Mini Review
Volume 8 Issue 11 - 2021
Are we Witnessing a Change in the Paradigm Established for the Surgical and Critical Patients´ Management in the Upcoming COVID-19 Pandemic Waves?
Sergio Perez-Holanda*
Digestive Surgeon (Health Care Area VIII, Langreo), Currently Serving as Surgical and Intensive Cares Medical Deputy Director (Health Care Area IV, Oviedo), Principality of Asturias, Spain
*Corresponding Author: Sergio Perez-Holanda, Central Universitary Hospital of Asturias (HUCA), Oviedo, Principality of Asturias, Spain.
Received: August 26, 2021; Published: October 28, 2021




Abstract

Taking into account the results and actions performed during the previous COVID-19 pandemic waves, it seems that in the last wave in our Region, the decision-making process that concerned patients, both surgical and those who required intensive or critical cares, have been adapted and changed, based on modifications suffered in care indicators, both in terms of available resources and in the volume of activity demanded by both COVID-19 infected or non infected patients operated on.

This article aims to offer some new perspectives on this issue.

Keywords: COVID-19 Pandemic; SARS-CoV-2 Infection; Safety Management; Surgery

References

  1. Perez-Holanda S. “Organizational Aspects of Clinical Safety in Surgical Patients during the Covid-19 Pandemic in a Tertiary Level Hospital”. EC Gastroenterology and Digestive System12 (2020): 08-21.
  2. Perez-Holanda S. “Different Strategical Lines in Clinical Safety for Surgical Patients during the Two COVID-19 Pandemic Waves in a Tertiary Level Hospital”. EC Gastroenterology and Digestive System2 (2021): 86-98.
  3. Perez-Holanda S. “What we have Learned during these Three Pandemic Waves”. EC Gastroenterology and Digestive System7 (2021): 01-10.
  4. General Directorate of Public Health. Government of the Principality of Asturias (Oviedo, Asturias, Spain). “Health Website of Principality of Asturias: Regional COVID-19 situation depending on the Health Area”. Daily Accumulative Reports by Internet Access (2021).
  5. Government of the Principality of Asturias. "Decree 34/2020, of December 11, by which measures are adopted to contain the spread of infections caused by SARS-CoV-2 within the framework of the state of alarm, during the Christmas Time". Official Gazette of the Principality of Asturias (BOPA) number 238 (2020).
  6. Government of the Principality of Asturias. "Decree 29/2020, of November 3, second modification of Decree 27/2020 of October 26, by which measures are adopted to contain the spread of infections caused by SARS-CoV-2 within the framework of the state of alarm". Official Gazette of the Principality of Asturias (BOPA) number 212 (2020).
  7. Managing Director of Health Care Area IV. “Medical Subdirectorate for Basic Services, including Department of Clinical Analysis. "Regional COVID-19 RNA cycles, and depending on the Health Area of origin of the request". Daily reports in electronic spreadsheet format (2021).
  8. General Directorate of Public Health. Government of the Principality of Asturias (Oviedo, Asturias, Spain). "Health Observatory of Asturias: Regional COVID-19 situation depending on the Health Area”. Daily accumulative reports by Internet Access (2021).
  9. Government of Spain. "Royal Decree 1039/2011, of July 15, which establishes the framework criteria to guarantee a maximum time of access to the health benefits of the National Health System". Official Gazette of Spain (BOE) number 207(2011).
  10. General Directorate of Public Health. "Instruction number 04/2021, to update the Vaccination Strategy against COVID-19 in Asturias in relation to Update number 4 of the National Strategy". Government of the Principality of Asturias (Oviedo, Asturias, Spain). Technical Document (2021).
Citation: Sergio Perez-Holanda. “Are we Witnessing a Change in the Paradigm Established for the Surgical and Critical Patients´Management in the Upcoming COVID-19 Pandemic Waves?”. EC Gastroenterology and Digestive System 8.11 (2021): 60-62.

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