Evidence map›Paper›PMID 36238331›Full record

ArticleJournal of Indian Association of Pediatric Surgeons

Challenges and Changes in Pediatric Surgical Practice during the COVID-19 Pandemic Era.

Nirkhi R Shah, Jaishri Ramji, Maheshkumar Manilal Vaghela, Charul Mehta, Arif Vohra, Rakesh S Joshi

Abstract read
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Article in Journal of Indian Association of Pediatric Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Nirkhi R ShahDepartment of Pediatric Surgery, B. J. Medical College and Civil Hospital, Ahmedabad, Gujarat, India.
Jaishri RamjiDepartment of Pediatric Surgery, B. J. Medical College and Civil Hospital, Ahmedabad, Gujarat, India.
Maheshkumar Manilal VaghelaDepartment of Pediatric Surgery, B. J. Medical College and Civil Hospital, Ahmedabad, Gujarat, India.
Charul MehtaDepartment of Pediatric Surgery, B. J. Medical College and Civil Hospital, Ahmedabad, Gujarat, India.
Arif VohraDepartment of Pediatric Surgery, B. J. Medical College and Civil Hospital, Ahmedabad, Gujarat, India.
Rakesh S JoshiDepartment of Pediatric Surgery, B. J. Medical College and Civil Hospital, Ahmedabad, Gujarat, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: Working practices in pediatric surgery underwent enormous changes during the era of the COVID-19 pandemic. While certain surgical conditions in children can be managed temporarily with nonsurgical options, most neonates with congenital surgical malformations require emergent operations. We discuss the challenges faced; measures adopted in dealing with surgical emergencies and analyze the diagnoses and outcomes of patients with COVID-19 infection in our institute during the pandemic era. Materials and Methods: When the lockdown was imposed, it was mandated that all elective procedures should be put on hold. We formulated criteria for triaging procedures as emergent, urgent, and elective. A standard operating protocol was devised regarding admission, pre and postoperative management. Protocols for surgical procedures were established in a separate Covid-designated operation room including a specified sequence of donning and doffing personal protective equipment. Results: In the COVID era, from March 23, 2020 to mid-July 2021, 1282 surgeries have been done in our department, 344 emergencies and 461 planned procedures, which include 31 COVID-19 positive cases, with overall good outcomes. 103 emergency surgeries were done during the first wave (March-end to June 2020), and 103during the second wave (April to mid-June 2021). Moreover, not a single healthcare worker in the department has been infected. Conclusion: Pediatric Surgeons are adapting to the new guidelines to continue to provide emergency services with safe and effective care to their patients during the COVID-19 pandemic. Simultaneously, focus on personal and staff protection is ensured to keep the healthcare workers healthy and able to discharge their duties adequately.

Indexed as

COVID-19pediatric surgeriesprotocolsworking practice

Identifiers

PMID36238331
PMCPMC9552636

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.