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Article ; Online: Surgical Strategies in the Era of SARS-CoV-2.

Dimitroulis, Dimitrios / Garmpis, Nikolaos / Damaskos, Christos

2020 Volume 35, Issue Suppl 2, Page(s) 9

MeSH term(s)	COVID-19 ; Coronavirus Infections/epidemiology ; Elective Surgical Procedures/statistics & numerical data ; Emergencies ; Humans ; Neoplasms/pathology ; Neoplasms/surgery ; Pandemics ; Pneumonia, Viral/epidemiology ; Surgical Procedures, Operative/statistics & numerical data
Keywords	covid19
Language	English
Publishing date	2020-04-27
Publishing country	Uganda
Document type	Letter
ZDB-ID	2514347-5
ISSN	1937-8688 ; 1937-8688
ISSN (online)	1937-8688
ISSN	1937-8688
DOI	10.11604/pamj.2020.35.2.22975
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Article: Surgical Strategies in the Era of SARS-CoV-2

Dimitroulis, Dimitrios / Garmpis, Nikolaos / Damaskos, Christos

Pan Afr Med J

Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #32528620
Database	COVID19

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Article ; Online: Gynecologic surgical considerations in the era of COVID-19.

Wright, Jason D / Advincula, Arnold P

Seminars in perinatology

2020 Volume 44, Issue 6, Page(s) 151296

Abstract: ... of PPE and pre-operative COVID-19 testing. Implementation of mitigation strategies around aerosol ... gynecologic surgery in the setting of a viral pandemic. The ability to triage surgical cases at a time of reduced ... generating procedures such as laparoscopy protects health care personnel involved in the surgical ...

Abstract	The goal of this chapter is to review the various considerations necessary to safely perform gynecologic surgery in the setting of a viral pandemic. The ability to triage surgical cases at a time of reduced resources is facilitated by both state and national societal guidelines in addition to various scoring systems. Concerns by health care personnel of viral transmission intra-operatively require appropriate use of PPE and pre-operative COVID-19 testing. Implementation of mitigation strategies around aerosol-generating procedures such as laparoscopy protects health care personnel involved in the surgical care of the patient.
MeSH term(s)	COVID-19/diagnosis ; COVID-19/prevention & control ; COVID-19/transmission ; COVID-19 Testing ; Female ; Gynecologic Surgical Procedures/methods ; Gynecologic Surgical Procedures/statistics & numerical data ; Health Personnel ; Health Planning Guidelines ; Humans ; Personal Protective Equipment ; Preoperative Care/methods ; SARS-CoV-2 ; Triage/methods
Keywords	covid19
Language	English
Publishing date	2020-07-23
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Review
ZDB-ID	752403-1
ISSN	1558-075X ; 0146-0005
ISSN (online)	1558-075X
ISSN	0146-0005
DOI	10.1016/j.semperi.2020.151296
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Zs.A 1339: Show issues

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Article ; Online: Teaching Surgical Residents in the COVID-19 Era: The Value of a Simulation Strategy.

Shah, Adarsh P / Falconer, Rachel / Watson, Angus J M / Walker, Kenneth G

Journal of surgical education

2020 Volume 78, Issue 3, Page(s) 751–752

MeSH term(s)	COVID-19 ; Education, Medical, Graduate ; Humans ; Internship and Residency ; SARS-CoV-2 ; Simulation Training
Keywords	covid19
Language	English
Publishing date	2020-09-02
Publishing country	United States
Document type	Letter ; Comment
ZDB-ID	2277538-9
ISSN	1878-7452 ; 1931-7204
ISSN (online)	1878-7452
ISSN	1931-7204
DOI	10.1016/j.jsurg.2020.08.043
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Article ; Online: Doing More with Less: Surgical Training in the COVID-19 Era.

Doulias, Triantafyllos / Gallo, Gaetano / Rubio-Perez, Ines / Breukink, Stephanie O / Hahnloser, Dieter

Journal of investigative surgery : the official journal of the Academy of Surgical Research

2020 Volume 35, Issue 1, Page(s) 171–179

Abstract: ... The secondary aim was to highlight possible novel educational strategies for the forthcoming post-COVID-19 era ... strategies and cooperation on the part of surgical residency programs is crucial. Strong leadership is needed ... Conclusions: The "new" era forced the educational boards to reexamine training curriculums. Innovation ...

