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Updated: Nov 19, 2025

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
Surgical activation protocol COVID-19 (SAP COVID)
Abelardo Juanz-González1, Jorge A Barreras-Espinoza1, Eduardo Leyva-Moraga2
1Departamento de Cirugía, Hospital General del Estado de Sonora. Hermosillo, Sonora, México.
Insights
This study provides essential recommendations for surgical teams managing patients with coronavirus disease 2019 (COVID-19). These guidelines aim to ensure patient and staff safety during the COVID-19 pandemic, maintaining high standards of surgical care.
Area of Science:
- Medicine
- Surgery
- Infectious Diseases
Background:
- The coronavirus disease 2019 (COVID-19) pandemic significantly impacts conventional surgical practices.
- Rising COVID-19 cases increase infection risk for surgical staff.
- Limited publications address surgical management for COVID-19 patients.
Purpose of the Study:
- To assess and provide recommendations for patient and surgical team care during the COVID-19 pandemic.
- To establish safety protocols for surgical procedures involving COVID-19 patients.
Main Methods:
- A comprehensive literature search was conducted using MEDLINE, Embase, and Cochrane Database of Systematic Reviews (April 2020).
- Keywords included "COVID-19", "PROTOCOL", and "SURGERY".
- Relevant guidelines and case series were reviewed for applicable information.
Main Results:
- 379 papers were identified, with 25 selected for manuscript inclusion based on recommendation relevance.
- Recommendations were categorized into three main topics: perioperative, intraoperative, and postoperative care.
- Key findings focus on adapting surgical workflows to mitigate COVID-19 transmission risks.
Conclusions:
- The study presents a framework of recommendations to standardize the surgical team's approach during the COVID-19 pandemic.
- These strategies aim to protect both patients and surgical staff while upholding high-quality care standards.
- The proposed protocols are designed for broad applicability across various hospital settings.
Background:
The coronavirus disease 2019 (COVID-19) outbreak have major implications in conventional surgical practice. As the number of patients with this diagnosis is rising, the infection risk for the surgical staff will be higher. Few publications have addressed the surgical management of patients diagnosed with COVID-19.
Objective:
To assess recommendations for care of patients and surgical team during the COVID-19 pandemic.
Method:
MEDLINE, Embase and the Cochrane Database of Systematic Reviews (April 2020) were searched the key words "COVID-19", "PROTOCOL" and "SURGERY". Relevant recommendations, guidelines and cases series were checked for the most accurate information for apply to our center.
Results:
We found 379 papers that included the key words. A total of 25 papers were included in the manuscript based in the pertinence of the recommendations. Three major topics were selected: perioperative, intraoperative and postoperative.
Conclusion:
As an attempt to regulate the surgical team approach, we present recommendations to preserve patients and surgical staff safety with high quality standards of care through reproducible strategies applicable in most hospital centers.
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