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1.
Zhejiang Da Xue Xue Bao Yi Xue Ban ; 49(5): 618-622, 2020 Oct 25.
Artigo em Chinês | MEDLINE | ID: mdl-33210490

RESUMO

OBJECTIVE: To summarize the experience of perioperative prevention during double-lung transplantation for elderly patients with coronavirus disease 2019 (COVID-19). METHODS: Clinical data of 2 elderly patients with COVID-19 who underwent double-lung transplantation in the First Affiliated Hospital of Zhejiang University School of Medicine in March 2020 were retrospectively reviewed. Perioperative protective measures were introduced in terms of medical staffing, respiratory tract, pressure injuries, air in operating room, instruments and equipment, pathological specimens, and information management. RESULTS: Two cases of double-lung transplantation were successfully completed, and the patients had no operation-related complications. Extracorporeal membrane oxygenator was successfully removed 2 to 4 days after surgery and the patients recovered well. There was no infection among medical staff. CONCLUSIONS: Adequate preoperative preparation, complete patient transfer procedures, proper placement of instruments and equipment, strengthening of intraoperative care management, and attention to prevention of pressure injury complications can maximize the safety of COVID-19 patients and medical staff.


Assuntos
Infecções por Coronavirus , Transplante de Pulmão , Pandemias , Assistência Perioperatória , Pneumonia Viral , Complicações Pós-Operatórias , Idoso , Betacoronavirus , Humanos , Transplante de Pulmão/normas , Assistência Perioperatória/métodos , Assistência Perioperatória/normas , Complicações Pós-Operatórias/prevenção & controle , Estudos Retrospectivos , Transplantados
2.
Surg Clin North Am ; 100(6): 1049-1067, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33128879

RESUMO

Polyps in the upper and lower gastrointestinal tract can be premalignant or malignant lesions that can be treated endoscopically in early stages to prevent morbidity and more invasive procedures. This article critically reviews the techniques available and provides recommendations for endoscopic polypectomy.


Assuntos
Endoscopia Gastrointestinal/métodos , Endoscopia Gastrointestinal/normas , Neoplasias Gastrointestinais/cirurgia , Pólipos/cirurgia , Endoscopia Gastrointestinal/instrumentação , Neoplasias Gastrointestinais/diagnóstico , Trato Gastrointestinal/anatomia & histologia , Trato Gastrointestinal/cirurgia , Humanos , Assistência Perioperatória/normas , Pólipos/diagnóstico , Guias de Prática Clínica como Assunto/normas
3.
Ann Surg ; 272(4): 669-675, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32932324

RESUMO

OBJECTIVE: We present a holistic perioperative optimization approach led by a CI team with the goal to optimize the workflow within our EHR, improve operative room metrics and user satisfaction. SUMMARY OF BACKGROUND DATA: The EHR has become integral to perioperative care. Many approaches are utilized to improve performance including systems-based approaches, process redesign, lean methodology, checklists, root cause analysis, and parallel processing. Although most reports describe strategies improving day or surgery productivity, few include perioperative interventions to improve efficiencies. METHODS: An interdisciplinary CI team consisting of clinicians, informatics specialists, and analysts spent 6 weeks assessing users and optimizing all perioperative areas (scheduling, day of surgery, postop discharge/admission). Elbow-to-elbow retraining and simultaneous content development was performed utilizing an Agile workflow process optimization with the Scrum framework. This iterative approach averaged 1 week from build to change implementation. Pre/post optimization surveys were sent. RESULTS: Two hundred forty-two perioperative enhancements were completed. While most impacted documentation, all areas were enhanced including billing, reporting, registration, device integration, scheduling, central supply, and so on. FCOTS improved from <70% to >85% and total delay was halved. These parameters were consistently sustained for over 1 year after the 6-week optimization. While only 5% of pre-optimization users agreed to proficiency in the EHR system, this improved to 70% post-optimization. Furthermore, EHR confidence and acceptance improved from 40% to 90%. CONCLUSIONS: To improve workflow efficiency, all who contribute to the perioperative process must be assessed. This IT driven initiative resulted in improved FCOTS, perioperative workflows, and user satisfaction.


