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Yıl: 2020 Cilt: 34 Sayı: 1 Sayfa Aralığı: 1 - 8 Metin Dili: Türkçe DOI: 10.5222/JTAPS.2020.62333 İndeks Tarihi: 01-11-2020

COVID-19 pandemisi ve çocuk cerrahisi

Öz:
2019 yılının Aralık ayında ilk olarak sebebi bilinmeyen pnömoni olarak rapor edilmesinden buyana, SARS CoV-2 veya daha yaygın bilinen adıyla COVID-19 hakkında bildiklerimiz gün geçtikçeartmakta ve aynı oranda da değişmektedir. COVID-19 salgını tüm dünyayı ve elbette dünyadakisağlık sistemlerini ve bu sistem içerisinde yer alan kurum ve kuruluşları olumsuz etkilemiştir.Bugüne kadar bu salgından etkilenenlerin tanısı, tedavisi ve tedavi süreci içerisinde yer alan cerrahlarile ameliyathane personelinin cerrahi öncesi, sırası veya sonrasında nasıl davranmalarıgerektiğine dair pek çok rapor, makale ve rehber yayınlanmıştır. Bu yazımızda COVID-19 pandemisidöneminde çocuk cerrahisinde, hasta ve sağlık personeli güvenliği yanında acil cerrahisorunları olan çocuklara zamanında cerrahi bakım sağlarken uyulması gereken önlemler, tartışılmaktadır.Güncel literatürü inceleyerek uluslararası basılmış makale, öneriler ve algoritmalar ile Bilim kuruluçalışması esas alınarak hazırlanmış Sağlık Bakanlığı’nın rehberleri irdelendi. Bu verilerden yolaçıkarak Çocuk cerrahlarının COVID-19 pandemisi döneminde takip edebilecekleri preoperatif veperoperatif rehber ve öneriler bir araya getirildi.Çocukluk çağında Covid-19 enfeksiyonunun asemptomatik de olabileceği göz önüne alınarak;elektif ameliyatların ertelenmesi, acil-elektif ameliyat kararının doğru verilmesi, ameliyat öncesihazırlık, ameliyatlarda koruyucu malzemelerin uygun kullanımı, ameliyatlarda kullanılacak malzemeve yöntemlerde özenli seçim, hasta ve ekip güvenliği için ana öğelerdir.
Anahtar Kelime:

COVID-19 pandemic and pediatric surgery

Öz:
Since December 2019, when it was first reported as an atypical pneumonia with unknown source, our general knowledge on SARS CoV-2 or commonly known as COVID-19 is accumulating and changing day by day. COVID-19 pandemic has adversely affected the globe and global healthcare systems, health institutions and associated co-workers. To date, several reports, papers and guidelines published to discuss how to diagnose and treat this condition and how to surgeons or operating room crew should act pre- per- and post-operatively during such a pandemic. In this paper, we discuss the preventive measures and precautions that should take during COVID-19 pandemic in pediatric surgery have been evaluated, not only for children who needs prompt and proper emergency surgery but also for the patients’ and health workers’ safety. We reviewed current literature in terms of international published papers, recommendations, algorithms and Ministry of Health guidelines based on Scientific Committee Study. According the current data, we compiled Pre-operative and Per-operative guide and recommendations for Pediatric Surgeons to be follow during COVID-19 pandemic. Keeping in mind that children with COVID-19 infection might be asymptomatic; postponing the elective procedures and right decision making between emergent/urgent and elective procedures, preoperative preparation, accurate use of protective equipment, careful selection of surgical materials and operative methods are the key elements for patients’ an surgical team’s safety.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık
