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Worsening COVID-19 Disease Course After Surgical Trauma: A Case Series
INTRODUCTION: Current guidelines from the American Society of Anesthesiologists recommend postponing elective surgery on COVID-19-positive patients for a minimum of four to twelve weeks. However, literature focusing on the outcomes of COVID-19-positive patients undergoing surgery is scarce. In this...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Brieflands
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10016109/ https://www.ncbi.nlm.nih.gov/pubmed/36937174 http://dx.doi.org/10.5812/aapm-127356 |
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author | Cuypers, Quinten Vandebergh, Vincent Stessel, Bjorn Callebaut, Ina Depauw, Ilse Saldien, Vera Vrancken, Dirk |
author_facet | Cuypers, Quinten Vandebergh, Vincent Stessel, Bjorn Callebaut, Ina Depauw, Ilse Saldien, Vera Vrancken, Dirk |
author_sort | Cuypers, Quinten |
collection | PubMed |
description | INTRODUCTION: Current guidelines from the American Society of Anesthesiologists recommend postponing elective surgery on COVID-19-positive patients for a minimum of four to twelve weeks. However, literature focusing on the outcomes of COVID-19-positive patients undergoing surgery is scarce. In this case series, the outcome of asymptomatic COVID-19 patients undergoing acute or semi-urgent surgery was evaluated. CASE PRESENTATION: A case series of four patients between 32 and 82 years old with a confirmed SARS-CoV-2 infection undergoing acute or semi-urgent surgery was presented here. All four patients were asymptomatic for COVID-19, developing severe respiratory failure following endo CABG, caesarian section, a thyroidectomy, or abdominal surgery. ICU admission, together with invasive ventilation, was necessary for all patients. Two patients required venovenous extracorporeal membrane oxygenation treatment. A mortality of 50% was observed. CONCLUSIONS: In conclusion, the present case series suggests that elective surgery in asymptomatic SARS-CoV-2 infected patients might elicit an exacerbated COVID-19 disease course. This study endorses the current international guidelines recommending postponing elective surgery for SARS-CoV-2-positive patients for seven weeks, depending on the severity of the surgery and perioperative morbidities, to minimize postoperative mortality. |
format | Online Article Text |
id | pubmed-10016109 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Brieflands |
record_format | MEDLINE/PubMed |
spelling | pubmed-100161092023-03-16 Worsening COVID-19 Disease Course After Surgical Trauma: A Case Series Cuypers, Quinten Vandebergh, Vincent Stessel, Bjorn Callebaut, Ina Depauw, Ilse Saldien, Vera Vrancken, Dirk Anesth Pain Med Case Report INTRODUCTION: Current guidelines from the American Society of Anesthesiologists recommend postponing elective surgery on COVID-19-positive patients for a minimum of four to twelve weeks. However, literature focusing on the outcomes of COVID-19-positive patients undergoing surgery is scarce. In this case series, the outcome of asymptomatic COVID-19 patients undergoing acute or semi-urgent surgery was evaluated. CASE PRESENTATION: A case series of four patients between 32 and 82 years old with a confirmed SARS-CoV-2 infection undergoing acute or semi-urgent surgery was presented here. All four patients were asymptomatic for COVID-19, developing severe respiratory failure following endo CABG, caesarian section, a thyroidectomy, or abdominal surgery. ICU admission, together with invasive ventilation, was necessary for all patients. Two patients required venovenous extracorporeal membrane oxygenation treatment. A mortality of 50% was observed. CONCLUSIONS: In conclusion, the present case series suggests that elective surgery in asymptomatic SARS-CoV-2 infected patients might elicit an exacerbated COVID-19 disease course. This study endorses the current international guidelines recommending postponing elective surgery for SARS-CoV-2-positive patients for seven weeks, depending on the severity of the surgery and perioperative morbidities, to minimize postoperative mortality. Brieflands 2022-11-12 /pmc/articles/PMC10016109/ /pubmed/36937174 http://dx.doi.org/10.5812/aapm-127356 Text en Copyright © 2022, Author(s) https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited. |
spellingShingle | Case Report Cuypers, Quinten Vandebergh, Vincent Stessel, Bjorn Callebaut, Ina Depauw, Ilse Saldien, Vera Vrancken, Dirk Worsening COVID-19 Disease Course After Surgical Trauma: A Case Series |
title | Worsening COVID-19 Disease Course After Surgical Trauma: A Case Series |
title_full | Worsening COVID-19 Disease Course After Surgical Trauma: A Case Series |
title_fullStr | Worsening COVID-19 Disease Course After Surgical Trauma: A Case Series |
title_full_unstemmed | Worsening COVID-19 Disease Course After Surgical Trauma: A Case Series |
title_short | Worsening COVID-19 Disease Course After Surgical Trauma: A Case Series |
title_sort | worsening covid-19 disease course after surgical trauma: a case series |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10016109/ https://www.ncbi.nlm.nih.gov/pubmed/36937174 http://dx.doi.org/10.5812/aapm-127356 |
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