COVID-19 patients and surgical recommendations in low-resource settings

Authors

  • Bappy Basak Department of A&E, Global Specialized Hospital, Mirpur-1, Dhaka-1216, Bangladesh
  • M. Tasdik Hasan Department of Psychological Sciences, University of Liverpool, United Kingdom
  • Rifat Alam Department of Surgery, Shaheed Suhrawardy Medical College and Hospital, Sher-e-Bangla Nagar, Dhaka, Bangladesh
  • Raiiq Ridwan Department of Emergency Medicine, Cambridge University Hospitals NHS Foundation Trust, United Kingdom
  • Imran Kais Department of General Surgery, West Middlesex University Hospital, London, United Kingdom
  • Shailendra Kurmi Department of Emergency and ICU, Himal Hospital Pvt. Ltd, Ganeshwor, Kathmandu, Nepal
  • M. Nur Hossain Bhuiyan Department of Surgery, Chittagong Medical College and Hospital, Chittagong, Bangladesh
  • S. M. Quamrul Akther Department of Surgery, Shaheed Suhrawardy Medical College and Hospital, Sher-e-Bangla Nagar, Dhaka, Bangladesh

DOI:

https://doi.org/10.18203/issn.2454-2156.IntJSciRep20203553

Keywords:

Surgical indication, surgical management, COVID-19 patients, Bangladesh, LMICs

Abstract

COVID-19 infection has made a great impact on the health and economy of many countries. Low middle-income countries are yet to experience the worst of it. There are lots of issues, such as, appropriate resource management that will come alongside the infection that can make the condition even worse. For how long this virus will stay with us is yet to be known. In the situation, whole surgical management cannot be postponed for a longer period that can damage the patient’s health. There are lots of queries that will also come up with the viral infection, for example, how should we use our limited test kits, when should we use PPE and which one, how should we select surgical cases, how to ensure proper post-operative care, and another vital question how can we protect health workers from getting infected while giving the service. We have made a bunch of recommendations for such countries to ensure proper preparation against this pandemic. These considerations can ensure the highest care for the patients with surgical conditions and also guarantee maximum protection of the health care teams from admission to operation, operation to ward, and ward to discharge.

Metrics

Metrics Loading ...

Author Biographies

Bappy Basak, Department of A&E, Global Specialized Hospital, Mirpur-1, Dhaka-1216, Bangladesh

Department of A&E, Global Specialized Hospital, Mirpur-1, Dhaka-1216, Bangladesh

M. Tasdik Hasan, Department of Psychological Sciences, University of Liverpool, United Kingdom

Department of Psychological Sciences, University of Liverpool, United Kingdom

Rifat Alam, Department of Surgery, Shaheed Suhrawardy Medical College and Hospital, Sher-e-Bangla Nagar, Dhaka, Bangladesh

Honorary Medical Officer, Department of General Surgery, Shaheed Suhrawardy Medical College & Hospital, Sher-e-Bangla nagar, Dhaka, Bangladesh

Raiiq Ridwan, Department of Emergency Medicine, Cambridge University Hospitals NHS Foundation Trust, United Kingdom

Specialty Registrar, Department of Emergency Medicine, Cambridge University Hospitals NHS Foundation Trust, United Kingdom

Imran Kais, Department of General Surgery, West Middlesex University Hospital, London, United Kingdom

Clinical Fellow, Department of Colorectal Surgery West Middlesex University Hospital, London, United Kingdom

Shailendra Kurmi, Department of Emergency and ICU, Himal Hospital Pvt. Ltd, Ganeshwor, Kathmandu, Nepal

Senior House Officer, Department of Emergency and ICU, Himal Hospital Pvt. Ltd, Ganeshwor, Kathmandu, Nepal

M. Nur Hossain Bhuiyan, Department of Surgery, Chittagong Medical College and Hospital, Chittagong, Bangladesh

Associate Professor of Surgery, Department of Surgery, Chittagong Medical College and Hospital, Chittagong, Bangladesh

S. M. Quamrul Akther, Department of Surgery, Shaheed Suhrawardy Medical College and Hospital, Sher-e-Bangla Nagar, Dhaka, Bangladesh

Associate Professor, Department of General Surgery, Shaheed Suhrawardy Medical College & Hospital, Sher-e-Bangla nagar, Dhaka, Bangladesh

References

2019 Novel Coronavirus (2019-nCoV) strategic preparedness and response plan for the south-east Asia region, WHO. Available at: https://www.who.int/docs/default- source/searo/ whe/coronavirus19/covid-19-sprp-whe-searo-feb-2020.pdf?sfvrsn=9ee497 60_2. Accessed on 1 April 2020.

Iacobucci G. Covid-19: all non-urgent elective surgery is suspended for at least three months in England. BMJ. 2020;368:m1106.

SAGES and EAES recommendations regarding surgical response to COVID-19 crisis. Available at: https://www.sages.org/recommendations-surgical-response-covid-19/. Accessed on 1 April, 2020.

Christen P, D’Aeth JC, Løchen A, McCabe R, Rizmie D, Schmit N, et al. Strengthening hospital capacity for the COVID-19 pandemic. Imperial College London. 2020;1-40.

Buratto L, General recommendations to protect Staff and Patients from COVID-19, based on lessons learned in Italy. Available at: https://www.eurotimes. Org/guidelines-for-italian-ophthalmologists-on-covid-19/. Accessed on 12 April, 2020.

COVID-19: Considerations for Optimum Surgeon Protection Before, During, and After Operation, ACS. Available at: https://www. facs.org/covid-19/clinical-guidance/surgeon-protection. Accessed on 12 April, 2020.

Create a surgical review committee for COVID-19-related surgical triage decision making, ACS. Available at: https://www.facs.org/covid-19/clinical-guidance/review-committee. Accessed on 12 April, 2020.

COVID-19 guidelines for triage of emergency general surgery patients, ACS. Available at: https://www.facs.org/covid-19/clinical-guidance/ elective-case/emergency-surgery. Accessed on 12 April, 2020.

COVID-19: Guidance for triage of Non-Emergent Surgical Procedures, ACS. Available at: https://www.facs.org/ covid-19/clinical-guidance /triage. Accessed on 12 April 2020.

Zheng MH, Boni L, Fingerhut A. Minimally Invasive Surgery and the Novel Coronavirus Outbreak: Lessons Learned in China and Italy. Ann Surg. 2020;272(1):e5-e6.

COVID-19 personal protective equipment (PPE), Royal College of Surgeons. Available at: https://www.rcsed.ac.uk/professional-support-development-resources/covid-19-resources/ protecting-yourself/personal-protective-equipment. Accessed on 15 April, 2020.

Chen X, Liu Y, Gong Y, Guo X, Zuo M, Li J, et al. Perioperative Management of Patients Infected with the Novel Coronavirus: Recommendation from the Joint Task Force of the Chinese Society of Anesthesiology and the Chinese Association of Anesthesiologists. Anesthesiology. 2020;132(6): 1307-16.

Coccolini F, Perrone G, Chiarugi M. Surgery in COVID-19 patients: operational directives. World J Emerg Surg. 2020;15(1):25.

Downloads

Published

2020-08-20

Issue

Section

Review Articles