Assuntos
Registros Eletrônicos de Saúde , Informática Médica , Equipe de Assistência ao Paciente , Assistência Perioperatória/métodos , Assistência Perioperatória/normas , Melhoria de Qualidade , Humanos
4.
Can J Cardiol ; 36(11): 1826-1829, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-32841675

RESUMO

Although the incidence of ST-elevation myocardial infarction (STEMI) is on the decline, management of patients who present with STEMI continues to require significant health care resources. Earlier hospital discharge in low-risk patients who present with STEMI has been an area of focus in an attempt to reduce health care costs. As a result, discharge within 48-72 hours after successful primary percutaneous coronary intervention has increasingly become routine practice. Moreover, the current COVID-19 pandemic has led to enormous pressure on health care systems to find ways to increase bed capacity, preserve resources, and reduce the risk of exposure to patients and health care workers. In response to this goal, the Ottawa Heart Institute has developed and implemented a novel Very Early Hospital Discharge (VEHD) protocol. The VEHD protocol is a simple, 4-step algorithm designed to accurately and efficiently identify low-risk STEMI patients who can be safely discharged between 20 and 36 hours after successful primary percutaneous coronary intervention. When deemed eligible for VEHD predischarge tasks are completed by the treating medical and nursing team and the patient is discharged home. Follow-up is completed remotely via virtual care (48 hours, 7 days, 30 days), and in the outpatient cardiology clinic (4-6 weeks). Amid a worldwide COVID-19 pandemic we believe the VEHD protocol is a crucial step in maintaining exceptional quality of care, in terms of patient satisfaction and clinical outcomes, while concurrently decreasing the risk of nosocomial infections, and reducing resource utilization.


Assuntos
Protocolos Clínicos , Assistência Perioperatória , Infarto do Miocárdio com Supradesnível do Segmento ST/terapia , Humanos , Tempo de Internação/economia , Alta do Paciente/economia , Intervenção Coronária Percutânea , Assistência Perioperatória/normas , Medição de Risco , Infarto do Miocárdio com Supradesnível do Segmento ST/economia
6.
J Visc Surg ; 157(4): 317-327, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32600823

RESUMO

Bariatric/metabolic surgery was paused during the Covid-19 pandemic. The impact of social confinement and the interruption of this surgery on the population with obesity has been underestimated, with weight gain and worsened comorbidities. Some candidates for this surgery are exposed to a high risk of mortality linked to the pandemic. Obesity and diabetes are two major risk factors for severe forms of Covid-19. The only currently effective treatment for obesity is metabolic surgery, which confers prompt, lasting benefits. It is thus necessary to resume such surgery. To ensure that this resumption is both gradual and well-founded, we have devised a priority ranking plan. The flow charts we propose will help centres to identify priority patients according to a benefit/risk assessment. Diabetes holds a central place in the decision tree. Resumption patterns will vary from one centre to another according to human, physical and medical resources, and will need adjustment as the epidemic unfolds. Specific informed consent will be required. Screening of patients with obesity should be considered, based on available knowledge. If Covid-19 is suspected, surgery must be postponed. Emphasis must be placed on infection control measures to protect patients and healthcare professionals. Confinement is strongly advocated for patients for the first month post-operatively. Patient follow-up should preferably be by teleconsultation.


Assuntos
Cirurgia Bariátrica/normas , Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Controle de Infecções/normas , Obesidade/cirurgia , Pandemias/prevenção & controle , Assistência Perioperatória/normas , Pneumonia Viral/prevenção & controle , Cirurgia Bariátrica/métodos , Infecções por Coronavirus/complicações , Infecções por Coronavirus/diagnóstico , Procedimentos Clínicos/normas , Humanos , Controle de Infecções/métodos , Consentimento Livre e Esclarecido/normas , Obesidade/complicações , Seleção de Pacientes , Assistência Perioperatória/métodos , Pneumonia Viral/complicações , Pneumonia Viral/diagnóstico
10.
Rev. argent. coloproctología ; 31(2): 42-50, jun. 2020. ilus, tab
Artigo em Espanhol | LILACS | ID: biblio-1117006

