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  1. Article: COVID-19 and surgery: Running on good will or guilt?

    Rait, Jaideep Singh / Balakumar, Charannya / Montauban, Pierre / Zarsadias, Prizzi / Iqbal, Sara / Shah, Ankur

    Annals of medicine and surgery (2012)

    2020  Volume 55, Page(s) 69

    Keywords covid19
    Language English
    Publishing date 2020-05-20
    Publishing country England
    Document type Journal Article
    ZDB-ID 2745440-X
    ISSN 2049-0801
    ISSN 2049-0801
    DOI 10.1016/j.amsu.2020.05.019
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Impact of the COVID-19 pandemic on the management and outcomes of emergency surgical patients: A retrospective cohort study.

    Montauban, Pierre / Balakumar, Charannya / Rait, Jaideep / Zarsadias, Prizzi / Shahzad, Faisal / Ogbuagu, Nnenna / Iqbal, Sara / Chowdhury, Ashim / Pangeni, Anang / Shah, Ankur / Imtiaz, Mohammad R

    Journal of perioperative practice

    2022  Volume 33, Issue 1-2, Page(s) 37–47

    Abstract: Introduction: The COVID-19 pandemic has led to drastic measures being implemented for the management of surgical patients across all health services worldwide, including the National Health Service in the United Kingdom. It is suspected that the virus ... ...

    Abstract Introduction: The COVID-19 pandemic has led to drastic measures being implemented for the management of surgical patients across all health services worldwide, including the National Health Service in the United Kingdom. It is suspected that the virus has had a detrimental effect on perioperative morbidity and mortality. Therefore, the aim of this study was to assess the impact of the COVID-19 pandemic on these outcomes in emergency general surgical patients.
    Methods: Emergency general surgical admissions were included in this retrospective cohort study in one of the COVID-19 hotspots in the South East of England. The primary outcome was the 30-day mortality rate. Secondary outcomes included the length of stay in hospital, complication rate and severity grade and admission rates to the ITU.
    Results: Of 123 patients, COVID-19 was detected in 12.2%. Testing was not carried out in 26%. When comparing COVID-positive to COVID-negative patients, the mean age was 71.8 + 8.8 vs. 50.7 + 5.7, respectively, and female patients accounted for 40.0 vs. 52.6%. The 30-day mortality rate was 26.7 vs. 3.9 (OR 6.49,
    Conclusion: This study demonstrates the detrimental effect of COVID-19 on emergency general surgery, with significantly worsened surgical outcomes.
    MeSH term(s) Humans ; Female ; Middle Aged ; Aged ; Aged, 80 and over ; COVID-19 ; Retrospective Studies ; Pandemics ; State Medicine ; Hospitalization
    Language English
    Publishing date 2022-03-24
    Publishing country England
    Document type Journal Article
    ZDB-ID 2226186-2
    ISSN 2515-7949 ; 1750-4589
    ISSN (online) 2515-7949
    ISSN 1750-4589
    DOI 10.1177/17504589211032625
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: The important role of in-situ simulation in preparing surgeons for the COVID-19 pandemic.

    Montauban, Pierre / Balakumar, Charannya / Rait, Jaideep / Zarsadias, Prizzi / Iqbal, Sara / Aravind, Biju / Shrestha, Ashish / Fernandes, Roland / Shah, Ankur

    The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland

    2020  Volume 19, Issue 5, Page(s) 279–286

    Abstract: Background: Effective training is vital when facing viral outbreaks such as the SARS Coronavirus 2 (SARS-CoV-2) outbreak of 2019. The objective of this study was to measure the impact of in-situ simulation on the confidence of the surgical teams of two ... ...

