[Resource requirements in the surgical treatment of COVID19 patients at a university clinic of maximum care]. / Ressourcenbedarf bei der chirurgischen Behandlung von COVID19-Patienten in der universitären Maximalversorgung.
Chirurg
; 93(1): 64-71, 2022 Jan.
Article
en De
| MEDLINE
| ID: mdl-34889961
ABSTRACT
BACKGROUND:
Surgical procedures in patients suffering from coronavirus disease 2019 (COVID19) are possible under strict hygiene and protective measures and are currently carried out regularly. This study examined how much additional work this involves. MATERIAL ANDMETHODS:
A structured evaluation of 71 surgical procedures performed at the Augsburg University Hospital between 1 November 2020 until 31 December 2020 was carried out. The operations on COVID19 patients were compared to procedures on non-COVID19 patients with respect to temporal, structural and staff resources, exemplified by fourinterventions:
transbrachial embolectomy, total hip arthroplasty (H-TEP), proximal femoral nail antirotation (PFN-A) and new implantations of cardiac pacemakers.RESULTS:
The incision to suture times between the interventions in patients with COVID19 and non-COVID19 patients did not show any significant differences in any of the four interventions evaluated. The postoperative monitoring in the operating room, which is identified as time-consuming in many interventions, was often circumvented by postoperative transfer to the intensive care unit or by the use of local anesthetic procedures. For major operations, such as HTEP, the preparation time was shown to be significantly longer (pâ¯= 0.037). Furthermore, there was a significantly higher requirement for anesthesia nursing personnel of 1.5 vs. 1.0 (pâ¯= 0.02).CONCLUSION:
A quantification of the additional effort of operative treatment is difficult due to the already complex care of COVID19 patients; however, it can be assumed that there is an increased need for additional human and structural resources due to the supply of material from outside the operating room, which is not documented in the standard recording.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
COVID-19
Límite:
Humans
Idioma:
De
Revista:
Chirurg
Año:
2022
Tipo del documento:
Article