RESUMO

Se trató de redactar una guía para la práctica segura de la especialidad en tiempos de COVID-19. Se realizó una búsqueda de las publicaciones recientes disponibles en Pub-Med y en otros buscadores, se utilizó la experiencia de expertos a través de diferentes conferencias o comunicados de sociedades científicas. Esta pandemia nos ha obligado a aprender de una manera vertiginosa el manejo de una nueva enfermedad, donde especialistas en cirugía comenzamos a hablar de terminología clínica, virológica, entre otras completamente nueva y desconocida para la mayoría de nosotros. Tuvimos que adaptar nuestra práctica habitual a nuevos estándares, cometiendo diferentes errores en el manejo inicial, provocados por la falta de información previa. La guía trata de abarcar los tópicos considerados más relevantes en este momento, como son el manejo del consultorio, recomendaciones de que patologías se recomienda operar y cuáles no. Recomendaciones de tratamientos alternativos al quirúrgico mientras dura la pandemia. Métodos de diagnósticos utilizados para evaluar infección en pacientes que se someterán a una cirugía, etc. Se agregaron links y apéndices para aquellos que deseen ampliar algún tema en particular, esto evita que la guía sea más extensa y pierda su practicidad con la que fue pensada. Esperamos esta guía sirva para facilitar la compresión de esta nueva enfermedad y su manejo para cualquier cirujano que necesite asistir a pacientes con patología colorrectal. Seguramente al finalizar estas líneas habrá nueva evidencia que deberá ser adaptada e incorporada a la presentada actualmente.


An attempt was made to write a guide for the safe practice of the specialty in times of COVID-19. A search of recent publication available in Pub-Med and other platforms was performed. Experts' opinions and experiences were taken into account from various conferences or communications of scientific societies. This pandemic has forced us to learn the management of a new disease in a sudden way. Surgical specialists began to learn clinical and virologic terminology, among other new concepts previously ignored by most of us. We were forced to adapt our usual practice to new standards, making different mistakes in the initial handling, caused by the lack of prior information.The present guide tries to cover the topics considered most relevant at this time, such as outpatients ́ management, recommendations of which patients we should operate on and which procedures should be postponed. Recommendations for alternative treatments to surgery while the pandemic lasts. Diagnostic methods used to assess infection in patients who will undergo surgery, etc. Links and appendices have been added for those who wish to expand on a particular topic, this prevents the guide from being too extensive and losing the practicality with which it was intended. We hope this guide will facilitate the understanding of this new disease and its management for any surgeon who needs to assist patients with colorectal pathology. By the time we would have finished these lines there will be new evidence that must be adapted and incorporated into those currently presented.


Assuntos
Humanos , Pneumonia Viral , Segurança/normas , Cirurgia Colorretal/normas , Infecções por Coronavirus , Colonoscopia/métodos , Colonoscopia/normas , Assistência Perioperatória/normas , Endoscopia/normas , Pandemias , Assistência Ambulatorial/normas , Equipamento de Proteção Individual/normas , Enteropatias/cirurgia
11.
Ann Plast Surg ; 85(2S Suppl 2): S166-S170, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32541542

RESUMO

BACKGROUND: The global COVID-19 pandemic has had a profound impact on facial plastic and reconstructive surgery. Our review serves as a safety resource based on the current literature and is aimed at providing best-practice recommendations. Specifically, this article is focused on considerations in the management of craniomaxillofacial trauma as well as reconstructive procedures after head and neck oncologic resection. METHODS: Relevant clinical data were obtained from peer-reviewed journal articles, task force recommendations, and published guidelines from multiple medical organizations utilizing data sources including PubMed, Google Scholar, MEDLINE, and Google search queries. Relevant publications were utilized to develop practice guidelines and recommendations. CONCLUSIONS: The global COVID-19 pandemic has placed a significant strain on health care resources with resultant impacts on patient care. Surgeons operating in the head and neck are particularly at risk of occupational COVID-19 exposure during diagnostic and therapeutic procedures and must therefore be cognizant of protocols in place to mitigate exposure risk and optimize patient care.


