Challenges for maintaining surgical care practices in the COVID-19 pandemic: an integrative review
DOI:
https://doi.org/10.17533/udea.iee.v40n1e16Keywords:
surgicenters, coronavirus infections, delivery of healthcare, health management, nursingAbstract
Objective: To present the knowledge produced on challenges of health services for maintaining surgical care practices in times of the COVID-19 pandemic.
Methods: This is an integrative literature review, performed with descriptors ‘Operating rooms’ and ‘Coronavirus Infections’ in the MEDLINE/PubMed Central, IBECS, LILACS, BDENF, Coleta SUS, BIGG, BINACIS, SciELO, PubMed, Science Direct, and Cochrane Library databases.
Results: Of the 405 studies analyzed, 27 met the inclusion criteria. The main challenges for surgical services during the pandemic were: (i) rearrangement of general practice in surgical units; (ii) administration and management of resources and elective surgeries; (iii) follow-up and control of preoperative patients to medium term; (iv) maintenance of patients’ and health professionals’ autonomy and mental health in this context; and (v) teaching health residents in the operating room.
Conclusion: For surgical care services, the challenges caused by managing the high demand of patients in need of care resulted in the transfer of own resources to other units and the consequent hiring of professionals to meet the demand for these services due to the damming of postponed elective surgeries. This knowledge will allow us to propose strategies in decision making in this scenario, considering the new waves that may arise from this disease.
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References
1. Gostic K, Gomez AC, Mummah RO, Kucharski AJ, Lloyd-Smith JO. Estimated effectiveness of symptom and risk screening to prevent the spread of COVID-19. Elife. 2020; 9:e55570.
2. Rothan HA, Byrareddy SN. The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak. J Autoimmun. 2020; 109:102433.
3. Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, et al. Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China [published correction appears in JAMA. 2021 Mar 16; 325(11):1113]. JAMA. 2020; 323(11):1061-9.
4. Al-Tawfiq JA. Asymptomatic coronavirus infection: MERS-CoV and SARS-CoV-2 (COVID-19). Travel Med Infect Dis. 2020; 35:101608.
5. Ghai S. Will the guidelines and recommendations for surgery during COVID-19 pandemic still be valid if it becomes endemic? Int. J. Surg. 2020; 79:250-1.
6. Cobianchi L, Pugliese L, Peloso A, Dal Mas F, Angelos P. To a New Normal: Surgery and COVID-19 During the Transition Phase. Ann. Surg. 2020; 272(2):e49-e51.
7. Tirupathi R, Bharathidasan K, Palabindala V, Salim SA, Al-Tawfiq JA. Comprehensive review of mask utility and challenges during the COVID-19 pandemic. Infez. Med. 2020; 28(suppl 1):57-63.
8. Phua J, Weng L, Ling L, Egi M, Lim CM, Divatia JV, et al. Intensive care management of coronavirus disease 2019 (COVID-19): challenges and recommendations. Lancet Respir. Med. 2020; 8(5):506-17.
9. Sousa, JBM. Investigar para transformar: um diálogo necessário frente aos desafios impostos pela Pandemia da COVID-19. Rev. Ang. Ciênc. 2020; 2(1):1-5.
10. Pereira X, Lima DL, Moran-Atkin E, Malcher F. Where have the surgical patients gone during the COVID-19 pandemic? Rev. Col. Bras. Cir. 2020; 47:e20202733.
11. Arnal-Velasco D, Planas-Roca A, García-Fernández J, Morales-Conde S. Safe elective surgery during COVID-19. The relevance of collaborative work. Rev. Esp. Anestesiol. Reanim. (Engl Ed). 2021 Feb; 68(2):62-4.
12. Soares CB, Hoga LA, Peduzzi M, Sangaleti C, Yonekura T, Silva DR. Revisão integrativa: conceitos e métodos utilizados na enfermagem [Integrative review: concepts and methods used in nursing]. Rev. Esc. Enferm. USP. 2014; 48(2):335-45.
13. Haddaway NR, Mcguinness LA. PRISMA 2020: pacote R e ShinyApp para produzir diagramas de fluxo compatíveis com PRISMA 2020 (Versão 0.0.1). 2020.
