INDICATIONS FOR PATIENTS REQUIRING URGENT SURGERY DURING THE COVID-19 PANDEMIC:A COMPREHENSIVE LITERATURE REVIEW AND GUIDELINES FOR FUTURE PANDEMICS

Abstract

The COVID-19 pandemic has presented unparalleled challenges to global healthcare, especially in managing patients necessitating urgent surgical interventions. This literature review seeks to provide comprehensive insights into best practices implemented during the pandemic for the management of such patients. Starting with a background of the COVID-19 impact on healthcare and the vital need to maintain surgical services, the review elucidates the significance of pre-operative and  post-operative testing. Key considerations encompass test types, their reliability, optimal timing, and management implications of positive test results. A spotlight on precautionary measures underscores the necessity for protective equipment, strategies to reduce exposure, and the importance of medical staff wellbeing. With adaptations in hospital infrastructure taking center stage, the review discusses modifications like ’COVIDfree’ zones, advanced air circulation systems, and stringent sanitization protocols. Drawing from the past, the analysis provides a comparative assessment with previous pandemics while also focusing on the psychosocial and logistical implications. As we envision a post-pandemic future, the discourse gravitates towards preparing for upcoming health crises, emphasizing the urgency for ongoing research, dialogue, and guideline optimization. This comprehensive review thus serves as a foundational reference for healthcare systems, aiding in the refinement of strategies and ensuring optimal patient outcomes in times of global health emergencies.