Assuntos
Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Traumatismos Craniocerebrais/cirurgia , Face/cirurgia , Neoplasias de Cabeça e Pescoço/cirurgia , Pandemias/prevenção & controle , Assistência Perioperatória/métodos , Pneumonia Viral/prevenção & controle , Procedimentos Cirúrgicos Reconstrutivos/métodos , Protocolos Clínicos , Alocação de Recursos para a Atenção à Saúde , Humanos , Controle de Infecções/métodos , Assistência Perioperatória/normas , Procedimentos Cirúrgicos Reconstrutivos/normas
13.
Plast Reconstr Surg ; 146(3): 681-689, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32496369

RESUMO

BACKGROUND: Coronavirus disease 2019 (COVID-19), a novel coronavirus originating in December of 2019 in Wuhan, People's Republic of China, has spread rapidly throughout the globe over 3 months. On March 11, 2020, the World Health Organization declared COVID-19 a global pandemic. COVID-19 represents a nearly unprecedented threat to both the public health and the durability of our health care systems and will profoundly affect the field of plastic and reconstructive surgery. The objective of this article is to provide a natural history of COVID-19-including virology, epidemiology, and transmission patterns-and a guide for plastic surgeons regarding patient and resource management. METHODS: The authors reviewed existing literature regarding COVID-19, both primary research and secondary reviews, by means of PubMed queries, and recommendations from relevant professional organizations (e.g., American College of Surgeons and American Society of Plastic Surgeons). The literature and recommendations were summarized to provide a specific guide for plastic surgeons. RESULTS: Internationally, over 5.7 million cases and 357,000 deaths from COVID-19 have been reported at the time of writing. No pharmacologic treatments have been identified, but epidemiologic strategies were identified to prevent viral spread, preserve health care resources, and protect patients and surgeons globally. Specific recommendations for plastic and reconstructive surgeons include postponing elective cases and transitioning to telecommunication platforms for patient consultations and education. CONCLUSIONS: COVID-19 represents a nearly unprecedented threat to the public health and the durability of health care systems in the contemporary era. Although plastic and reconstructive surgery may seem relatively remote from the pandemic in direct patient care and exposure, our field can significantly enhance health care resource management.


Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Transmissão de Doença Infecciosa/prevenção & controle , Assistência Perioperatória/normas , Pneumonia Viral/epidemiologia , Procedimentos Cirúrgicos Reconstrutivos/normas , Infecções por Coronavirus/transmissão , Humanos , Pandemias , Pneumonia Viral/transmissão
14.
J Thorac Cardiovasc Surg ; 160(4): 968-973, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32505456

RESUMO

BACKGROUND: No firm recommendations are currently available to guide decision making for patients requiring cardiac surgery during the coronavirus disease 2019 (COVID-19) pandemic. Systematic appraisal of senior surgeons' consensus can be used to generate interim recommendations until data from clinical observations become available. Hence, we aimed to collect and quantitatively appraise nationwide UK consultants' opinions on clinical decision making for patients requiring cardiac surgery during the COVID-19 pandemic. METHODS: We E-mailed a Web-based questionnaire to all consultant cardiac surgeons through the Society for Cardiothoracic Surgery in Great Britain and Ireland mailing list on the April 17, 2020, and we predetermined to close the survey on the April 21, 2020. This survey was primarily designed to gather information on UK surgeons' opinions using 12 items. Strong consensus was predefined as an opinion shared by at least 60% of responding consultants. RESULTS: A total of 86 consultant surgeons undertook the survey. All UK cardiac units were represented by at least 1 consultant. Strong consensus was achieved for the following key questions: (1) before any hospital admission for cardiac surgery, nasopharyngeal swab, polymerase chain reaction, and computed tomography of the chest should be performed; (2) the use of full personal protective equipment should to be adopted in every case by the theater team regardless of the patient's COVID-19 status; (3) the risk of COVID-19 exposure for patients undergoing heart surgery should be considered moderate to high and likely to increase mortality if it occurs; and (4) cardiac procedures should be decided based on a rapidly convened multidisciplinary team discussion for every patient. The majority believed that both aortic and mitral surgery should be considered in selected cases. The role of coronary artery bypass graft surgery during the pandemic was controversial. CONCLUSIONS: In this unprecedented pandemic period, this survey provides information for generating interim recommendations until data from clinical observations become available.