14. Ursi ES, Gavão CM. Perioperative prevention of skin injury: an integrative literature review. Rec. Lat-Am. Enfermagem. 2006; 14(1):124-31.
15. Ferreira JESM, Oliveira LR, Marques WS, Lima TS, Barbosa ES, Castro RR, et al. Health Information Systems to support Primary Health Care management: an integrative review. RECIIS (online). 2020; 14(4):970-82.
16. Cavalcante TF, Ferreira JESM, Moreira RP, Nemer APL. Nursing interventions for the prevention of falls in patients with stroke. Int. Develop. Res. 2018; 8(1):18221-5.
17. Melnyk BM, Fineout-Overholt E. Evidence-based practice in nursing & healthcare: a guide to best practice. Lippincott Williams & Wilkins; 2011.
18. Breches B, Ribeiro VM, Vóvio CL, Haas CM. Procedimentos metodológicos para se eleger categorias de análise baseadas em referências teórico-conceituais. Educ. Fronteiras. 2018; 8(22):221-35.
19. Navas PZ, Heredia EM, Orellana JN, García CG, Obando LC, Rebollo LC, et al. Resultado de la implantación de consultas telemáticas en cirugía ortopédica y traumatología durante la pandemia COVID-19. Rev. Esp. Cir. Ortop. Traumatol. 2021; 65(1):54-62.
20. Acuña AA, Sousa CS. Training and qualification of nursing professionals in the operating room to care for patients infected with SARS-CoV-2 in external areas. Rev. SOBECC. 2020M 25(4):195-6.
21. Miranda BH, Zberea DE, Pinto-Lopes R, Zweifel CJ, Sierakowski A, Sood MK. St Andrew’s COVID-19 surgery safety study: hand trauma. Ann. R. Coll. Surg. Engl. 2021; 103(2):96-103.
22. Hübner M, Zingg T, Martin D, Eckert P, Demartines N. Surgery for non-Covid-19 patients during the pandemic. PLoS One. 2020; 15(10):e0241331.
23. McCabe R, Schmit N, Christen P, D’Aeth JC, Løchen A, Rizmie D, et al. Adapting hospital capacity to meet changing demands during the COVID-19 pandemic. BMC Med. 2020; 18(1):329.
24. Luostarinen T, Virta J, Satopää J, Bäcklund M, Kivisaari R, Korja M, et al. Intensive care of traumatic brain injury and aneurysmal subarachnoid hemorrhage in Helsinki during the Covid-19 pandemic. Acta Neurochir (Wien). 2020; 162(11):2715-24.
25. Romanis EC, Nelson A. Maternal request caesareans and COVID-19: the virus does not diminish the importance of choice in childbirth. J. Med. Ethics. 2020; 46(11):726-731.
26. García EM, Diego PR, Heras CTL, Escudero PC. Experience of a pediatric monographic hospital and strategies adopted for perioperative care during the SARS-CoV-2 epidemic and the reorganization of urgent pediatric care in the Community of Madrid. España. Rev. Esp. Anestesiol. Reanim (Engl Ed). 2020; 67(9):527-8.
27. Jiménez MS, Alarza FH, Serna IM, Fernández CM, Pardo JCM, Salcedo JAG, et al. Clinical features and outcomes of thoracic surgery patients during the COVID-19 pandemic. Eur. J. Cardiothorac. Surg. 2020; 58(4):738-44.
28. Jiménez MS, Alarza FH, Serna IM, Fernández CM, Pardo JCM, Salcedo JAG, et al. Design of an assistance protocol for the restart of scheduled urologic surgery in a COVID-19 epidemic period. Diseño de un protocolo asistencial para el reinicio de la cirugía urológica programada en periodo de epidemia COVID-19. Actas Urol. Esp (Engl Ed). 2020; 44(9):597-603.
29. Okonkwo I, Howie A, Parry C, Shelton CL, Cobley S, Craig R, et al. The safety of paediatric surgery between COVID-19 surges: an observational study. Anaesthesia. 2020; 75(12):1605-13.
30. Wang J, Vahid S, Eberg M, Milroy S, Milkovich J, Wright FC, et al. Clearing the surgical backlog caused by COVID-19 in Ontario: a time series modelling study. CMAJ. 2020; 192(44):e1347-e1356.
