Hatice TÜRE, Şüheda ÇELEBİ, Ezgi AYTAÇ, Ayşe TUĞLUĞLU KUŞDEMİR, Birsel EKİCİ, Abdulvahap OĞUZ, Tuğhan UTKU, Ferdi MENDA, Meral SÖNMEZOĞLU

COVID-19 Tanılı ya da Şüpheli Hastaların ID Preoperatif Hazırlığı ve Ameliyathane Yönetimi

Amaç: Covid-19 pandemisi olarak adlandırılan virüs salgını, 2019 yılı Aralık ayında Çin’in Wuhan kentinden tüm dünyaya yayılmıştır. Hastalar ve hastalığı taşıyan asemptomatik vakalar nedeniyle, sağlık çalışanları açısından risk oluşturmaktadır. Özellikle ameliyathaneler, aerosol oluşturan işlemler ve olası temas açısından en riskli çalışma alanlarındandır. Bu nedenle perioperatif dönem işleyiş protokollerinin oluşturulması önem göstermektedir. Bu derlemede, pandemi döneminde özellik arzeden; preoperatif hasta hazırlığı, ameliyathane organizasyonu ve kişisel korunma ekipmanlarını içeren “preoperatif hasta hazırlığı ve ameliyathane işleyiş protokolümüz” sunulmuştur. Yöntem: Bu amaçla mevcut protokoller ve literatür taraması yapılmış ve güncel bilgiler ışığında oluşturulan protokol; preoperatif hasta hazırlığı, ameliyathane işleyişinin düzenlenmesi, ameliyat bitiminde ameliyathane temizliği olmak üzere 3 alt başlık içermektedir. Bulgular: Oluşturulan protokol 15 Mart-10 Mayıs 2020 tarihleri arasında kullanılmıştır. Kurumumuzun iç işleyişine uygun olarak oluşturulan protokollerimiz eşliğinde perioperatif yönetim titizlikle uygulandığında, hasta ve çalışan güvenliği yanında, işleyişin aksamadığı görülmüştür. Sonuç: Klinik protokoller ışığında preoperatif dönemde COVID-19 şüpheli-enfekte hastalar belirlenerek, perioperatif riskler azaltılabilir ve hastanın, sağlık çalışanlarının ve diğer hastaların güvenliği arttırılabilir.

Preoperative Preparation and Operating Room Management of the Patients Who Have Confirmed or Suspected COVID-19 Infection

Objective: The virus pandemic called Covid-19 pandemic, has spread from Wuhan city of People’s Republic of China to the whole world in December 2019. It poses a risk to healthcare professionals due to patients and asymptomatic cases carrying the disease. In particular, operating theaters are among the most risky work areas in terms of aerosol forming processes and possible contact. For this reason, the establishment of perioperative operation protocols conveys importance. In this review; our “preoperative patient preparation and operating room operation protocols” including preoperative patient preparation, operating room organization and personal protection equipment which have particular importance are presented. Method: For this purpose, existing protocols and literature scanning have been made and the protocol created in the light of current information includes 3 subtitles as preoperative patient preparation, regulation of operating room procedures, and operating room cleaning at the end of the operation. Results: The protocol created was being used between March 15, and May 10, 2020. When the perioperative management is meticulously implemented in line with our protocols created in accordance with the internal functioning of our institution, it has been observed that the surgical process does not fail, besides safety of patients and employees may be reinforced. Conclusion: In the light of clinical protocols, COVID-19 suspected-infected patients can be identified in the preoperative period, and perioperative risks can be reduced and the safety of the patient, healthcare professionals and other patients can be increased.

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