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Published in: European Journal of Trauma and Emergency Surgery 3/2021

01-06-2021 | Coronavirus | Original Article

International cooperation group of emergency surgery during the COVID-19 pandemic

Authors: Carlos Yánez Benítez, Marcelo A. F. Ribeiro Jr, Henrique Alexandrino, Piotr Koleda, Sérgio Faria Baptista, Mohammad Azfar, Salomone Di Saverio, Luca Ponchietti, Antonio Güemes, Juan L. Blas, Carlos Mesquita

Published in: European Journal of Trauma and Emergency Surgery | Issue 3/2021

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Abstract

Purpose

The COVID-19 pandemic has changed working conditions for emergency surgical teams around the world. International surgical societies have issued clinical recommendations to optimize surgical management. This international study aimed to assess the degree of emergency surgical teams’ adoption of recommendations during the pandemic.

Methods

Emergency surgical team members from over 30 countries were invited to answer an anonymous, prospective, online survey to assess team organization, PPE-related aspects, OR preparations, anesthesiologic considerations, and surgical management for emergency surgery during the pandemic.

Results

One-hundred-and-thirty-four questionnaires were returned (N = 134) from 26 countries, of which 88% were surgeons, 7% surgical trainees, 4% anesthetists. 81% of the respondents got involved with COVID-19 crisis management. Social media were used by 91% of the respondents to access the recommendations, and 66% used videoconference tools for team communication. 51% had not received PPE training before the pandemic, 73% reported equipment shortage, and 55% informed about re-use of N95/FPP2/3 respirators. Dedicated COVID operating areas were cited by 77% of the respondents, 44% had performed emergency surgical procedures on COVID-19 patients, and over half (52%), favored performing laparoscopic over open surgical procedures.

Conclusion

Surgical team members have responded with leadership to the COVID-19 pandemic, with crisis management principles. Social media and videoconference have been used by the vast majority to access guidelines or to communicate during social distancing. The level of adoption of current recommendations is high for organizational aspects and surgical management, but not so for PPE training and availability, and anesthesiologic considerations.
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Metadata
Title
International cooperation group of emergency surgery during the COVID-19 pandemic
Authors
Carlos Yánez Benítez
Marcelo A. F. Ribeiro Jr
Henrique Alexandrino
Piotr Koleda
Sérgio Faria Baptista
Mohammad Azfar
Salomone Di Saverio
Luca Ponchietti
Antonio Güemes
Juan L. Blas
Carlos Mesquita
Publication date
01-06-2021
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Trauma and Emergency Surgery / Issue 3/2021
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI
https://doi.org/10.1007/s00068-020-01521-y

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