Assuntos
Atitude do Pessoal de Saúde , Betacoronavirus , Procedimentos Cirúrgicos Cardíacos/normas , Tomada de Decisão Clínica , Infecções por Coronavirus , Pandemias , Assistência Perioperatória/normas , Pneumonia Viral , Cirurgiões , Betacoronavirus/isolamento & purificação , Procedimentos Cirúrgicos Cardíacos/métodos , Técnicas de Laboratório Clínico , Consenso , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/transmissão , Política de Saúde , Humanos , Controle de Infecções/métodos , Controle de Infecções/normas , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Pandemias/prevenção & controle , Assistência Perioperatória/métodos , Pneumonia Viral/diagnóstico , Pneumonia Viral/prevenção & controle , Pneumonia Viral/transmissão , Complicações Pós-Operatórias/prevenção & controle , Complicações Pós-Operatórias/virologia , Guias de Prática Clínica como Assunto , Padrões de Prática Médica/normas , Inquéritos e Questionários , Reino Unido
15.
World J Emerg Surg ; 15(1): 33, 2020 05 15.
Artigo em Inglês | MEDLINE | ID: covidwho-268764

RESUMO

BACKGROUND: A novel coronavirus pneumonia outbreak began in Wuhan, Hubei Province, in December 2019; the outbreak was caused by a novel coronavirus previously never observed in humans. China has imposed the strictest quarantine and closed management measures in history to control the spread of the disease. However, a high level of evidence to support the surgical management of potential trauma patients during the novel coronavirus outbreak is still lacking. To regulate the emergency treatment of trauma patients during the outbreak, we drafted this paper from a trauma surgeon perspective according to practical experience in Wuhan. MAIN BODY: The article illustrates the general principles for the triage and evaluation of trauma patients during the outbreak of COVID-19, indications for emergency surgery, and infection prevention and control for medical personnel, providing a practical algorithm for trauma care providers during the outbreak period. CONCLUSIONS: The measures of emergency trauma care that we have provided can protect the medical personnel involved in emergency care and ensure the timeliness of effective interventions during the outbreak of COVID-19.


Assuntos
Infecções por Coronavirus , Transmissão de Doença Infecciosa/prevenção & controle , Controle de Infecções/normas , Pandemias , Pneumonia Viral , Ferimentos e Lesões/diagnóstico , Ferimentos e Lesões/terapia , Algoritmos , Anestesia/normas , China , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/transmissão , Emergências , Unidades Hospitalares/normas , Humanos , Pandemias/prevenção & controle , Assistência Perioperatória/normas , Equipamento de Proteção Individual/normas , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Pneumonia Viral/transmissão , Procedimentos Cirúrgicos Operatórios/normas , Tomografia Computadorizada por Raios X/normas , Triagem/normas
16.
World J Emerg Surg ; 15(1): 33, 2020 05 15.
Artigo em Inglês | MEDLINE | ID: mdl-32414390

RESUMO

BACKGROUND: A novel coronavirus pneumonia outbreak began in Wuhan, Hubei Province, in December 2019; the outbreak was caused by a novel coronavirus previously never observed in humans. China has imposed the strictest quarantine and closed management measures in history to control the spread of the disease. However, a high level of evidence to support the surgical management of potential trauma patients during the novel coronavirus outbreak is still lacking. To regulate the emergency treatment of trauma patients during the outbreak, we drafted this paper from a trauma surgeon perspective according to practical experience in Wuhan. MAIN BODY: The article illustrates the general principles for the triage and evaluation of trauma patients during the outbreak of COVID-19, indications for emergency surgery, and infection prevention and control for medical personnel, providing a practical algorithm for trauma care providers during the outbreak period. CONCLUSIONS: The measures of emergency trauma care that we have provided can protect the medical personnel involved in emergency care and ensure the timeliness of effective interventions during the outbreak of COVID-19.


