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Recommended operating room practice during the COVID-19 pandemic: systematic review

    BJS Open
    |May 13, 2020
    PubMed

    Insights

    This systematic review found limited evidence on operating room (OR) best practices during the COVID-19 pandemic. However, there was consensus on key areas like personal protective equipment (PPE) for personnel.

    Area of Science:

    • Medicine
    • Public Health
    • Surgical Practice

    Background:

    • The COVID-19 pandemic created a global health crisis with undefined operating room (OR) best practices.
    • This systematic review aimed to identify current evidence on OR practices during the COVID-19 pandemic.

    Purpose of the Study:

    • To systematically review and synthesize contemporary evidence on operating room (OR) practices in the context of the COVID-19 pandemic.
    • To identify recommendations for OR practice across five key domains: physical OR, personnel, patient, procedure, and other factors.

    Main Methods:

    • A systematic literature search of MEDLINE using PubMed was conducted up to March 19, 2020.
    • Studies were assessed for Oxford Centre for Evidence-Based Medicine (OCEBM) levels of evidence.
    • Recommendations were extracted and categorized into five domains.

    Main Results:

    • Eleven articles met eligibility criteria from 35 identified, primarily expert opinion from the Far East.
    • Recommendations were based on low levels of evidence (median OCEBM level 5).
    • Consensus was high for personnel factors, mandating personal protective equipment (PPE), and recommendations focused on physical OR and procedural factors.

    Conclusions:

    • There is a scarcity of high-level evidence to guide OR practices during the COVID-19 pandemic.
    • Despite limited evidence, consensus exists on several aspects of OR practice, particularly regarding personnel safety.
    • Global collaboration and experience sharing are crucial for developing evidence-based OR best practices during rapidly evolving pandemics.
    Abstract

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