Abstract	Background: The impact of COVID-19 in healthcare systems globally was unprecedented leading to cancelations of most planned surgical activities. Surgical trainees were redeployed to Intensive Care and Emergency units supporting urgent and unplanned care on COVID-19 patients. Theater exposure, crucial part of surgical training, was reduced to minimal since elective cases were postponed, and emergency operating was carried out by consultants only. Surgical research has also been severely hit with most of the clinical trials been postponed. Teaching activities as well as national and international congresses and surgical courses important tools for continuous professional development were canceled. Methods: The primary aim of our study was to summarize the changes in surgical training during the pandemic. This was followed by a review of the existing social media platforms, video-conferencing platforms along with the role of the social media in surgical training. The crucial role of simulation in surgical training was explored and alternative ways of training with engagement of the feedback mechanisms were proposed. The secondary aim was to highlight possible novel educational strategies for the forthcoming post-COVID-19 era. Conclusions: The "new" era forced the educational boards to reexamine training curriculums. Innovation strategies and cooperation on the part of surgical residency programs is crucial. Strong leadership is needed, on the part of the education bodies with restructuring of the surgical programmes to accommodate alternative ways of training is necessary to maintain rigorous standards of education and training.
MeSH term(s)	COVID-19 ; Curriculum ; Humans ; Internship and Residency ; Pandemics ; SARS-CoV-2
Keywords	covid19
Language	English
Publishing date	2020-09-22
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	639444-9
ISSN	1521-0553 ; 0894-1939
ISSN (online)	1521-0553
ISSN	0894-1939
DOI	10.1080/08941939.2020.1824250
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Article ; Online: Assessment and management of agitation, sleep, and mental illness in the surgical ICU.

Ortiz, Damaris

Current opinion in critical care

2020 Volume 26, Issue 6, Page(s) 634–639

Abstract: ... research, such as novel implementation strategies in addition to a lack of research in certain areas like ... intensive care syndrome, and the importance of family engagement in the COVID era.: Summary: Highlighting new ...

Abstract	Purpose of review: Increased focus on patient-centered outcomes, mental health, and delirium prevention makes this review timely and relevant for critical care. Recent findings: This review focuses on patient-centered outcomes in the ICU, highlighting the latest research to promote brain health and psychological recovery during and after perioperative critical illness. Topics include sedation in the obese patient, delirium severity assessments, the role of the Psychiatry Consultation-Liaison in the ICU, Post-intensive care syndrome, and the importance of family engagement in the COVID era. Summary: Highlighting new research, such as novel implementation strategies in addition to a lack of research in certain areas like sleep in the ICU may lead to innovation and establishment of evidence-based practices in critical care. Perioperative brain health is multifaceted, and an increase in multidisciplinary interventions may help improve outcomes and decrease morbidity in ICU survivors.
MeSH term(s)	COVID-19 ; Critical Illness ; Delirium/diagnosis ; Delirium/therapy ; Humans ; Intensive Care Units ; Pain Management ; Psychomotor Agitation/therapy ; SARS-CoV-2 ; Sleep
Keywords	covid19
Language	English
Publishing date	2020-09-28
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	1235629-3
ISSN	1531-7072 ; 1070-5295
ISSN (online)	1531-7072
ISSN	1070-5295
DOI	10.1097/MCC.0000000000000762
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Zs.A 4999: Show issues

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Article ; Online: Direct Comparison of In-Person Versus Virtual Interviews for Complex General Surgical Oncology Fellowship in the COVID-19 Era.

Grova, Monica M / Donohue, Sean J / Meyers, Michael O / Kim, Hong Jin / Ollila, David W

Annals of surgical oncology

2020 Volume 28, Issue 4, Page(s) 1908–1915

Abstract: Background: In the era of coronavirus disease 2019 (COVID-19), many Complex General Surgical ... Strategies to provide applicants with better insight into these areas during the VI will be important moving ...

Abstract	Background: In the era of coronavirus disease 2019 (COVID-19), many Complex General Surgical Oncology (CGSO) fellowship programs implemented virtual interviews (VI) during the 2020 interview season. At our institution, we had the unique opportunity to conduct an in-person interview (IPI) prior to the pandemic-related travel restrictions, and a VI after the restrictions were in place. Objective: The goal of this study was to understand how the VI model compares with the traditional IPI approach. Methods: Online surveys were distributed to both groups, collecting feedback on their interview experience. Responses were evaluated using a two-sample t test assuming equal variances. Results: Twenty-three of 26 (88%) applicants completed the survey. Most applicants reported that the interview gave them a satisfactory understanding of the CGSO fellowship (100% IPI, 92% VI) and the majority in both groups felt that the interview experience allowed them to accurately represent themselves (92% and 82%, respectively). All participants in the IPI group felt they were able to get an adequate understanding of the culture of the program, while only 64% in the VI group agreed with that statement (p = 0.02). IPI applicants were more likely to agree that the interview experience was sufficient to allow them to make a ranking decision (92% vs. 54%; p = 0.04). Conclusions: While the VI modality offers several advantages over the IPI, it still falls short in conveying some of the more subjective aspects of the programs, including program culture. Strategies to provide applicants with better insight into these areas during the VI will be important moving forward.
MeSH term(s)	Adult ; COVID-19 ; Fellowships and Scholarships ; Female ; Humans ; Internship and Residency ; Interviews as Topic/methods ; Male ; Pandemics ; Personnel Selection/methods ; Personnel Selection/trends ; SARS-CoV-2 ; Surgeons/education ; Surgical Oncology/education ; Telecommunications ; Videoconferencing
Language	English
Publishing date	2020-11-26
Publishing country	United States
Document type	Comparative Study ; Journal Article
ZDB-ID	1200469-8
ISSN	1534-4681 ; 1068-9265
ISSN (online)	1534-4681
ISSN	1068-9265
DOI	10.1245/s10434-020-09398-2
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Article ; Online: The management of "fragile" and suspected COVID-19 surgical patients during pandemic: an Italian single-center experience.

