Masalah Perioperatif pada Kasus Emergensi Ortopedik Selama Pandemi Covid-19: Laporan Kasus Amputasi Darurat Pasien Suspek Covid-19
Abstract
Penyakit Coronavirus 2019 (COVID-19), yang disebabkan oleh severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), telah menyebar ke seluruh dunia. Selama epidemi COVID-19 yang sedang berlangsung, banyak rumah sakit yang menunda sebagian besar operasi elektif. Namun, beberapa operasi darurat, terutama untuk pasien trauma, tidak bisa dihindari. Untuk pasien yang dicurigai atau dikonfirmasi COVID-19, protokol standar yang terkait persiapan pra operasi, manajemen intraoperatif, dan pengawasan pasca operasi harus diterapkan untuk menghindari infeksi nosokomial dan memastikan keselamatan pasien juga tenaga Kesehatan yang terlibat. Dalam artikel ini kami melaporkan kasus seorang pasien berusia 65 tahun dengan crush injury tungkai bawah dan suspek covid-19. Pasien direncanakan untuk menjalani CITO debridemen dan amputasi di atas lutut. Artikel ini kemudian membahas pertimbangan perioperatif dan teknis yang penting untuk menangani pasien COVID-19 yang membutuhkan perawatan darurat, tanpa mengesampingkan hasil klinis sembari memastikan keselamatan staf yang ada
References
Balibrea, J. M., Badia, J. M., Rubio Pérez, I., Martín Antona, E., Álvarez Peña, E., García Botella, S., … Morales-Conde, S. (2020). Surgical Management of Patients With COVID-19 Infection. Recommendations of the Spanish Association of Surgeons. Cirugía Española (English Edition), 98(5), 251–259. https://doi.org/10.1016/j.cireng.2020.04.003
Chen, N., Zhou, M., Dong, X., Qu, J., Gong, F., Han, Y., … Zhang, L. (2020). Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. The Lancet, 395(10223), 507–513. https://doi.org/10.1016/S0140-6736(20)30211-7
Corman, V. M., Landt, O., Kaiser, M., Molenkamp, R., Meijer, A., Chu, D. K., … Chantal, R. (2020). Detection of 2019 -nCoV by RT-PCR. Euro Surveill, 25(3), 1–8. https://doi.org/10.2807/1560-7917.ES.2020.25.3.2000045
de Simone, B., Chouillard, E., Di Saverio, S., Pagani, L., Sartelli, M., Biffl, W. L., … Catena, F. (2020). Emergency surgery during the COVID-19 pandemic: What you need to know for practice. Annals of the Royal College of Surgeons of England, 102(5), 323–332. https://doi.org/10.1308/RCSANN.2020.0097
Dutton, R. P., Grissom, T. E., & Herbstreit, F. (2020). COVID-19 and Trauma Care: Improvise, Adapt, and Overcome! Anesthesia and Analgesia, 131(2), 323–325. https://doi.org/10.1213/ANE.0000000000004944
European Centre for Disease Prevention and Control. (2020). Infection prevention and control for COVID-19 in healthcare settings. Elsevier’s Novel Coronavirus Information Center, (March), 3–6. Retrieved from https://eur-lex.europa.eu/legal-%0Ahttps://www.ecdc.europa.eu/sites/default/files/documents/nove-coronavirus-infection-prevention-control-patients-healthcare-settings.pdf%0Ahttps://www.ecdc.europa.eu/en/publications-data/infection-prevention-and-control-c
Gong, Y., Cao, X., Mei, W., Wang, J., Shen, L., Wang, S., … Huang, Y. (2020). Anesthesia Considerations and Infection Precautions for Trauma and Acute Care Cases during the COVID-19 Pandemic: Recommendations from a Task Force of the Chinese Society of Anesthesiology. Anesthesia and Analgesia, XXX(Xxx), 326–334. https://doi.org/10.1213/ANE.0000000000004913
Guan, W., Ni, Z., Hu, Y., Liang, W., Ou, C., He, J., … Zhong, N. (2020). Clinical characteristics of coronavirus disease 2019 in China. New England Journal of Medicine, 382(18), 1708–1720. https://doi.org/10.1056/NEJMoa2002032
Han, P., Li, F., Cao, P., Hu, S., Kong, K., Deng, Y., … Zhao, B. (2020). A case report with COVID-19 during perioperative period of lobectomy. Medicine, 99(22), e20166. https://doi.org/10.1097/MD.0000000000020166
Huang, C., Wang, Y., Li, X., Ren, L., Zhao, J., Hu, Y., … Cao, B. (2020). Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The Lancet, 395(10223), 497–506. https://doi.org/10.1016/S0140-6736(20)30183-5