Assuntos
Infecções por Coronavirus , Transmissão de Doença Infecciosa/prevenção & controle , Controle de Infecções/normas , Pandemias , Pneumonia Viral , Ferimentos e Lesões/diagnóstico , Ferimentos e Lesões/terapia , Algoritmos , Anestesia/normas , China , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/transmissão , Emergências , Unidades Hospitalares/normas , Humanos , Pandemias/prevenção & controle , Assistência Perioperatória/normas , Equipamento de Proteção Individual/normas , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Pneumonia Viral/transmissão , Procedimentos Cirúrgicos Operatórios/normas , Tomografia Computadorizada por Raios X/normas , Triagem/normas
18.
Facial Plast Surg Aesthet Med ; 22(4): 233-237, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32407151

RESUMO

The impact of the COVID-19 pandemic has resulted in widespread disruption to routine surgical services across the globe. As the peak of the initial pandemic passes, surgeons will increasingly resume elective work to address the backlog. Whilst urgent cases such as cancer work will be prioritized, the safe resumption of facial plastic surgery will remain an ongoing challenge; particularly if there are secondary waves of infection. Rhinoplasty and nasal reconstructive surgery in particular poses a unique challenge to address due to the due to the potential for aerosolizing the virus. A task force of facial plastic surgeons from the European Academy of Facial Plastic Surgery has collaborated to create this document detailing recommendations for resuming a safe facial plastic surgery practice. These include the need to embrace telemedicine, advice on surgical prioritization, planning of clinical area flow plans, advice on pre-/peri- and postoperative care as well as recommendations on training for residents and well-being for surgeons. The recommendations have been made in line with the best available evidence in the literature and are applicable to facial plastic surgery colleagues from around the world in order to resume a safe practice.


Assuntos
Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Procedimentos Cirúrgicos Eletivos/normas , Pandemias/prevenção & controle , Assistência Perioperatória/normas , Pneumonia Viral/prevenção & controle , Procedimentos Cirúrgicos Reconstrutivos/normas , Infecções por Coronavirus/transmissão , Procedimentos Cirúrgicos Eletivos/métodos , Europa (Continente) , Humanos , Assistência Perioperatória/métodos , Pneumonia Viral/transmissão , Procedimentos Cirúrgicos Reconstrutivos/métodos
19.
Ann Plast Surg ; 85(2S Suppl 2): S155-S160, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32358230

RESUMO

BACKGROUND: A novel coronavirus disease (COVID-19) was first reported in December 2019 in China and was soon declared a pandemic by the World Health Organization. Many elective and nonessential surgeries were postponed worldwide in an effort to minimize spread of disease, as well as to conserve resources. Our goal with this article is to review current practice guidelines in setting of the COVID-19 pandemic, based on available data and literature. METHODS: Websites pertaining to surgical and medical societies, and government agencies were reviewed, along with recently published literature to identify recommendations related to COVID-19 and plastic surgery procedures. RESULTS: Clinical practice modifications are recommended during the pandemic in outpatient and perioperative settings. Use of personal protective equipment is critical for aerosol-generating procedures, such as surgery in the head and neck area. Care for trauma and malignancy should continue during the pandemic; however, definitive reconstruction could be delayed for select cases. Specific recommendations were made for surgical treatment of cancer, trauma, and semiurgent reconstructive procedures based on available data and literature. CONCLUSIONS: The risk and benefit of each reconstructive procedure should be carefully analyzed in relation to necessary patient care, minimized COVID-19 spread, protection of health care personnel, and utilization of resources. Recommendations in this article should be taken in the context of each institute's resources and prevalance of COVID-19 in the region. It should be emphasized that the guidelines provided are a snapshot of current practices and are subject to change as the pandemic continues to evolve.


Assuntos
Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Controle de Infecções/normas , Pandemias/prevenção & controle , Assistência Perioperatória/normas , Pneumonia Viral/prevenção & controle , Guias de Prática Clínica como Assunto , Procedimentos Cirúrgicos Reconstrutivos/normas , Infecções por Coronavirus/transmissão , Procedimentos Cirúrgicos Eletivos/métodos , Procedimentos Cirúrgicos Eletivos/normas , Saúde Global , Alocação de Recursos para a Atenção à Saúde/métodos , Alocação de Recursos para a Atenção à Saúde/normas , Acesso aos Serviços de Saúde/normas , Humanos , Controle de Infecções/métodos , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Transmissão de Doença Infecciosa do Profissional para o Paciente/prevenção & controle , Assistência Perioperatória/métodos , Pneumonia Viral/transmissão , Procedimentos Cirúrgicos Reconstrutivos/métodos , Medição de Risco
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