  • 1. Kamer E, Çolak T. What to do when a patient infected with COVID-19 needs an operation: A Pre-surgery, Perisurgery and Post-surgery Guide. Turk J Colorectal Dis. 2020;30:1-8. https://doi.org/10.4274/tjcd.galenos.2020.2020-3-7
  • 2. Lu X, Zhang L, Du H, Zhang J, Li YY, Qu J, et al. SARSCoV- 2 Infection in Children. Engl J Med. 2020. https://doi.org/10.1056/NEJMc2005073
  • 3. Qiu H, Wu J, Hong L, Luo Y, Song Q, Chen D. Clinical and epidemiological features of 36 children with coronavirus disease 2019 (COVID-19) in Zhejiang, China: an observational cohort study.Lancet Infect Dis. 2020. https://doi.org/10.1016/S1473-3099(20)30198-5 [Epub ahead of print]
  • 4. Cruz A, Zeichner S. COVID-19 in children: initial characterization of the pediatric disease. Pediatrics. 2020. https://doi.org/10.1542/peds.2020-0834
  • 5. Jaffar A. Al-Tawfig. Asymptomatic coronavirus infection: MERS-CoV and SARS CoV-2 (COVID-19). Travel Medicine and Infectious Disease. 2020. https://doi.org/10.1016/j.tmaid.2020.101608
  • 6. Consensus guidelines for managing the airway in children with COVID-19: Highlighting differences in practice from adult guidelines. 11.04.2020. Available from: https://icmanaesthesiacovid-19.org/covid-19- paediatric-airway-management-principles
  • 7. Shen K, Yang Y, Wang T, Zhao D, Jiang Y, Jin R, et al. Diagnosis, treatment, and prevention of 2019 novel coronavirus infection in children: experts’ consensus statement. World J Pediatr. 2020. https://doi.org/10.1007/s12519-020-00343-7. [Epub ahead of print]
  • 8. Cao Q, Chen YC, Chen CL, Chiu CH. SARS-CoV-2 infection in children: Transmission dynamics and clinical characteristics. J Formos Med Assoc. 2020; 119(3):670- 673. https://doi.org/10.1016/j.jfma.2020.02.009. Epub 2020 Mar 2.
  • 9. Karaca AS, Özmen MM, Uçar AD, Yastı AÇ, Demirer S. COVID-19’lu hastalarda genel cerrahi ameliyathane uygulamaları. Turk J Surg. 2020;36(1):VI-X. https://doi.org/10.5578/turkjsurg.202002
  • 10. Wang L, Shi Y, Xiao T, Fu J, Mu D, Feng Q, et al. Chinese expert consensus on the perinatal and neonatal management for the prevention and control of the 2019 novel coronavirus infection (First edition). Ann Transl Med. 2020;(3):47. https://doi.org/10.21037/atm.2020.02.20
  • 11. COVID-19: Considerations for Optimum Surgeon Protection Before, During, and After Operation. 11.04.2020. Available from: https://www.facs.org/covid-19/clinicalguidance/ surgeon-protection#operative-risks
  • 12. COVID-19: Recommendations for Management of Elective Surgical Procedures. 11.04.2020. Available from: https://www.facs.org/covid-19/clinical-guidance/ elective-surgery
  • 13. Sages and Eaes recommendations regarding surgical response to covid-19 crisis. 11.04.2020. Available from: https://www.sages.org/recommendations-surgicalresponse- covid-19/