31. Vilallonga R, Gordejuela AGR, Cossio-Gil Y, González JMD, Sánchez RM, Carrasco MA. Transforming a surgical department during the outbreak of new coronavirus pandemic. Clinical implications. Langenbecks Arch. Surg. 2020; 405(6):867-75.
32. Cho DY, Yu JL, Um GT, Beck CM, Vedder NB, Friedrich JB. The Early Effects of COVID-19 on Plastic Surgery Residency Training: The University of Washington Experience. Plast. Reconstr. Surg. 2020; 146(2):447-54.
33. Charbonneau H, Mrozek S, Pradere B, Cornu JN, Misrai V. How to resume elective surgery in light of COVID-19 post-pandemic propofol shortage: The common concern of anaesthesists and surgeons. Anaesth. Crit. Care Pain Med. 2020; 39(5):593-4.
34. Deora H, Mishra S, Tripathi M, Garg K, Tandon V, Borkar S, et al. Adapting Neurosurgery Practice During the COVID-19 Pandemic in the Indian Subcontinent. World Neurosurg. 2020; 142:e396-e406.
35. Wick EC, Pierce L, Conte MC, Sosa JA. Operationalizing the Operating Room: Ensuring Appropriate Surgical Care in the Era of COVID-19. Ann. Surg. 2020; 272(2):e165-e167.
36. Qazi SH, Saleem A, Pirzada AN, Hamid LR, Dogar SA, Das JK. Challenges to delivering pediatric surgery services in the midst of COVID 19 crisis: experience from a tertiary care hospital of Pakistan. Pediatr. Surg. Int. 2020; 36(11):1267-73.
37. Philouze P, Cortet M, Quattrone D, Céruse P, Aubrun F, Dubernard G, et al. Surgical activity during the Covid-19 pandemic: results for 112 patients in a French tertiary care center, a quality improvement study. Int. J. Surg. 2020; 80:194-201.
38. Sanmugam A, Vythilingam G, Singaravel S, Nah SA. Assess, adapt and act: a paediatric surgery division’s initial approach in a rapidly evolving pandemic. Pediatr. Surg. Int. 2020; 36(8):925-31.
39. Anwar SL, Harahap WA, Aryandono T. Perspectives on how to navigate cancer surgery in the breast, head and neck, skin, and soft tissue tumor in limited-resource countries during COVID-19 pandemic. Int. J. Surg. 2020; 79:206-12.
40. Berardi G, Colasanti M, Sandri GBL, Basso CD, Ferretti S, Laurenzi A, et al. Continuing our work: transplant surgery and surgical oncology in a tertiary referral COVID-19 center. Updates Surg. 2020; 72(2):281-9.
41. Carmona M, Quintão VC, Melo BF, André RG, Kayano RP, Perondi B, et al. Transforming operating rooms into intensive care units and the versatility of the physician anesthesiologist during the COVID-19 crisis. Clinics (Sao Paulo, Brazil). 2020; 75:e2023err.
42. Argenziano M, Fischkoff K, Smith CR. Surgery Scheduling in a Crisis. N Engl J Med. 2020 Jun 4; 382(23):e87.
43. Rajan N, Joshi GP. COVID-19: Role of Ambulatory Surgery Facilities in This Global Pandemic. Anesth. Analg. 2020; 131(1):31-6.
44. Gallego MA, Casas SG, Migueláñez IP, Rubio-Pérez I, Serrano CB, Peña EA, et al. SARS-CoV-2 pandemic on the activity and professionals of a General Surgery and Digestive Surgery Service in a tertiary hospital. Impacto de la pandemia por SARS-CoV-2 sobre la actividad y profesionales de un Servicio de Cirugía General y del Aparato Digestivo en un hospital terciario. Cir. Esp (Engl Ed). 2020; 98(6):320-7.
45. Cai Y, Hao Z, Gao Y, Ping W, Wang Q, Peng S, et al. Coronavirus Disease 2019 in the Perioperative Period of Lung Resection: A Brief Report From a Single Thoracic Surgery Department in Wuhan, People’s Republic of China. J. Thorac. Oncol. 2020; 15(6):1065-72.
46. Knihs NS, Valmorbida AP, Lanzoni GMM, Roza BA, Ghellere A. Caminho percorrido até a cirurgia cardíaca: necessidades e expectativas no pré-operatório. Av. Enferm. 2017; 35(1):30-41.