Romanzi, Andrea / Moroni, Rossella / Rongoni, Erica / Scolaro, Roberta / La Regina, Davide / Mongelli, Francesco / Putortì, Antonella / Rossi, Fabrizio / Zanardo, Michel / Vannelli, Alberto

Minerva chirurgica

2020 Volume 75, Issue 5, Page(s) 320–327

Abstract: ... we encourage LA as an alternative to GA. In the COVID-19 era, it has become part of our ICU-preserving strategy ... into intensive care units (ICU) is currently decreasing but their congestion have restricted our therapeutic strategies ... during the last months.: Methods: In the COVID-19 era eighteen patients (8 men, 10 women) with a mean ...

Abstract	Background: During Coronavirus disease (COVID-19) pandemic entire countries rapidly ran out of intensive care beds, occupied by critically ill infected patients. Elective surgery was initially halted and acute non-deferrable surgical care drastically limited. The presence of COVID-19 patients into intensive care units (ICU) is currently decreasing but their congestion have restricted our therapeutic strategies during the last months. Methods: In the COVID-19 era eighteen patients (8 men, 10 women) with a mean age of 80 years, needing undelayable abdominal surgery underwent awake open surgery at our Department. Prior to surgery, all patients underwent COVID-19 investigation. In all cases locoregional anesthesia (LA) was performed. Intraoperative and postoperative pain has been monitored and regularly assessed. A distinct pathway has been set up to keep patients of uncertain COVID-19 diagnosis separated from all other patients. Results: Mean operative time was 104 minutes. In only one case conversion to general anesthesia was necessary. Postoperative pain was always well controlled. None of them required postoperative intensive care support. Only one perioperative complication occurred. Early readmissions after surgery were never observed. Conclusions: On the basis of our experience awake laparotomy under LA resulted feasible, safe, painless and, in specific cases, the only viable option. For patients presenting fragile cardiovascular and respiratory, reserves and in whom general anesthesia (GA) would presumably increase morbidity and mortality we encourage LA as an alternative to GA. In the COVID-19 era, it has become part of our ICU-preserving strategy allowing us to carry out undeferrable surgeries.
MeSH term(s)	Aged ; Aged, 80 and over ; Anesthesia, General ; Anesthesia, Local/methods ; Betacoronavirus ; COVID-19 ; COVID-19 Testing ; Clinical Laboratory Techniques/methods ; Coronavirus Infections/diagnosis ; Coronavirus Infections/epidemiology ; Emergencies/epidemiology ; Female ; Frail Elderly ; Humans ; Intensive Care Units/statistics & numerical data ; Italy/epidemiology ; Laparotomy/statistics & numerical data ; Male ; Middle Aged ; Operative Time ; Pain, Postoperative/prevention & control ; Pandemics ; Pneumonia, Viral/diagnosis ; Pneumonia, Viral/epidemiology ; SARS-CoV-2 ; Surgical Procedures, Operative/statistics & numerical data
Keywords	covid19
Language	English
Publishing date	2020-11-18
Publishing country	Italy
Document type	Journal Article
ZDB-ID	123603-9
ISSN	1827-1626 ; 0026-4733
ISSN (online)	1827-1626
ISSN	0026-4733
DOI	10.23736/S0026-4733.20.08466-7
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Article ; Online: Surgical challenges and research priorities in the era of the COVID-19 pandemic: EAES membership survey.

Surgical endoscopy

2020 Volume 34, Issue 10, Page(s) 4225–4232

Abstract: ... II) institutional burdens and management strategies, and (III) analysis of resource, knowledge, and ... Conclusions: Perspectives and priorities of EAES members in the era of the pandemic are hereto summarized ... appendicitis (47% of respondents). The effect of protective measures in surgical or endoscopic procedures ...