  • 14. COVID-19 Guidelines for Triage of Pediatric Patients. 11.04.2020. Available from: https://www.facs.org/ covid-19/clinical-guidance/elective-case/pediatricsurgery
  • 15. Ti LK, Ang LS, Foong TW, Ng BSW. What we do when a COVID-19 patient needs an operation: operating room preparation and guidance. Can J Anesth/J Can Anesth. 2020. https://doi.org/10.1007/s12630-020-01617-4
  • 16. 11.04.2020. Available from: https://www.rcsed.ac.uk/ news-public-affairs/news/2020/march/intercollegiategeneral- surgery-guidance-on-covid-19-update
  • 17. Covid19-plkacilhastayonetimi-26032020. 11.04.2020. Available from: http://ozelhastaneler.org.tr/covid- 19-tedavi-protokolleri/covid19-plkacilhastayonetimi- 26032020/
  • 18. 2. ve 3. basamak sağlık kuruluşlarında vaka yönetimi akış şeması. 11.04.2020. Available from: https://covid19bilgi. saglik.gov.tr/depo/algoritmalar/ALGORITMA1. pdf
  • 19. Covid-19 çocuk hasta yönetimi ve tedavisi. COVID-19 (SARS-CoV-2 Enfeksiyonu) Rehberi. Bilim Kurulu Çalışması (13.04.2020). 14.04.2020. Available from: https:// covid19bilgi.saglik.gov.tr/depo/rehberler/COVID-19_ Rehberi.pdf
  • 20. World Health Organization. (2020). Rational use of personal protective equipment (PPE) for coronavirus disease (COVID-19): interim guidance, 19 March 2020. World Health Organization. 11.04.2020. Available from: https://apps.who.int/iris/handle/10665/331498. License: CC BY-NC-SA 3.0 IGO
  • 21. Covid-19 hastalığına yönelik sağlık kuruluşu, personel ve faaliyet türüne göre kullanılması önerilen koruyucu ekipmanlar. 11.04.2020. Available from: https://covid19bilgi.saglik.gov.tr/depo/rehberler/COVID_ TABLE_HSGM.pdf
  • 22. KKE Uygun kullanımı. 11.04.2020. Available from: https://hsgm.saglik.gov.tr/depo/birimler/Bulasicihastaliklar- db/hastaliklar/SHIE/Afis_ve_Brosurler/ KKE-UygunKullanimi.pdf
  • 23. Sequence for putting on personal protective equipment (PPE). 11.04.2020. Available from: https://www. cdc.gov/hai/pdfs/ppe/ppe-sequence.pdf
  • 24. Lei S et al. Clinical characteristics and outcomes of patients undergoing surgeries during the incubation period of COVID-19 infection. 11.04.2020. Available from: https://www.thelancet.com/action/ showPdf?pii=S2589-5370%2820%2930075-4
  • 25. COVID-19 hastalığının bulaşma riski ve bilgilendirme onam formu. 11.04.2020. Available from: https:// egehastane.ege.edu.tr/files/egehastane/icerik/HB_ ENFO_003_0_COVID-19_HASTALIGININ_BULASMA_ RISKI_ve_BILGILENDIRME_ONAM_FORMU.pdf
  • 26. Tüm acil cerrahiler için hasta hazırlığı. 11.04.2020. Available from: https://covid19bilgi.saglik.gov.tr/tr/covid- 19-acil-anestezi-yonetimi
  • 27. COVID-19 Information. 10.04.202. Available from: https://www.asahq.org/in-the-spotlight/coronaviruscovid- 19-information
  • 28. Resources for smoke & gas evacuation during open, laparoscopic, and endoscopic procedures. 10.04.2020. Available from: https://www.sages.org/resourcessmoke- gas-evacuation-during-open-laparoscopicendoscopic- procedures/
  • 29. Repici A et al. Coronavirus (COVID-19) outbreak: what the department of endoscopy should know Gastrointest Endosc. 2020 Mar 14. pii: S0016-5107(20)30245-5. https://doi.org/10.1016/j.gie.2020.03.019. [Epub ahead of print]
