COVID-19 Clinical Guidelines–Surgery
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ELSA recommendations for minimally invasive surgery during a community spread pandemic: a centered approach in Asia from widespread to recovery phases
Date: 2020 Aug
Developer: Endoscopic and Laparoscopic Surgeons of Asia (ELSA)
Guideline Focus
Minimally invasive surgery during the COVID-19 pandemic
Patient Population
Patients requiring minimally invasive surgery during the COVID-19 pandemic
Major Interventions
- Modifications to elective surgery scheduling, pre-surgical assessment, and use of personal protective equipment (PPE) based on community spread (i.e., active, limited, times of sporadic cases or recovery)
- Considerations for emergency surgery
- Guidance on environment (i.e., operating room), staffing, and infection control
- Technical considerations for laparoscopic surgery, including smoke evacuation
COVID-19 position statement: reducing the risk of postoperative mortality due to COVID-19 in patients undergoing elective surgery
Date: 2021 Feb 10
Developer: Scottish Intercollegiate Guidelines Network (SIGN)
Guideline Focus
Assessment and isolation of patients prior to all elective surgery to reduce the risk of postoperative mortality due to COVID-19
Patient Population
Adult and paediatric patients undergoing elective surgery during the COVID-19 pandemic
Major Interventions
- Patient communication and discussion of risk
- Risk mitigation and presurgical preparation
- Presurgical screening and COVID-19 testing, including testing method considerations
- Management of positive preoperative COVID-19 testing
- Postoperative and post discharge advice and management
- Considerations for special populations, including paediatric, pregnant, and cancer patients
COVID-19 position statement: management of patients attending an endoscopy unit for any endoscopic procedure not requiring general anaesthesia (bronchoscopy, cystoscopy, upper gastrointestinal and lower gastrointestinal endoscopy). Version 1.1
Date: 2021 Jan 29
Developer: Scottish Intercollegiate Guidelines Network (SIGN)
Guideline Focus
Management of endoscopic procedures without general anesthesia during the COVID-19 pandemic
Patient Population
Patients undergoing endoscopic procedures without general anesthesia during the COVID-19 pandemic
Major Interventions
- Preprocedure testing and infection prevention for elective and emergency procedures
- Intraprocedure infection control and personal protective equipment (PPE) use for low-, medium- and high-risk pathway procedures
- Discharge criteria
- Endoscopy room cleaning and decontamination