgery limited to patients at high risk? Circulation 2004;110:784-9.
  • 25. Senders JT, Muskens IS, Cote DJ, Goldhaber NH, Dawood HY, Gormley WB, et al. Thirty-day outcomes after craniotomy for primary malignant brain tumors: a National Surgical Quality Improvement Program Analysis. Neurosurgery 2018;83:1249-59.
  • 26. Maria FM, Lorena MR, Maria Luz FV, Cristina RV, Dolores PD, Fernando TF. Overall management of emergency general surgery patients during the surge of the COVID-19 pandemic: an analysis of procedures and outcomes from a teaching hospital at the worst hit area in Spain. Eur J Trauma Emerg Surg 2021;47:695-702.
  • 27. Grassner L, Petr O, Warner FM, Dedeciusova M, Mathis AM, Pinggera D, et al. Trends and outcomes for non-elective neurosurgical procedures in Central Europe during the COVID-19 pandemic. Sci Rep 2021;11:6171.
There are 27 citations in total.

Details

Primary Language English
Subjects Anaesthesiology
Journal Section Original Articles
Authors

Ümran Karaca 0000-0001-5922-2300

Filiz Ata 0000-0003-2472-1681

Canan Yılmaz 0000-0002-6626-3626

Ayşe Neslihan Balkaya 0000-0001-8031-6264

Tuğba Onur 0000-0002-5080-4555

Publication Date January 4, 2022
Submission Date March 16, 2021
Acceptance Date August 31, 2021
Published in Issue Year 2022 Volume: 8 Issue: 1

Cite

AMA Karaca Ü, Ata F, Yılmaz C, Balkaya AN, Onur T. Evaluation of anesthetic approaches to surgical patients during early COVİD-19 pandemic. Eur Res J. January 2022;8(1):91-97. doi:10.18621/eurj.898281

e-ISSN: 2149-3189 


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