    Abstract Background: Effective training is vital when facing viral outbreaks such as the SARS Coronavirus 2 (SARS-CoV-2) outbreak of 2019. The objective of this study was to measure the impact of in-situ simulation on the confidence of the surgical teams of two hospitals in assessing and managing acutely unwell surgical patients who are high-risk or confirmed to have COVID-19.
    Methods: This was a quasi-experimental study with a pretest-posttest design. The surgical teams at each hospital participated in multi-disciplinary simulation sessions to explore the assessment and management of a patient requiring emergency surgery who is high risk for COVID-19. The participants were surveyed before and after receiving simulation training to determine their level of confidence on a Visual Analog Scale (VAS) for the premise stated in each of the nine questions in the survey, which represented multiple aspects of the care of these patients.
    Results: 27 participants responded the pre-simulation survey and 24 the one post-simulation. The level of confidence (VAS score) were statistically significantly higher for all nine questions after the simulation. Specific themes were identified for further training and changes in policy.
    Conclusion: In-situ simulation is an effective training method. Its versatility allows it to be set up quickly as rapid-response training in the face of an imminent threat. In this study, it improved the preparedness of two surgical teams for the challenges of the COVID-19 pandemic.
    MeSH term(s) COVID-19/epidemiology ; COVID-19/prevention & control ; COVID-19/transmission ; Clinical Competence ; Emergency Service, Hospital ; Humans ; Infection Control/organization & administration ; Infectious Disease Transmission, Patient-to-Professional/prevention & control ; Self Concept ; Simulation Training/organization & administration ; Surgical Procedures, Operative/education
    Keywords covid19
    Language English
    Publishing date 2020-09-22
    Publishing country Scotland
    Document type Journal Article
    ZDB-ID 2102927-1
    ISSN 1479-666X
    ISSN 1479-666X
    DOI 10.1016/j.surge.2020.08.013
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: COVID-19 and surgery

    Rait, Jaideep Singh / Balakumar, Charannya / Montauban, Pierre / Zarsadias, Prizzi / Iqbal, Sara / Shah, Ankur

    Annals of Medicine and Surgery

    Running on good will or guilt?

    2020  Volume 55, Page(s) 69

    Keywords covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ZDB-ID 2745440-X
    ISSN 2049-0801
    ISSN 2049-0801
    DOI 10.1016/j.amsu.2020.05.019
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article: The important role of in-situ simulation in preparing surgeons for the COVID-19 pandemic

    Montauban, Pierre / Balakumar, Charannya / Rait, Jaideep / Zarsadias, Prizzi / Iqbal, Sara / Aravind, Biju / Shrestha, Ashish / Fernandes, Roland / Shah, Ankur

    Surg. (Edinb.)

    Abstract: BACKGROUND: Effective training is vital when facing viral outbreaks such as the SARS Coronavirus 2 (SARS-CoV-2) outbreak of 2019. The objective of this study was to measure the impact of in-situ simulation on the confidence of the surgical teams of two ... ...

    Abstract BACKGROUND: Effective training is vital when facing viral outbreaks such as the SARS Coronavirus 2 (SARS-CoV-2) outbreak of 2019. The objective of this study was to measure the impact of in-situ simulation on the confidence of the surgical teams of two hospitals in assessing and managing acutely unwell surgical patients who are high-risk or confirmed to have COVID-19. METHODS: This was a quasi-experimental study with a pretest-posttest design. The surgical teams at each hospital participated in multi-disciplinary simulation sessions to explore the assessment and management of a patient requiring emergency surgery who is high risk for COVID-19. The participants were surveyed before and after receiving simulation training to determine their level of confidence on a Visual Analog Scale (VAS) for the premise stated in each of the nine questions in the survey, which represented multiple aspects of the care of these patients. RESULTS: 27 participants responded the pre-simulation survey and 24 the one post-simulation. The level of confidence (VAS score) were statistically significantly higher for all nine questions after the simulation. Specific themes were identified for further training and changes in policy. CONCLUSION: In-situ simulation is an effective training method. Its versatility allows it to be set up quickly as rapid-response training in the face of an imminent threat. In this study, it improved the preparedness of two surgical teams for the challenges of the COVID-19 pandemic.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #779672
    Database COVID19

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  6. Article ; Online: The important role of in-situ simulation in preparing surgeons for the COVID-19 pandemic

    Montauban, Pierre / Balakumar, Charannya / Rait, Jaideep / Zarsadias, Prizzi / Iqbal, Sara / Aravind, Biju / Shrestha, Ashish / Fernandes, Roland / Shah, Ankur / Basnyat, Pradeep / Harinath, Gandrasupalli / Basu, Sanjoy / Featherstone, Barry / Adams, Lawrence / Merh, Radhika / Nikolaou, Stella / Abdelrahim, Ahmed / Mangam, Sudhakar / Sebastian, Joseph /
    Mohamed, Hesham / Kawabata, Martin / Dmitrowicz, Aleksandra

    The Surgeon ; ISSN 1479-666X

    2020  

    Keywords Surgery ; covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    DOI 10.1016/j.surge.2020.08.013
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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