Abstract	Background: Healthcare systems and general surgeons are being challenged by the current pandemic. The European Association for Endoscopic Surgery (EAES) aimed to evaluate surgeons' experiences and perspectives, to identify gaps in knowledge, to record shortcomings in resources and to register research priorities. Methods: An ad hoc web-based survey of EAES members and affiliates was developed by the EAES Research Committee. The questionnaire consisted of 69 items divided into the following sections: (Ι) demographics, (II) institutional burdens and management strategies, and (III) analysis of resource, knowledge, and evidence gaps. Descriptive statistics were summarized as frequencies, medians, ranges,, and interquartile ranges, as appropriate. Results: The survey took place between March 25th and April 16th with a total of 550 surgeons from 79 countries. Eighty-one percent had to postpone elective cases or suspend their practice and 35% assumed roles not related to their primary expertise. One-fourth of respondents reported having encountered abdominal pathologies in COVID-19-positive patients, most frequently acute appendicitis (47% of respondents). The effect of protective measures in surgical or endoscopic procedures on infected patients, the effect of endoscopic surgery on infected patients, and the infectivity of positive patients undergoing laparoscopic surgery were prioritized as knowledge gaps and research priorities. Conclusions: Perspectives and priorities of EAES members in the era of the pandemic are hereto summarized. Research evidence is urgently needed to effectively respond to challenges arisen from the pandemic.
MeSH term(s)	Betacoronavirus ; Biomedical Research/methods ; Biomedical Research/organization & administration ; COVID-19 ; Coronavirus Infections/prevention & control ; Coronavirus Infections/transmission ; Endoscopy ; Europe ; Health Care Rationing/methods ; Health Care Rationing/statistics & numerical data ; Humans ; Infection Control/methods ; Pandemics/prevention & control ; Pneumonia, Viral/prevention & control ; Pneumonia, Viral/transmission ; Practice Patterns, Physicians'/trends ; SARS-CoV-2 ; Societies, Medical ; Surgeons ; Surveys and Questionnaires
Keywords	covid19
Language	English
Publishing date	2020-08-04
Publishing country	Germany
Document type	Journal Article
ZDB-ID	639039-0
ISSN	1432-2218 ; 0930-2794
ISSN (online)	1432-2218
ISSN	0930-2794
DOI	10.1007/s00464-020-07835-7
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Article ; Online: Perspectives in surgical and anaesthetic management of lung cancer in the era of coronavirus disease 2019 (COVID-19).

Fiorelli, Silvia / Massullo, Domenico / Ibrahim, Mohsen / Piccioni, Federico / Andreetti, Claudio / Vanni, Camilla / Rocco, Monica / Rendina, Erino Angelo / Menna, Cecilia

European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery

2020 Volume 58, Issue 4, Page(s) 676–681

Abstract: ... management strategy designed to reduce risk of infection in both health care workers and patients is also ... at the same be shielded from infection with the potentially severe acute respiratory syndrome coronavirus 2 ...

Abstract	Early in 2020, coronavirus disease 2019 (COVID-19) quickly spread globally, giving rise to a pandemic. In this critical scenario, patients with lung cancer need to continue to receive optimal care and at the same be shielded from infection with the potentially severe acute respiratory syndrome coronavirus 2. Upgrades to the prevention and control of infection have become paramount in order to lower the risk of hospital contagion. Aerosol-generating procedures such as endotracheal intubation or endoscopic procedures may expose health care workers to a high risk of infection. Moreover, thoracic anaesthesia usually requires highly complex airway management procedures because of the need for one-lung isolation and one-lung ventilation. Therefore, in the current pandemic, providing a fast-track algorithm for scientifically standardized diagnostic criteria and treatment recommendations for patients with lung cancer is urgent. Suggestions for improving existing contagion control guidelines are needed, even in the case of non-symptomatic patients who possibly are responsible for virus spread. A COVID-19-specific intraoperative management strategy designed to reduce risk of infection in both health care workers and patients is also required.
MeSH term(s)	Airway Management/methods ; Anesthesia/methods ; Betacoronavirus ; COVID-19 ; Coronavirus Infections/prevention & control ; Coronavirus Infections/transmission ; Cross Infection/prevention & control ; Humans ; Infection Control/methods ; Infectious Disease Transmission, Patient-to-Professional/prevention & control ; Italy ; Lung Neoplasms/diagnosis ; Lung Neoplasms/surgery ; Pandemics/prevention & control ; Patient Selection ; Perioperative Care/methods ; Pneumonectomy/methods ; Pneumonia, Viral/prevention & control ; Pneumonia, Viral/transmission ; SARS-CoV-2
Keywords	covid19
Language	English
Publishing date	2020-08-26
Publishing country	Germany
Document type	Journal Article
ZDB-ID	639293-3
ISSN	1873-734X ; 1010-7940 ; 1567-4258
ISSN (online)	1873-734X
ISSN	1010-7940 ; 1567-4258
DOI	10.1093/ejcts/ezaa295
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