Preparation of a surgical center in Northeast Brazil for surgeries during the COVID-19 pandemic

Authors

DOI:

https://doi.org/10.5327/Z1414-4425202100020008

Keywords:

Centros cirúrgicos, Salas de cirurgia, Enfermagem perioperatória, COVID-19

Abstract

Objective: To report the experience of preparing the operating room of a Brazilian university hospital for surgeries for patients suspected and
confirmed for COVID-19. Method: Experience report of the operating room of a university hospital in Northeast Brazil, conducted in March and April
2020, for care during the COVID-19 pandemic. Results: The implementation of the care protocol for suspected and confirmed cases of COVID-19 was
carried out through its elaboration by a team of professionals based on national and international guidelines, training and updates. Improvement cycles
allowed the protocol to be refined over the two months reported. Barriers and facilitators to the process are discussed and strategies are drawn up for
possible adjustments. Conclusion: There was an adaptation of care protocols related to the routine of patient flow and care in the operating room to
better serve patients and reduce the risk of contamination of other patients and professionals.

Author Biographies

Eduardo Tavares Gomes, Hospital das Clínicas da Universidade Federal de Pernambuco Escola de Enfermagem da Universidade de São Paulo

Enfº Assistencial da Unidade de Centro Cirúrgico HC/UFPE. Doutorando em Ciências pelo Programa de Pós-graduação em Enfermagem em Sáude do Adulto da Escola de Enfermagem da USP Mestre em Enfermagem - PAPGENF UPE/UEPB. Esp. em Enf. em Suporte Avançado de Vida - FENSG-UPE. Esp. em Enf. em Cardiologia - PROCAPE - SES-PE

Marcone César Tabosa Assunção, Hospital das Clínicas da Universidade Federal de Pernambuco

Enfermeiro, Mestre e doutorando em Gestão e Economia da Saúde pela Universidade Federal de Pernambuco.

Mayana Camila Barbosa Galvão, Universidade Federal de Pernambuco

Enfermeira, Mestre em Enfermagem pela Universidade Federal do Rio Grande do Norte.

Jacqueline Augusta do Nascimento Oliveira, Universidade Federal de Pernambuco

Enfermeira, Mestre em Ergonomia pela Universidade Federal de Pernambuco.

Caline Sousa Braga Ferraz, Universidade Federal de Pernambuco

Enfermeira, Especialista em Enfermagem em Saúde da Criança pelo Programa de Residência em Enfermagem do IMIP.

Priscilla Glazielly dos Santos de Moraes, Universidade Federal de Pernambuco

Enfermeira, Especialista em Enfermagem Cirúrgica pelo Programa de Residência em Enfermagem do IMIP.

Cinthia Regina Albuquerque de Souza, Universidade Federal de Pernambuco

Enfermeira, Mestranda em Avaliação em Saúde pelo IMIP.

Mauricia Figueiroa da Silva, Universidade Federal de Pernambuco

Enfermeira Assistencial do Hospital das Clínicas da Universidade Federal de Pernambuco.

References

Oliveira AC, Lucas TC, Iquiapaza RA. O que a pandemia da covid-19 tem nos ensinado sobre adoção de medidas de precaução? Texto contexto - enferm. 2020;29:e20200106. https://doi.org/10.1590/1980-265x-tce-2020-0106.

Peloso A, Moeckli B, Oldani G, Triponez F, Toso C. Response of a European surgical department to the COVID-19 crisis. Swiss Med Wkly. 2020;150:w20241. doi:10.4414/smw.2020.20241

The Lancet. COVID-19: protecting health-care workers. The Lancet. 2020; 395(10228):922. doi:10.1016/S0140-6736(20)30644-9

Hussain K, Dewan V, Ali T, Al Shakarchi J. The impact of the COVID-19 pandemic on the provision of surgical care. J Surg Case Report. 2020;2020(4):rjaa087. doi: 10.1093/jscr/rjaa087.

Satomi E, Souza PMR, Thomé BC, Reingenheim C, Werebe E, Troster EJ et al. Alocação justa de recursos de saúde escassos diante da pandemia de COVID-19: considerações éticas. Einstein (São Paulo). 2020;18, eAE5775. doi: 10.31744/einstein_journal/2020ae5775

Medeiros EAS. A luta dos profissionais de saúde no enfrentamento da COVID-19. Acta paul enferm. 2020;33: e-EDT20200003. doi:10.37689/acta-ape/2020edt0003

Al-Jabir A, Kerwan A, Nicola M, et al. Impact of the Coronavirus (COVID-19) pandemic on surgical practice – Part 1. Int J Surg. 2020:S1743-9191(20)30405-2. doi:10.1016/j.ijsu.2020.05.022

CovidSurg Collaborative, Nepogodiev D, Bhangu A. Elective surgery cancellations due to the COVID-19 pandemic: global predictive modelling to inform surgical recovery plans. Brit J Surg. 2020;10.1002/bjs.11746. doi:10.1002/bjs.11746

Gilat R, Haunschild ED, Tauro T, Cole BJ. Recommendation to Optimize Safety of Elective Surgical Care While Limiting the Spread of COVID-19: Primum Non Nocere. Arthrosc Sports Med Rehabil. 2020;2(3):e177-e183doi:10.1016/j.asmr.2020.04.008

