Research Article
Volume 8 Issue 2 - 2021
Different Strategical Lines in Clinical Safety for Surgical Patients during the Two COVID-19 Pandemic Waves in a Tertiary Level Hospital
Sergio Perez-Holanda*
Digestive Surgeon (Health Care Area VIII, Langreo), Currently Serving as Surgical and Intensive Cares Medical Deputy Director (Health Care Area IV, Oviedo), Principality of Asturias, Spain
*Corresponding Author: Sergio Perez-Holanda, Central Universitary Hospital of Asturias (HUCA), 33011-Oviedo, Principality of Asturias, Spain.
Received: December 02, 2020; Published: January 22, 2020




Abstract

Introduction: The measures taken from the first pandemic wave, caused by the SARS-CoV-2 virus in March'20, were continued until the arrival of the second wave from October'20.

Objective: The objective is to review both the strategic approach and the different organizational aspects, focusing on security for patients who required surgical intervention at our hospital, during the second wave in relation to the first pandemic wave.

Methods: It´s a retrospective and descriptive study of consecutive cases in our health area, which studies surgical activity during October ´20, contrasting with activity during the first pandemic wave in April ´20.

Results: 1) The preoperative circuits, both the triple screening by anamnesis, and by the analytical antigen detection in smears, were maintained, but in addition, safety was implemented by controlling access to the users. 2) The surgical activity carried out was higher compared to the first wave, despite higher rates of pandemic incidence. 3) Incidences in the surgical check-lists continued to be anecdotal, with similar profiles. 4) A higher hospital occupancy was observed in this second wave. 5) Donation and transplantation activity was maintained under normal conditions in both waves. 6) In our hospitals, we could follow the recommendations given by authors, regarding safety, in both pandemic waves. 7) Higher levels of care pressure and workload were noted in relation to the first pandemic wave.

Conclusion: Despite the limitations of our study, we can prudently deduce the follow: The incidence rates in our environment were higher in this second pandemic wave, along which a change in the strategic approach was observed. These strategic lines made it possible to improve surgical activity, ensuring the safety of surgical patients, but required a higher levels of adaptation and workloads from the professionals in the organization.


Keywords: COVID-19 Pandemic; SARS-CoV-2 Infection; Safety Management; Surgery

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Citation: Sergio Perez-Holanda. “Different Strategical Lines in Clinical Safety for Surgical Patients during the Two COVID-19 Pandemic Waves in a Tertiary Level Hospital”. EC Gastroenterology and Digestive System 8.2 (2021): 86-98.

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