Worsening COVID-19 Disease Course After Surgical Trauma: A Case Series
| Author | Quinten Cuypers | en |
| Author | Vincent Vandebergh | en |
| Author | Bjorn Stessel | en |
| Author | Ina Callebaut | en |
| Author | Ilse Depauw | en |
| Author | Vera Saldien | en |
| Author | Dirk Vrancken | en |
| Orcid | Bjorn Stessel [0000-0002-1422-2777] | en |
| Orcid | Ina Callebaut [0000-0002-6666-6783] | en |
| Issued Date | 2022-11-12 | en |
| Abstract | Introduction: Current guidelines from the American Society of Anesthesiologists recommend postponing elective surgery on COVID-19-positive patients for a minimum of four to twelve weeks. However, literature focusing on the outcomes of COVID-19-positive patients undergoing surgery is scarce. In this case series, the outcome of asymptomatic COVID-19 patients undergoing acute or semi-urgent surgery was evaluated. Case Presentation: A case series of four patients between 32 and 82 years old with a confirmed SARS-CoV-2 infection undergoing acute or semi-urgent surgery was presented here. All four patients were asymptomatic for COVID-19, developing severe respiratory failure following endo CABG, caesarian section, a thyroidectomy, or abdominal surgery. ICU admission, together with invasive ventilation, was necessary for all patients. Two patients required venovenous extracorporeal membrane oxygenation treatment. A mortality of 50% was observed. Conclusions: In conclusion, the present case series suggests that elective surgery in asymptomatic SARS-CoV-2 infected patients might elicit an exacerbated COVID-19 disease course. This study endorses the current international guidelines recommending postponing elective surgery for SARS-CoV-2-positive patients for seven weeks, depending on the severity of the surgery and perioperative morbidities, to minimize postoperative mortality. | en |
| DOI | https://doi.org/10.5812/aapm-127356 | en |
| Keyword | Surgical Trauma | en |
| Keyword | COVID-19 | en |
| Keyword | SARS-CoV-2 | en |
| Publisher | Brieflands | en |
| Title | Worsening COVID-19 Disease Course After Surgical Trauma: A Case Series | en |
| Type | Case Report | en |
Files
Original bundle
1 - 1 of 1
Loading...
- Name:
- aapm-12-5-127356.pdf
- Size:
- 119.5 KB
- Format:
- Adobe Portable Document Format
- Description:
- Article/s PDF