Low TY, Hartman M, Chee CYJ, et al. Restructuring the surgical service during the COVID-19 pandemic: Experience from a tertiary institution in Singapore. Am J Surg. 2020:S0002-9610(20)30278-6. doi:10.1016/j.amjsurg.2020.05.021

Mariani NM, Pisani Ceretti A, Fedele V, Barabino M, Nicastro V, Giovenzana M et al. Surgical Strategy During the COVID-19 Pandemic in a University Metropolitan Hospital in Milan, Italy. W J Surg. 2020:1‐6. doi:10.1007/s00268-020-05595-y

Rana RE, Ather MH. Change in surgical practice amidst COVID 19: example from a tertiary care centre in Pakistan. Ann Med Surg (Lond). 2020;54:79–81. doi:10.1016/j.amsu.2020.04.035

American College of Sugeons (ACS). COVID-19 and surgery. CPOVID-19: Elective case triage guidelines for surgical care. [Internet] 2020. Available from: https://www.facs.org/covid-19/clinical-guidance/elective-case

Brat GA, Hersey S, Chhabra K, Gupta A, Scott J. Protecting Surgical Teams During the COVID-19 Outbreak: A Narrative Review and Clinical Considerations. An Sug. 2020:10.1097/SLA.0000000000003926. doi:10.1097/SLA.0000000000003926

Center for Diseases Control and Prevention (CDC). Interim U.S. guidance for risk assessment and public health management of healthcare personnel with potential exposure in a healthcare setting to patients with coronavirus disease (COVID-19) [Internet] 2020. Available from: https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-risk-assesment-hcp.html

American College of Sugeons (ACS). COVID-19: Considerations for Optimum Surgeon Protection Before, During, and After Operation. [Internet] 2020. Available from: https://www.facs.org/covid-19/clinicalguidance/surgeon-protection

Forrester JD, Nassar AK, Maggio PM, Hawn MT. Precautions for Operating Room Team Members During the COVID-19 Pandemic. J Am Coll Surg. 2020:230(6):1098‐1101. doi:10.1016/j.jamcollsurg.2020.03.030

Wick EC, Pierce L, Conte MC, Sosa JA. Operationalizing the Operating Room: Ensuring Appropriate Surgical Care in the Era of COVID-19. An Surg. 2020:10.1097/SLA.0000000000004003. doi:10.1097/SLA.0000000000004003

Heffernan DS, Evans HL, Huston JM, Claridge JA, Blake DP, May AK et al. Surgical Infection Society Guidance for Operative and Peri-Operative Care of Adult Patients Infected by the Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2). Surg Infec (Larchmt). 2020:21(4):301-308. doi: 10.1089/sur.2020.101.

COVIDSurg Collaborative. Global guidance for surgical care during the COVID-19 pandemic. 2020 The British jornal of surgery. 2020:10.1002/bjs.11646. doi:10.1002/bjs.11646

Moletta L, Pierobon ES, Capovilla G, et al. International Guidelines And Recommendations For Surgery During Covid-19 Pandemic: A Systematic Review. International jornal of surgery. 2020:S1743-9191(20)30444-1. doi:10.1016/j.ijsu.2020.05.061

Vourtzoumis P, Alkhamesi N, Elnahas A, Hawel JE, Schlachta C. Operating during COVID-19: Is there a risk of viral transmission from surgical smoke during surgery? Can J Surg. 2020:63(3):E299‐E301. doi:10.1503/cjs.007020

Hojaij FC, Chinelatto LA, Boog GHP, Kasmirski JA, Lopes JVZ, Sacramento FM. Surgical Practice in the Current COVID-19 Pandemic: A Rapid Systematic Review. Clinics (Sao Paulo). 2020:75:e1923. doi:10.6061/clinics/2020/e1923

Spolverato G, Capelli G, Restivo A, Bao QC, Pucciarelli S, Pawlik TM, Gronhci A. The management of surgical patients during the coronavirus dieases 2019 (COVID-19) pandemic. Surgery. 2020:S0039-6060(20)30246-4. doi:10.1016/j.surg.2020.04.036

Goh SSN, Yeo DXW, Kaushal SA, Yeong HK, Tan GWL. Surgical and endoscopy protocols for general surgeons during the COVID-19 pandemic: an institutional experience in Singapore. Br J Surg. 2020:10.1002/bjs.11696.

Presl J, Weitzendorfer M, Varga M, et al. Surgical strategies during the COVID-19 crisis: The Salzburg concept. Am J Surg. 2020:2020;S0002-9610(20)30263-4. doi:10.1016/j.amjsurg.2020.05.006

Published

2021-07-08

How to Cite

Gomes, E. T., Assunção, M. C. T., Galvão, M. C. B., Oliveira, J. A. do N., Ferraz, C. S. B., de Moraes, P. G. dos S., de Souza, C. R. A., & da Silva, M. F. (2021). Preparation of a surgical center in Northeast Brazil for surgeries during the COVID-19 pandemic. Revista SOBECC, 26(2), 116–121. https://doi.org/10.5327/Z1414-4425202100020008

Issue

Section

CASE REPORT