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Immediately sequential bilateral cataract surgery (ISBCS) adapted protocol during COVID-19

OBJECTIVE: To describe the steps, hurdles, and recommendations for implementation of the immediately sequential bilateral cataract surgery (ISBCS) evidence-based protocol at a high-volume Canadian tertiary care centre. DESIGN: Quality-improvement study. PARTICIPANTS: A total of 406 patients who unde...

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Autores principales: Sandhu, Simrenjeet, Liu, Daisy, Mathura, Pamela, Palakkamanil, Mathew, Kurji, Khaliq, Rudnisky, Christopher J., Kassiri, Kam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Published by Elsevier Inc. on behalf of Canadian Ophthalmological Society. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8576115/
https://www.ncbi.nlm.nih.gov/pubmed/34919840
http://dx.doi.org/10.1016/j.jcjo.2021.10.003
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author Sandhu, Simrenjeet
Liu, Daisy
Mathura, Pamela
Palakkamanil, Mathew
Kurji, Khaliq
Rudnisky, Christopher J.
Kassiri, Kam
author_facet Sandhu, Simrenjeet
Liu, Daisy
Mathura, Pamela
Palakkamanil, Mathew
Kurji, Khaliq
Rudnisky, Christopher J.
Kassiri, Kam
author_sort Sandhu, Simrenjeet
collection PubMed
description OBJECTIVE: To describe the steps, hurdles, and recommendations for implementation of the immediately sequential bilateral cataract surgery (ISBCS) evidence-based protocol at a high-volume Canadian tertiary care centre. DESIGN: Quality-improvement study. PARTICIPANTS: A total of 406 patients who underwent ISBCS from July 2020 to December 2020. Patients were selected based on specific inclusion and exclusion criteria including psychosocial factors, refractive error and consent. This initiative impacted staff at all levels involved with cataract surgery. METHODS: The Model of Improvement framework was used and involved numerous discussions with multidisciplinary teams of ophthalmologists, nursing and support staff, management, pharmacists, and medical device reprocessing teams. This initiative was created and refined via a thorough review of the literature and current best practices. It was implemented in July 2020 after a nursing “huddle.” Any adverse outcomes and overall impact were collected from various levels of staff involved. RESULTS: Each eye was treated as a separate surgery with a double time-out per bilateral case. Additional measures were taken to ensure different lot numbers for medications, equipment, and materials. This practice increased surgical volume by approximately 25% and reduced the number of patient visits by 50%, reducing potential COVID-19 exposure. CONCLUSIONS: The resulting protocol from our study may be useful to other centres wishing to integrate ISBCS as one example of successful implementation. Of the 406 cases of ISBCS performed, we report zero cases of toxic anterior segment syndrome or endophthalmitis. In times of decreased elective surgeries, ISBCS is a safe and effective option to supplement surgical volume and provide significant patient benefits.
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spelling pubmed-85761152021-11-09 Immediately sequential bilateral cataract surgery (ISBCS) adapted protocol during COVID-19 Sandhu, Simrenjeet Liu, Daisy Mathura, Pamela Palakkamanil, Mathew Kurji, Khaliq Rudnisky, Christopher J. Kassiri, Kam Can J Ophthalmol Original Article OBJECTIVE: To describe the steps, hurdles, and recommendations for implementation of the immediately sequential bilateral cataract surgery (ISBCS) evidence-based protocol at a high-volume Canadian tertiary care centre. DESIGN: Quality-improvement study. PARTICIPANTS: A total of 406 patients who underwent ISBCS from July 2020 to December 2020. Patients were selected based on specific inclusion and exclusion criteria including psychosocial factors, refractive error and consent. This initiative impacted staff at all levels involved with cataract surgery. METHODS: The Model of Improvement framework was used and involved numerous discussions with multidisciplinary teams of ophthalmologists, nursing and support staff, management, pharmacists, and medical device reprocessing teams. This initiative was created and refined via a thorough review of the literature and current best practices. It was implemented in July 2020 after a nursing “huddle.” Any adverse outcomes and overall impact were collected from various levels of staff involved. RESULTS: Each eye was treated as a separate surgery with a double time-out per bilateral case. Additional measures were taken to ensure different lot numbers for medications, equipment, and materials. This practice increased surgical volume by approximately 25% and reduced the number of patient visits by 50%, reducing potential COVID-19 exposure. CONCLUSIONS: The resulting protocol from our study may be useful to other centres wishing to integrate ISBCS as one example of successful implementation. Of the 406 cases of ISBCS performed, we report zero cases of toxic anterior segment syndrome or endophthalmitis. In times of decreased elective surgeries, ISBCS is a safe and effective option to supplement surgical volume and provide significant patient benefits. Published by Elsevier Inc. on behalf of Canadian Ophthalmological Society. 2023-06 2021-11-09 /pmc/articles/PMC8576115/ /pubmed/34919840 http://dx.doi.org/10.1016/j.jcjo.2021.10.003 Text en Crown Copyright © 2021 Published by Elsevier Inc. on behalf of Canadian Ophthalmological Society. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Original Article
Sandhu, Simrenjeet
Liu, Daisy
Mathura, Pamela
Palakkamanil, Mathew
Kurji, Khaliq
Rudnisky, Christopher J.
Kassiri, Kam
Immediately sequential bilateral cataract surgery (ISBCS) adapted protocol during COVID-19
title Immediately sequential bilateral cataract surgery (ISBCS) adapted protocol during COVID-19
title_full Immediately sequential bilateral cataract surgery (ISBCS) adapted protocol during COVID-19
title_fullStr Immediately sequential bilateral cataract surgery (ISBCS) adapted protocol during COVID-19
title_full_unstemmed Immediately sequential bilateral cataract surgery (ISBCS) adapted protocol during COVID-19
title_short Immediately sequential bilateral cataract surgery (ISBCS) adapted protocol during COVID-19
title_sort immediately sequential bilateral cataract surgery (isbcs) adapted protocol during covid-19
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8576115/
https://www.ncbi.nlm.nih.gov/pubmed/34919840
http://dx.doi.org/10.1016/j.jcjo.2021.10.003
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