COVID-19 - ESSKA guidelines and recommendations for resuming elective surgery

Caroline Mouton, Michael T. Hirschmann, Matthieu Ollivier, Romain Seil, Jacques Menetrey*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

70 Citations (Scopus)

Abstract

The roadmap to elective surgery resumption after this COVID-19 pandemic should be progressive and cautious. The aim of this paper was to give recommendations and guidelines for resuming elective orthopedic surgery in the safest environment possible. Elective surgery should be performed in COVID-free facilities and hospital stay should be as short as possible. For matters of safety, patients considered first for surgery should be carefully selected according to COVID infection status/exposure, age, ASA physical status classification system / risk factors, socio-professional situation and surgical indication. A strategy for resuming elective surgery in four phases is proposed. Preoperative testing for COVID-19 infection is highly recommended. In any cases, COVID symptoms including fever and increased temperature should be constantly monitored until the day of surgery. Elective surgery should be postponed at the slightest suspicion of a COVID-19 infection. In case of surgery, adapted personal protective equipment in terms of gowns, gloves, masks and eye protection is highly recommended and described.

Original languageEnglish
Article number28
JournalJournal of Experimental Orthopaedics
Volume7
Issue number1
DOIs
Publication statusPublished - 1 Dec 2020
Externally publishedYes

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