19. Pre-operative preparation for patient with history of COVID-19

Phan Thuy Chi, Nguyen Huu Tu

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Abstract

As of October 2022, there were about 621 millions confirmed COVID-19 cases worldwide, and 6.56 millions died. Thanks to the development of vaccines, despite the emergence of the Omicron variant, the disease is better managed and the pandemic seems to be controlled. However, people have been observed to experience health problems long after having COVID-19, including multi-organ disorder that affects the brain, heart, lung, kidney, immune system, and hemostasis. When patients with post-COVID-19 multi-organ disorder are indicated for surgery, special attention should be paid to the patient preparation process and how the surgery should be conducted. We conducted a literature review of guidelines for surgical preparation for patients with a history of COVID-19 infection. The consensus included delaying surgeries until 4 - 8 weeks after COVID-19 infection, only performing surgery in patients who are asymptomatic, vaccinating the patients with booster before surgery, and paying special attention to avoid pulmonary and thrombotic complications.

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References

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