Are Surgeons in India prepared for COVID−19?

The American Journal of Surgery, 2020

Since the COVID pandemic surgical safety protocols in all aspects of pre, intra and post operative phase. Hence an observational study to process the new norm of surgical protocols in the COVID times at a tertiary center is the need of time,so as to understand, refine and redefine the pathways of approach to surgical patients in this situation.Hence such a study was done in Bowring and Lady Curzon Hospital to understand,refine and redefine SOP (standard operating procedure).The objective of the study was to observe the Precautionary measures taken by the surgical department since the COVID pandemic and the extent to which it was followed. The COVID staff was monitored for 20 surgical cases.It was observed that in 19 out of 20 cases the SOP issued by the administration was followed.The Surgeons had 100% compliance with the SOP right from the OPD till the Post op care and had a lesser infection rate.Wearing PPE kit, hand hygiene, social distancing was done by staffs of all levels.The use of face shields was about 50% among the Group D staff,which had a higher rate of infection.

Modern surgery is burdened by a huge amount of patient to be treated and an increasingly complex number of procedures which request planned action and shared behaviours, aimed to prevent perioperative accidents and favour good surgical outcomes. Surgical and anaesthetic safety has improved significantly in last few decades. However, the operating room environment continues to have significant safety risks for patients as well as the health care providers who work there. Adverse events may result from problems in practice, products, procedures or systems. The worldwide incidence of surgical site infection, one of the most important and frequent post-operative complication, ranges from 3% to 16%, with a mortality rate ranging from 0.4% to 0.8%; in these studies, about 50% of cases were considered preventable (1-9). Patients safety improvements demand a complex system-wide effort, involving a wide range of actions in performance improvement, environmental safety and risk management, including infection control, safe use of medicines, equipment safety, safe clinical practice and safe environment of care. Just as public health interventions and educational projects have dramatically improved maternal and neonatal survival, analogous efforts might improve surgical safety and quality of care (10). According to these objectives, the World Health Organization (WHO) has published and diffused the international "Guidelines for Safe Surgery" (11). The guidelines have the clear proposal to

Colorectal Disease, 2020

Ain-Shams Journal of Anesthesiology, 2021

International Surgery Journal, 2021

Background: Severe acute respiratory syndrome corona virus 2 (SARS-CoV-2) transmission during laparoscopy while using energy devices through the carbon dioxide pneumoperitoneum is a big concern in operation theatre. So, we had to alter the way we vent carbon dioxide through a closed-circuit system (CCS) to avoid contamination.Methods: We did a prospective study in the safety of the CCS during elective laparoscopic surgeries. We had recruited 184 patients from a single unit in three quarters. The first quarter had 52 patients where the SARS-CoV-2 status was unknown as rapid antigen test (RAT) and reverse transcription polymerase chain reaction (RT- PCR) was not done as per government guidelines. So, we presumed all patients to be potential carriers. Later in the 2nd and 3rd quarter we had recruited 132 patients; all were tested by RAT/RT-PCR and positive patients were excluded from our study. Postoperatively we observed for COVID-19 symptoms in our health care workers (HCW) and confi...

Journal of Pharmaceutical Research International

Currently we are at the peak of the second wave of pandemic. Availability of beds & oxygen is at nadir. The patients coming to us for surgery are the ones where surgery cannot wait. Mainly the load is obstetric. As a matter of COVID pandemic policy we are using regional anaesthesia unless contraindicated or the surgery demands general anaesthesia. The aim is to avoid/reduce aerosolization which is part & parcel of GA, despite the efforts to minimise it. The policy is to protect the anaesthesiologists, surgeons, OT staff & other patients as well. The present manuscript is to review the role of regional anaesthesia & its safe performance.

Indian Journal of Anaesthesia

Severe acute respiratory syndrome corona virus 2 (SARS-CoV-2) which causes coronavirus disease (COVID-19) is a highly contagious virus. The closed environment of the operation room (OR) with aerosol generating airway management procedures increases the risk of transmission of infection among the anaesthesiologists and other OR personnel. Wearing complete, fluid impermeable personal protective equipment (PPE) for airway related procedures is recommended. Team preparation, clear methods of communication and appropriate donning and doffing of PPEs are essential to prevent spread of the infection. Optimal pre oxygenation, rapid sequence induction and video laryngoscope aided tracheal intubation (TI) are recommended. Supraglottic airways (SGA) and surgical cricothyroidotomy should be preferred for airway rescue. High flow nasal oxygen, face mask ventilation, nebulisation, small bore cannula cricothyroidotomy with jet ventilation should be avoided. Tracheal extubation should be conducted with the same levels of precaution as TI. The All India Difficult Airway Association (AIDAA) aims to provide consensus guidelines for safe airway management in the OR, while attempting to prevent transmission of infection to the OR personnel during the COVID-19 pandemic.

The American Journal of Surgery, 2020

Valves are the most common single piece of equipment found in DOE facilities. Although there are many types, shapes, and sizes of valves, they all have the same basic parts. This chapter will review the common parts and functions of a valve. EO 1.1 DESCRIBE the four basic types of flow control elements employed in valve design. EO 1.2 DESCRIBE how valve stem leakage is controlled.