Open AccessPROVIDING EMERGENCY SURGICAL CARE TO PATIENTS IN A COVID-19 PANDEMIC
Author(s) -
V. V. Boyko,
V. M. Likhman,
O. Yu. Tkachuk,
A. O. Merkulov,
Олександр Шевченко,
S. V. Tkach,
D. O. Miroshnichenko,
E. O. Bilodid,
N. M. Voskresenska
Publication year - 2021
Publication title -
harkìvsʹka hìrurgìčna škola
Language(s) - English
Resource type - Journals
ISSN - 2308-7005
DOI - 10.37699/2308-7005.5-6.2021.01
Subject(s) - medicine , pandemic , intensive care medicine , psychological intervention , asepsis , medical emergency , pneumonia , etiology , epidemiology , acute care , surgical procedures , covid-19 , emergency medicine , surgery , disease , health care , infectious disease (medical specialty) , nursing , economics , economic growth
Among the features of surgical care for patients with COVID-19 are the need for strict compliance with the epidemiological regime, minimizing the number of staff in the operating room, the possible minimization of surgical interventions and reducing their duration. The most important task in these conditions is the safety of personnel.
Materials and methods. The results of surgical treatment of 85 pa-tients with acute surgical pathology are presented, and the presence of the virus was confirmed by the results of laboratory tests in 75.3 %. 24.7 % of patients had a clear picture of pneumonia of viral etiology with a high probability. All operations were performed in compliance with the epidemiological regime by pre-trained and instructed per-sonnel in compliance with the rules of asepsis and antiseptics.
Discussion of results. There are no fundamental changes in the tac-tics of management of patients with acute surgical pathology. Howev-er, in the presence of the patient, in addition to acute surgical disease, COVID-19 and viral pneumonia of varying severity, it is necessary to take into account the increased risk of both bacterial and thrombo-embolic complications.
Conclusions. Given the limitations caused by the spread of COVID-19, emergency surgical care should be provided to all pa-tients in a timely, highquality and complete manner. Any action of the emergency surgical service must be justified by the specific situa-tion, with the absolute priority of public and patient safety.