RESUMEN
On March 11, 2020, the World Health Organization declared COVID-19 to be a pandemic, challenging health care systems all over the world. National health care systems have reorganized to cope with the disease. Surgical services departments around the world have been affected and elective surgical procedures have been postponed to conserve medical resources. When a patient with COVID-19 requires an urgent microsurgical free flap due to trauma or a tumor, personnel from the health care facility must have a protocol in place to follow for the patient's care and follow-up. In this article, we present our protocol for patients with COVID-19 requiring reconstructive microsurgery.
Asunto(s)
COVID-19/prevención & control , Colgajos Tisulares Libres/trasplante , Control de Infecciones/métodos , Transmisión de Enfermedad Infecciosa de Paciente a Profesional/prevención & control , Microcirugia/métodos , Atención Perioperativa/métodos , Procedimientos de Cirugía Plástica/métodos , Cuidados Posteriores/métodos , Cuidados Posteriores/normas , COVID-19/complicaciones , COVID-19/transmisión , Protocolos Clínicos , Hospitales Universitarios , Humanos , Control de Infecciones/normas , Microcirugia/normas , Atención Perioperativa/normas , Procedimientos de Cirugía Plástica/normas , EspañaRESUMEN
El 11 de marzo de 2020, el brote del coronavirus SARS-Cov-2 fue declarado pandemia global, suponiendo un reto para todos los sistemas sanitarios del mundo. Por este motivo, desde los distintos estados se ha llevado a cabo una reorgani¬zación de los sistemas nacionales de salud para lidiar con esta enfermedad. En este contexto han surgido nuevas recomenda¬ciones en el manejo del paciente quirúrgico, posponiéndose las cirugías electivas. No obstante, la naturaleza urgente del tratamiento del paciente gran quemado es un hecho que justi¬fica su tratamiento quirúrgico, incluso en casos afectados por el virus. La coincidencia de la precocidad e intensidad con que la pandemia afectó a España con la existencia de una escasa evi¬dencia en cuanto a la organización de las unidades de quema¬dos en este nuevo contexto, propició que la organización de cada centro surgiera de novo en función de sus circunstancias particulares. En este trabajo, exponemos los esquemas organizativos y la experiencia de 5 unidades de quemados, 4 españolas y 1 chilena, en su adaptación al contexto de la pandemia por COVID-19 On March 11th, a pandemic situation caused by the virus SARS-Cov-2 was declared, challenging health-care systems all over the world. Therefore, a reorganization of national health-care systems had to be performed in order to deal with this disease. In this context, new recommendations have appeared for the management of surgical patients, postponing elective surgeries. However, urgency in the treatment of burn patients is justified, even in those cases affected by the virus. The coincidence of the precocity and intensity with which the pandemic affected Spain, with the existence of scarce evi¬dence regarding burn unit organization, caused that reorgani¬zation of each center had to be performed from scratch, adap¬ting their particular circumstances. In this article, we expose the organizational schemes and the experience of 5 burn units, 4 in Spain and 1 more in Chile, in their adaptation to the COVID-19 pandemic
RESUMEN
Abstract On March 11th, a pandemic situation caused by the virus SARS-Cov-2 was declared, challenging health-care systems all over the world. Therefore, a reorganization of national health-care systems had to be performed in order to deal with this disease. In this context, new recommendations have appeared for the management of surgical patients, postponing elective surgeries. However, urgency in the treatment of burn patients is justified, even in those cases affected by the virus. The coincidence of the precocity and intensity with which the pandemic affected Spain, with the existence of scarce evidence regarding burn unit organization, caused that reorganization of each center had to be performed from scratch, adapting their particular circumstances. In this article, we expose the organizational schemes and the experience of 5 burn units, 4 in Spain and 1 more in Chile, in their adaptation to the COVID-19 pandemic.