Jin, Y., Cai, L., Cheng, Z., Cheng, H., Deng, T., Fan, Y., … Han, Y. (2020). A rapid advice guideline for the diagnosis and treatment of 2019 novel coronavirus (2019-nCoV) infected pneumonia (standard version). Military Medical Research, 7(4), 1–23. https://doi.org/10.1186/s40779-020-0233-6
Li, Y., Li, Z., Mao, Q., & et al. (2020). Expert consensus on emergency surgery and infection protection for severe trauma during the new crown pneumonia epidemic. Chinese Journal of Trauma, 36(02), 1–7. https://doi.org/10.3760/cma.j.issn.1001-8050.2020.02.001
Li, Y., Zeng, L., Li, Z., Mao, Q., Liu, D., Zhang, L., … Zhang, L. (2020). Emergency trauma care during the outbreak of corona virus disease 2019 (COVID-19) in China. World Journal of Emergency Surgery, 15, 1–10. https://doi.org/10.1186/s13017-020-00312-5
National Health Commission & National Administration of Traditional Chinese Medicine. (2020). Diagnosis and treatment protocol for novel coronavirus pneumonia (Trial version 7). Chinese Medical Journal, 133(9), 1087–1095. https://doi.org/10.1097/CM9.0000000000000819
Rush, C. (2006). Guidelines for Essential Trauma Care. Journal of Emergency Nursing, 32(1), 89–90. https://doi.org/10.1016/j.jen.2005.08.004
Sehulster, L., Chinn, R., Arduino, M., Carpenter, J., Donlan, R., Ashford, D., … Cleveland, J. (2019). Guidelines for environmental infection control in health-care facilities. Recommendations from CDC and the Healthcare Infection Control Practices Advisory Committee (HICPAC). Retrieved from U.S. Department of Health and Human Services Centers for Disease Control and Prevention (CDC) website: https://www.cdc.gov/infectioncontrol/guidelines/environmental/index.html
World Health Oganization. (n.d.). Timeline of WHO’s response to COVID-19. Retrieved September 29, 2020, from 2020 website: https://www.who.int/news-room/detail/29-06-2020-covidtimeline
World Health Oganization. (2020). WHO Coronavirus Disease (COVID-19) Dashboard. Retrieved September 29, 2020, from https://covid19.who.int/
World Health Organization (WHO). (2020a). Clinical management of severe acute respiratory infection when novel coronavirus (2019-nCoV) infection is suspected. WHO Interim Guidance, 1–10.
World Health Organization (WHO). (2020b). Infection prevention and control during health care when COVID-19 is suspected. WHO Interim Guidance, 1–5. Retrieved from https://apps.who.int/iris/rest/bitstreams/1272420/retrieve
World Health Organization (WHO). (2020c). Rational use of personal protective equipment for coronavirus disease 2019 (COVID-19): Interim guidance, 6 April 2020. WHO Interim Guidance, 1–7. Retrieved from https://apps.who.int/iris/bitstream/handle/10665/331695/WHO-2019-nCov-IPC_PPE_use-2020.3-eng.pdf
Copyright (c) 2021 Bintang Soetjahjo, Udi Herunefi Hancoro, Rieva Ermawan, Rhyan Darma Saputra, Bagus Jati Nugroho, Muhammad Abdulhamid

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Para penulis yang menerbitkan artikelnya di SENADA : Semangat Nasional Dalam Mengabdi setuju dengan ketentuan berikut:
Penulis memegang hak cipta dan memberikan hak kepada SENADA : Semangat Nasional Dalam Mengabdi untuk publikasi pertama dengan karya yang secara simultan dilisensikan di bawah Lisensi Creative Commons Attribution License.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Ini berarti, di bawah lisensi CC-BY-NC, penulis mengizinkan, diizinkan, dan didorong untuk:
- Menyesuaikan karya dan berbagi untuk yang lain (materi dan isi publikasi);
- Masuk ke dalam pengaturan kontrak tambahan yang terpisah untuk distribusi non-eksklusif versi jurnal yang diterbitkan dari karya tersebut (mis., Postingkan ke repositori institusional atau terbitkan dalam buku)
- Menerbitkan pekerjaan mereka secara online (mis., Dalam repositori institusional atau di situs web mereka) sebelum dan selama proses pengiriman, karena dapat menyebabkan pertukaran yang produktif, serta kutipan yang lebih awal dan lebih besar dari karya yang diterbitkan.
Para pengguna (redistributor) SENADA : Semangat Nasional Dalam Mengabdi diharuskan mengutip sumber asli, termasuk nama penulis, SENADA : Semangat Nasional Dalam Mengabdi sebagai sumber awal publikasi, tahun publikasi, nomor volume, edisi , dan Digital Object Identifier (DOI).