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10.1016/j.jvs.2020.05.026

http://scihub22266oqcxt.onion/10.1016/j.jvs.2020.05.026
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32454232!7245277!32454232
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suck abstract from ncbi


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pmid32454232      J+Vasc+Surg 2020 ; 72 (4): 1166-1172
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  • Experience from a Singapore tertiary hospital with restructuring of a vascular surgery practice in response to national and institutional policies during the COVID-19 pandemic #MMPMID32454232
  • Ng JJ; Gan TRX; Niam JY; Menon RK; Ho P; Dharmaraj RB; Wong JCL; Choong AMTL
  • J Vasc Surg 2020[Oct]; 72 (4): 1166-1172 PMID32454232show ga
  • Singapore was one of the first countries to be affected by COVID-19, with the index patient diagnosed on January 23, 2020. For 2 weeks in February, we had the highest number of COVID-19 cases behind China. In this article, we summarize the key national and institutional policies that were implemented in response to COVID-19. We also describe in detail, with relevant data, how our vascular surgery practice has changed because of these policies and COVID-19. We show that with a segregated team model, the vascular surgery unit can still function while reducing risk of cross-contamination. We explain the various strategies adopted to reduce outpatient and inpatient volume. We provide a detailed breakdown of the type of vascular surgical cases that were performed during the COVID-19 pandemic and compare it with preceding months. We discuss our operating room and personal protective equipment protocols in managing a COVID-19 patient and share how we continue surgical training amid the pandemic. We also discuss the challenges we might face in the future as COVID-19 regresses.
  • |*Policy Making[MESH]
  • |Ambulatory Care/legislation & jurisprudence/organization & administration[MESH]
  • |Betacoronavirus/pathogenicity[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/diagnosis/epidemiology/*therapy/virology[MESH]
  • |Delivery of Health Care, Integrated/*legislation & jurisprudence/organization & administration[MESH]
  • |Health Policy/*legislation & jurisprudence[MESH]
  • |Health Services Needs and Demand/*legislation & jurisprudence/organization & administration[MESH]
  • |Hospital Departments/legislation & jurisprudence/organization & administration[MESH]
  • |Host-Pathogen Interactions[MESH]
  • |Humans[MESH]
  • |Infection Control/legislation & jurisprudence/organization & administration[MESH]
  • |Occupational Health/legislation & jurisprudence[MESH]
  • |Pandemics[MESH]
  • |Patient Care Team/legislation & jurisprudence/organization & administration[MESH]
  • |Patient Safety/legislation & jurisprudence[MESH]
  • |Pneumonia, Viral/diagnosis/epidemiology/*therapy/virology[MESH]
  • |Program Evaluation[MESH]
  • |SARS-CoV-2[MESH]
  • |Singapore/epidemiology[MESH]
  • |Tertiary Care Centers/*legislation & jurisprudence/organization & administration[MESH]
  • |Vascular Surgical Procedures/*legislation & jurisprudence[MESH]


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