Management and treatment of patients in the surgical area during COVID-19 pandemic. Orthopedic literature review
Abstract
Abstract The current coronavirus (COVID-19) pandemic has led to a large number of measures at the individual and global levels, seriously affecting healthcare systems. Although COVID-19 does not directly involve specialists in Orthopedics, we are nevertheless compelled to implement preventive hospital measures aimed at reducing the chances of infection during our specific procedures. This literature review aims to provide basic dynamic information on how health care specialists should act in surgical areas when facing suspicious/confirmed cases of COVID-19. We advocate the design of updated workflow processes for patient care before, during and after surgery.Downloads
References
Organización Mundial de la Salud. Disponible en: https://www.who.int/es/emergencies/diseases/novelcoronavirus-2019/advice-for-public/q-a-coronaviruses. Consulta: 9 de abril, 2020.
Balibrea JM, Badia J, Pérez I, Antona E, Peña E, Botella S, et al. Manejo quirúrgico en pacientes con infección
por COVID-19. Recomendaciones de la Asociación Española de Cirujanos. Cir Esp 2020. https://doi.org/10.1016/j.
ciresp.2020.03.001
Wu Z, McGoogan JM. Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19)
outbreak in China. JAMA 2020;323(13):1239-42. https://doi.org/10.1001/jama.2020.2648
Bai Y, Yao L, Wei T, Tian F, Jin DY, Chen L, et al. Presumed asymptomatic carrier transmission of COVID-19.
JAMA 2020 Feb 21. https://doi.org/10.1001/jama.2020.2565
Kutihara H, Bisagni P, Faccincani R, Zago M. COVID-19 outbreak in Northern Italy: Viewpoint of the Milan area
surgical community. J Trauma Acute Care Surg 2020 Apr 3. http://doi.org/10.1097/TA.0000000000002695
National Health Service. Clinical guide for the management of trauma and orthopaedic patients during the
coronavirus pandemic. Disponible en: https://www.england.nhs.uk/coronavirus/wpcontent/uploads/sites/52/2020/03/specialty-guide-orthopaedic-trauma-and-coronavirus-v1-16-march-2020.pdf. Consulta: 8 de abril, 2020
Amodeo G, Bugada D, Franchi S, Moschetti G, Grimaldi S, Panerai A, et al. Immune function after major surgical interventions: the effect of postoperative pain treatment. J Pain Res 2018;11:1297-1305. https://doi.org/10.2147/JPR.S158230
López-Bago A, Gonzáles Reyes RE, Ruíz Santana JE, Rivera Jiménez J. Inmunidad e inflamación en el proceso
quirúrgico. Revista de la Facultad de Medicina de la UNAM 2004;61(4):7-15. https://www.medigraphic.com/pdfs/
facmed/un-2018/un184b.pdf
Lei S, Jiang F, Su W, Chen C, Chen J, Mei W. Clinical characteristics and outcomes of patients undergoing
surgeries during the incubation period of COVID-19 infection, EClinicalMedicine 2020. https://doi.org/10.1016/j.
eclinm.2020.100331
Rodrigues-Pinto R, Sousa R, Oliveira A. The Orthopaedic Forum. Preparing to perform trauma and orthopaedic surgery on patients with COVID-19. J Bone Joint Surg 2020 April 10. https://doi.org/10.2106/JBJS.20.00454
Chang Liang Z, Wang W, Murphy D, Po Hui JH. The Orthopaedic Forum Novel coronavirus and orthopaedic
surgery. J Bone Joint Surg 2020 Mar 20. http://doi.org/10.2106/JBJS.20.00236
Coccolini F, Perrone G, Chiarugi M, Di Marzo F, Ansaloni L, Scandroglio I, et al. Surgery in COVI-19 patients:
operational directives. World J Emerg Surg 2020;15:25. https://doi.org/10.1186/s13017-020-00307-2
Asociación de Anestesia Analgesia y Reanimación de Buenos Aires. Recomendaciones para el manejo de la vía aérea en pacientes infectados o con sospecha de infección por coronavirus COVID-19. Disponible en: https://www.aaarba.org/Seccion/coronavirus_29
Ti LK, Ang LS, Foong TW, Ng BSW. What we do when a COVID-19 patient needs an operation: operating room
preparation and guidance. Can J Anesth 2020 Mar 6. https://doi.org/10.1007/s12630-020-01617-4
Universidad Nacional de La Plata. Coronavirus (COVID-19). Secuencia de procedimientos de bioseguridad para equipos de salud. Disponible en: https://unlp.edu.ar/coronavirus-salud
Manuscript acceptance by the Journal implies the simultaneous non-submission to any other journal or publishing house. The RAAOT is under the Licencia Creative Commnos Atribución-NoComercial-Compartir Obras Derivadas Igual 4.0 Internacional (CC-BY-NC.SA 4.0) (http://creativecommons.org/licences/by-nc-sa/4.0/deed.es). Articles can be shared, copied, distributed, modified, altered, transformed into a derivative work, executed and publicly communicated, provided a) the authors and the original publication (Journal, Publisher and URL) are mentioned, b) they are not used for commercial purposes, c) the same terms of the license are maintained.
In the event that the manuscript is approved for its next publication, the authors retain the copyright and will assign to the journal the rights of publication, edition, reproduction, distribution, exhibition and communication at a national and international level in the different databases. data, repositories and portals.
It is hereby stated that the mentioned manuscript has not been published and that it is not being printed in any other national or foreign journal.
The authors hereby accept the necessary modifications, suggested by the reviewers, in order to adapt the manuscript to the style and publication rules of this Journal.


