Scheduling elective surgeries following COVID-19: Challenges ahead

Area of Science:

• Anesthesiology
• Surgical Oncology
• Infectious Diseases

Background:

• The COVID-19 pandemic presents evolving challenges to perioperative care and the resumption of elective surgeries.
• Conflicting information regarding COVID-19's pathophysiology and its impact on patient outcomes complicates surgical planning.

Purpose of the Study:

• To propose a comprehensive strategy for safely restarting elective surgeries during the COVID-19 pandemic.
• To address the critical need for clear guidelines on surgical scheduling, patient management, and resource allocation.

Main Methods:

• Development of a six-pronged strategy focusing on exposure minimization and protocol adherence.
• Integration of COVID-19 testing, personal protective equipment (PPE) management, and case prioritization into surgical roadmaps.

Main Results:

• The proposed strategy aims to mitigate risks associated with aerosol-generating procedures and personnel movement in operating rooms.
• Emphasis on continuous monitoring and health management of healthcare professionals is crucial for sustained surgical operations.

Conclusions:

• A structured, multi-faceted approach is essential for overcoming the challenges posed by the COVID-19 pandemic to elective surgery.
• Implementing standardized protocols and prioritizing safety ensures the successful resumption of non-urgent surgical procedures.