47. Patel SY, Mehrotra A, Huskamp HA, Uscher-Pines L, Ganguli I, Barnett ML. Trends in Outpatient Care Delivery and Telemedicine During the COVID-19 Pandemic in the US. JAMA Intern. Med. 2021; 181(3):388-91.
48. Backes MTS, Higashi GDC, Damiani PDR, Mendes JS, Sampaio LS, Soares GL. Working conditions of Nursing professionals in coping with the Covid-19 pandemic. Rev. Gaucha Enferm. 2021; 42(spe):e20200339.
49. Sozutek A, Seker A, Kuvvetli A, Ozer N, Genc IC. Evaluating the feasibility of performing elective gastrointestinal cancer surgery during the COVID-19 pandemic: An observational study with 60 days follow-up results of a tertiary referral pandemic hospital. J. Surg. Oncol. 2021; 123(4):834-41.
50. Kawahara LT, Costa I, Barros C, Almeida GC, Bittar CS, Rizk SI. Cancer and Cardiovascular Diseases during the COVID-19 Pandemic. Câncer e Doenças Cardiovasculares na Pandemia de COVID-19. Arq. Bras. Cardiol. 2020; 115(3):547-57.
51. Erdem B, Gok M, Bostan S. The evolution of the changes in the clinical course: a multicenter survey-related impression of the ophthalmologists at the peak of the COVID-19 pandemic in Turkey. Int Ophthalmol. 2021;41(4):1261-9.
52. Colégio Brasileiro de Cirurgiões. Orientações para o retorno de cirurgias eletivas durante a pandemia de COVID19. Available from: https://cbc.org.br/wp-content/uploads/2020/05/PROPOSTA-DE-RETOMA-DA-DAS-CIRURGIAS-ELETIVAS-30.04.2020-REVISTO-CBCA-MIBSBASBOT-ABIH-SBI-E-DEMAIS.pdf
53. Poulose BK, Phieffer LS, Mayerson J, Like D, Forrest LA, Rahmanian A, et al. Responsible Return to Essential and Non-Essential Surgery During the COVID-19 Pandemic. J. Gastrointest. Surg. 2021; 25(5):1105-7.
54. Júnior AT, Vanhoni LR, Silveira SK, Marcolin AC. Childbirth, Puerperium and Abortion Care Protocol during the COVID-19 Pandemic. Rev. Bras. Ginecol. Obstet. 2020; 42(6):349-55.
55. Paes LBO, Salim NR, Stofel NS, Fabbro MRC. Women and COVID-19: reflections for a sexual and reproductive rights-based obstetric care. Rev. Bras. Enferm. 2021; 74(Suppl 1):e20201164.
56. Dal’Bosco EB, Floriano LSM, Skupien SV, Arcaro G, Martins AR, Anselmo ACC. Mental health of nursing in coping with COVID-19 at a regional university hospital. Rev. Bras. Enferm. 2020; 73 Suppl 2:e20200434.
57. Silva KCL, Lima MEG. A inserção de duas psicólogas residentes em tempos de COVID-19. Cadernos ESP/CE. 2020; 14(1):95-9.
58. Alshdaifat E, Sindiani A, Khasawneh W, Abu-Azzam O, Qarqash A, Abushukair H, et al. The impact of COVID-19 pandemic on training and mental health of residents: a cross-sectional study. BMC Med. Educ. 2021; 21(1):208.
59. Ossege CL, Santos OM, Franco ACD, Hoepfner NO, Carvalho DSB, Moraes GH, et al. Atuação do profissional de saúde residente no enfrentamento da covid-19: um relato de experiência da secretaria de estado de saúde do distrito federal. Cenas Educacionais. 2020; 3:e8489-e8489.
60. Savitsky B, Findling Y, Ereli A, Hendel T. Anxiety and coping strategies among nursing students during the covid-19 pandemic. Nurse Educ. Pract. 2020; 46:102809.
61. Luberto CM, Goodman JH, Halvorson B, Wang A, Haramati A. Stress and Coping Among Health Professions Students During COVID-19: A Perspective on the Benefits of Mindfulness. Glob. Adv. Health Med. 2020; 9:2164956120977827.
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