ArticleThe British journal of surgery2020
Surgery during the COVID-19 pandemic: operating room suggestions from an international Delphi process.
Article in The British journal of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.
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Who cites it
31 citing papers in PubMed, 52 citations in OpenAlex.
- Minimally Required Personal Protective Equipment during Local Anesthesia Surgery in COVID-19: A Simulation Study.Plastic and reconstructive surgery. Global open · 2023Article
- Experimental study on the exposure level of surgical staff to SARS-CoV-2 in operating rooms with mixing ventilation under negative pressure.Building and environment · 2022Article
- Results of the treatment of patients with exudative AMD during the COVID-19 pandemic.Archivos de la Sociedad Espanola de Oftalmologia · 2022Observational
- The RCS England COVID-19 Surgical Research Group: early findings and lessons to influence surgical practice.Annals of the Royal College of Surgeons of England · 2022Article
- Global research hotspots and trends in the field of spine surgery during the COVID-19 pandemic: A bibliometric and visual analysis.Frontiers in surgery · 2022Article
- Surgical Infection Society Guidance for Restoration of Surgical Services during the Coronavirus Disease-2019 Pandemic.Surgical infections · 2021Article
- Cardiac surgeons' concerns, perceptions, and responses during the COVID-19 pandemic.Journal of cardiac surgery · 2021Article
- Delphi methodology in healthcare research: How to decide its appropriateness.World journal of methodology · 2021Review
- Continuing cancer surgery through the first six months of the COVID-19 pandemic at an academic university hospital in India: A lower-middle-income country experience.Journal of surgical oncology · 2021Article
- COVID-19-related absence among surgeons: development of an international surgical workforce prediction model.BJS open · 2021Article
- Pre-operative testing and personal protective equipment in the operating room during a pandemic: A survey of Ontario general surgeons.Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2021Article
- Maintaining Standards in Colorectal Cancer Surgery During the Global Pandemic: A Cohort Study.World journal of surgery · 2021Article
- Perioperative SARS-CoV-2 infection among women undergoing major gynecologic cancer surgery in the COVID-19 era: A nationwide, cohort study from Turkey.Gynecologic oncology · 2021Article
- Nosocomial SARS-CoV-2 transmission in postoperative infection and mortality: analysis of 14 798 procedures.The British journal of surgery · 2020Article
- Acute arterial and deep venous thromboembolism in COVID-19 patients: Risk factors and personalized therapy.Surgery · 2020Article
- Solving the problems of gas leakage at laparoscopy.The British journal of surgery · 2020Article
- Developing a Surgical Oncology Hub during the COVID-19 Pandemic: Lessons Learned from the United Kingdom.The British journal of surgery · 2020Article
- It's COVID o'clock.The British journal of surgery · 2020Article
- How COVID-19 is modifying trauma care.The British journal of surgery · 2020Article
- Trauma care in the times of COVID.The British journal of surgery · 2020Article
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOperating room (OR) practice during the COVID-19 pandemic is driven by basic principles, shared experience and nascent literature. This study aimed to identify the knowledge needs of the global OR workforce, and characterize supportive evidence to establish consensus.
methodsA rapid, modified Delphi exercise was performed, open to all stakeholders, informed via an online international collaborative evaluation.
resultsThe consensus exercise was completed by 339 individuals from 41 countries (64·3 per cent UK). Consensus was reached on 71 of 100 statements, predominantly standardization of OR pathways, OR staffing and preoperative screening or diagnosis. The highest levels of consensus were observed in statements relating to appropriate personal protective equipment (PPE) and risk distribution (96-99 per cent), clear consent processes (96 per cent), multidisciplinary decision-making and working (97 per cent). Statements yielding equivocal responses predominantly related to technical and procedure choices, including: decontamination (40-68 per cent), laminar flow systems (13-61 per cent), PPE reuse (58 per cent), risk stratification of patients (21-48 per cent), open versus laparoscopic surgery (63 per cent), preferential cholecystostomy in biliary disease (48 per cent), and definition of aerosol-generating procedures (19 per cent).
conclusionHigh levels of consensus existed for many statements within each domain, supporting much of the initial guidance issued by professional bodies. However, there were several contentious areas, which represent urgent targets for investigation to delineate safe COVID-19-related OR practice.
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