北京协和医院成人新型冠状病毒感染患者术前评估与手术时机选择建议(2023)

北京协和医院成人新型冠状病毒感染患者术前评估与手术时机选择建议多学科专家组

doi:10.12290/xhyxzz.2023-0048

北京协和医院成人新型冠状病毒感染患者术前评估与手术时机选择建议(2023)

doi: 10.12290/xhyxzz.2023-0048

北京协和医院成人新型冠状病毒感染患者术前评估与手术时机选择建议多学科专家组

1 中国医学科学院北京协和医院, 麻醉科, 北京 100730;
2 中国医学科学院北京协和医院, 医务处, 北京 100730;
3 中国医学科学院北京协和医院, 感染内科, 北京 100730

基金项目:

中央高水平医院临床科研专项基金(2022-PUMCH-B-007)

详细信息

中图分类号: R511
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出版历程
- 收稿日期: 2023-01-31
- 录用日期: 2023-01-31
- 网络出版日期: 2023-02-03

Preoperative Evaluation and Timing of Surgery for Adult Patients After COVID-19 Infection:Recommendations of Peking Union Medical College Hospital (2023)

Multi-disciplinary Expert Team on Preoperative Evaluation and Timing of Surgery for Adult Patients After COVID-19 Infection

1 Department of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China;
2 Medical Affairs, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China;
3 Department of Infectious Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

Funds:

National High Level Hospital Clinical Research Funding (2022-PUMCH-B-007)

摘要

摘要: 随着我国疫情防控措施的调整,新型冠状病毒感染患者的术前评估、手术时机选择已成为医患双方共同关注的焦点问题。为此,北京协和医院组织相关多学科专家,遵循简明、个体化、分层分型、临床可操作的原则,结合最新临床指南、国内外临床研究证据与经验,编写了《北京协和医院成人新型冠状病毒感染患者术前评估与手术时机选择建议(2023)》。本建议提出,成人新型冠状病毒感染患者术前评估需关注新型冠状病毒感染史、症状严重程度、康复情况等;综合考虑患者基础疾病、症状严重程度、手术麻醉等因素,进行全面、个体化的评估,从而为医务人员开展术前评估及手术时机选择提供决策支持,有助于加强围术期管理并提升术后康复质量。
- 新型冠状病毒感染 /
- 术前评估 /
- 手术时机
Abstract: With the adjustment of China's epidemic prevention and control guidelines regarding coronavirus disease of 2019 (COVID-19), the preoperative evaluation and timing of surgery for patients after COVID-19 infection have become the focus of attention for both healthcare workers and patients. Based on the latest study and related clinical experience, Peking Union Medical College Hospital (PUMCH) has therefore compiled this multidisciplinary, evidence-based recommendation for concise, individualized, and practical preoperative evaluation and timing of surgery for patients after COVID-19 infection. The recommendations emphasize patients COVID-19 infection history, the severity of symptoms, and medical/physiologic recovery status during preoperative evaluation. The determination of appropriate length of time between recovery from COVID-19 and surgery/procedure should take into account of patients underlying health conditions, the severity of the COVID-19 infection course, and the types of surgery and anesthesia scheduled, to minimize postoperative complications. The recommendations are intended to aid healthcare workers in evaluating these patients, scheduling them for the optimal timing of surgery, and optimizing perioperative management and postoperative recovery.
- COVID-19 /
- preoperative evaluation /
- timing of surgery

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参考文献(12)

[1]	国家卫生健康委办公厅, 国家中医药局综合司.新型冠状病毒感染诊疗方案(试行第十版)[EB/OL].(2023-01-06)[2023-01-20].http://www.nhc.gov.cn/ylyjs/pqt/202301/32de5b2ff9bf4eaa88e75bdf7223a65a.shtml.
[2]	中华人民共和国国家卫生健康委员会. 医疗机构手术分级管理办法[EB/OL]. (2022-12-19)[2023-01-20]. http://www.nhc.gov.cn/yzygj/s7657/202212/5eb7ddbaa8004a4497c5f29d3a2a5b4d.shtml.
[3]	Collaborative CO. Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection:an international cohort study[J]. Lancet, 2020, 396:27-38.
[4]	Collaborative CO. Outcomes and Their State-level Variation in Patients Undergoing Surgery With Perioperative SARS-CoV-2 Infection in the USA:A Prospective Multicenter Study[J]. Ann Surg, 2022, 275:247-251.
[5]	Kiyatkin ME, Levine SP, Kimura A, et al. Increased inci-dence of post-operative respiratory failure in patients with pre-operative SARS-CoV-2 infection[J]. J Clin Anesth, 2021, 74:110409.
[6]	Collaborative CO, GlobalSurg C. Timing of surgery following SARS-CoV-2 infection:an international prospective cohort study[J]. Anaesthesia, 2021, 76:748-758.
[7]	Deng JZ, Chan JS, Potter AL, et al. The Risk of Postopera-tive Complications After Major Elective Surgery in Active or Resolved COVID-19 in the United States[J]. Ann Surg, 2022, 275:242-246.
[8]	Yilmaz S, Sapci I, Jia X, et al. Risk Factors Associated With Postoperative Mortality Among COVID-19 Positive Pa-tients:Results of 3027 Operations and Procedures[J]. Ann Surg, 2022, 276:969-974.
[9]	Bryant JM, Boncyk CS, Rengel KF, et al. Association of Time to Surgery After COVID-19 Infection With Risk of Postoperative Cardiovascular Morbidity[J]. JAMA Netw Open, 2022, 5:e2246922.
[10]	Anesthesia Patient Safety Foundation. American Society of Anesthesiologists and Anesthesia Patient Safety Foundation joint statement on elective surgery and anesthesia for patients after COVID-19 infection[EB/OL]. (2022-02-22)[2023-01-20]. https://www.apsf.org/news-updates/asa-and-apsf-joint-statement-on-elective-surgery-and-anesthesia-for-patients-after-covid-19-infection/.
[11]	El-Boghdadly K, Cook TM, Goodacre T, et al. Timing of elective surgery and risk assessment after SARS-CoV-2 infec-tion:an update:A multidisciplinary consensus statement on behalf of the Association of Anaesthetists, Centre for Periop-erative Care, Federation of Surgical Specialty Associations, Royal College of Anaesthetists, Royal College of Surgeons of England[J]. Anaesthesia, 2022, 77:580-587.
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文章访问数: 549
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北京协和医院成人新型冠状病毒感染患者术前评估与手术时机选择建议(2023)

doi: 10.12290/xhyxzz.2023-0048

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Preoperative Evaluation and Timing of Surgery for Adult Patients After COVID-19 Infection:Recommendations of Peking Union Medical College Hospital (2023)

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留言板

北京协和医院成人新型冠状病毒感染患者术前评估与手术时机选择建议(2023)

doi: 10.12290/xhyxzz.2023-0048

计量

出版历程

Preoperative Evaluation and Timing of Surgery for Adult Patients After COVID-19 Infection:Recommendations of Peking Union Medical College Hospital (2023)

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出版历程

目录