  • 30. American Association for Bronchology and Interventional Pulmonology (AABIP) Statement on the Use of Bronchoscopy and Respiratory Specimen Collection in Patients with Suspected or Confirmed COVID-19 Infection. 11.04.2020. Available from: https://aabronchology. org/wp-content/uploads/2020/03/2020- AABIP-Statement-on-Bronchoscopy-COVID.GAEupdated- Version.pdf
  • 31. Cook TM, El-Boghdadly K, McGuire B, et al. Consensus guidelines for managing the airway in children with COVID-19; Highlighting differences in practice from adult guidelines. Guidelines from the Association of Anaesthetists, the Difficult Airway Society, the Intensive Care Society, the Faculty of Intensive Care Medicine and the Royal College of Anaesthetists, Paediatric Intensive Care Society, Association of Paediatric Anaesthetists. 12.04.2020. Available from: https:// icmanaesthesiacovid-19.org/covid-19-paediatricairway- management-principles https://doi.org/10.1111/anae.15054
  • 32. Zheng MH, Boni L, Fingerhut A. Minimally Invasive Surgery and the Novel Coronavirus Outbreak: Lessons Learned in China and Italy. Ann Surg. 2020 Mar 26. https://doi.org/10.1097/SLA.0000000000003924. [Epub ahead of print]
  • 33. Saxena, A.K. SARS-CoV-2 pandemic and pediatric endoscopic surgery. J Ped Endosc Surg (2020). https://doi.org/10.1007/s42804-020-00054-w
APA BOSNALI O, Tander B (2020). COVID-19 pandemisi ve çocuk cerrahisi. , 1 - 8. 10.5222/JTAPS.2020.62333
Chicago BOSNALI Oktav,Tander Burak COVID-19 pandemisi ve çocuk cerrahisi. (2020): 1 - 8. 10.5222/JTAPS.2020.62333
MLA BOSNALI Oktav,Tander Burak COVID-19 pandemisi ve çocuk cerrahisi. , 2020, ss.1 - 8. 10.5222/JTAPS.2020.62333
AMA BOSNALI O,Tander B COVID-19 pandemisi ve çocuk cerrahisi. . 2020; 1 - 8. 10.5222/JTAPS.2020.62333
Vancouver BOSNALI O,Tander B COVID-19 pandemisi ve çocuk cerrahisi. . 2020; 1 - 8. 10.5222/JTAPS.2020.62333
IEEE BOSNALI O,Tander B "COVID-19 pandemisi ve çocuk cerrahisi." , ss.1 - 8, 2020. 10.5222/JTAPS.2020.62333
ISNAD BOSNALI, Oktav - Tander, Burak. "COVID-19 pandemisi ve çocuk cerrahisi". (2020), 1-8. https://doi.org/10.5222/JTAPS.2020.62333
APA BOSNALI O, Tander B (2020). COVID-19 pandemisi ve çocuk cerrahisi. Çocuk Cerrahisi Dergisi, 34(1), 1 - 8. 10.5222/JTAPS.2020.62333
Chicago BOSNALI Oktav,Tander Burak COVID-19 pandemisi ve çocuk cerrahisi. Çocuk Cerrahisi Dergisi 34, no.1 (2020): 1 - 8. 10.5222/JTAPS.2020.62333
MLA BOSNALI Oktav,Tander Burak COVID-19 pandemisi ve çocuk cerrahisi. Çocuk Cerrahisi Dergisi, vol.34, no.1, 2020, ss.1 - 8. 10.5222/JTAPS.2020.62333
AMA BOSNALI O,Tander B COVID-19 pandemisi ve çocuk cerrahisi. Çocuk Cerrahisi Dergisi. 2020; 34(1): 1 - 8. 10.5222/JTAPS.2020.62333
Vancouver BOSNALI O,Tander B COVID-19 pandemisi ve çocuk cerrahisi. Çocuk Cerrahisi Dergisi. 2020; 34(1): 1 - 8. 10.5222/JTAPS.2020.62333
IEEE BOSNALI O,Tander B "COVID-19 pandemisi ve çocuk cerrahisi." Çocuk Cerrahisi Dergisi, 34, ss.1 - 8, 2020. 10.5222/JTAPS.2020.62333
ISNAD BOSNALI, Oktav - Tander, Burak. "COVID-19 pandemisi ve çocuk cerrahisi". Çocuk Cerrahisi Dergisi 34/1 (2020), 1-8. https://doi.org/10.5222/JTAPS.2020.62333