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. 2020 May;98(5):251-259.
doi: 10.1016/j.ciresp.2020.03.001. Epub 2020 Apr 3.

Surgical Management of Patients With COVID-19 Infection. Recommendations of the Spanish Association of Surgeons

[Article in English, Spanish]
Jose Mose Balibrea  1 , Josep Mose Badia  2 , Inés Rubio Pérez  3 , Esteban Martín Antona  4 , Estíbaliz Álvarez Peña  3 , Sandra García Botella  4 , Mario Álvarez Gallego  3 , Elena Martín Pérez  5 , Sagrario Martínez Cortijo  6 , Isabel Pascual Miguelañez  3 , Lola Pérez Díaz  7 , Jose Luis Ramos Rodriguez  8 , Eloy Espin Basany  9 , Raquel Sánchez Santos  10 , Victoriano Soria Aledo  11 , Ruth López Barrachina  12 , Salvador Morales-Conde  13
Affiliations

Surgical Management of Patients With COVID-19 Infection. Recommendations of the Spanish Association of Surgeons

[Article in English, Spanish]
Jose Mose Balibrea et al. Cir Esp (Engl Ed). 2020 May.

Abstract
in English, Spanish

Due to the current pandemic of respiratory disease known as coronavirus disease 2019 (COVID-19) caused by the SARS-CoV-2 virus, many patients with confirmed or suspected COVID-19 infection will require elective surgery, surgery that cannot be postponed, or emergency surgical treatment. In these situations, special measures need to be adopted in order to minimize the possibility of transmission between patients, exposure of healthcare personnel and the development of postoperative complications. This document explains the main principles to consider when managing confirmed or suspected COVID-19 patients during evaluation as well as when surgical treatment is required.

Debido a la actual pandemia de enfermedad respiratoria denominada enfermedad por coronavirus 2019 (COVID-19) causada por el virus denominado SARS-CoV-2, numerosos pacientes con confirmación o sospecha de COVID-19 precisarán tratamiento quirúrgico electivo inaplazable o urgente. Estas situaciones requieren la adopción de medidas especiales da cara a minimizar la posibilidad de contagio entre pacientes, la exposición del personal sanitario y el desarrollo de complicaciones postoperatorias. En el presente documento se explican las principales medidas a tener en cuenta en caso de atención a pacientes COVID-19 o sospecha tanto durante su evaluación como en caso de requerir tratamiento quirúrgico.

Keywords: COVID-19; Cirugía; SARS-CoV-2; Safety; Seguridad; Surgery.

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Figures

Fig. 1
Fig. 1
Proposed management of urgent and elective surgical patients.
Fig. 2
Fig. 2
COVID-19 case management in the surgical area. SA: surgical area; PPE: personal protective equipment; OR: operating room. Source: Modified from Ti et al.
See this image and copyright information in PMC

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