Every suspected or known COVID-19-positive patients requiring surgical intrusion must be treated as positive, until confirmed, in order to reduce infection spread.

In this present COVID-19 it is important to ensure the capability of surgeons and specialized professionals to function through the epidemic. A cognizant effort must be made to lessen infection in this sector.

All surgical processes on all suspected COVID-19 patient must be put on hold until infection clearance is confirmed. Significant staff should be involved when delay is not possible. Reservepractise should be cautiouslymeasured while planning scheduled procedures, principally with respect to intensive care beds, blood components, staff, devices, etc.

Operations for COVID patients might be planned with a devoted on-call shift. PPEs and stock required for hand hygiene must be regularlyrestocked within the COVID operating areas (COA). A precisely allocated filter area designed for COVID patients to enter the COA should be furnished with PPEs, hand hygiene station, and a dedicated IRHW bins.

Record should be kept of all operators involved in procedures on potentially infected patients. All non-intubated patients must wear a surgical mask. Medical records must kept on outside the OR and accessed and update.

To reduce any infection, cautious anaesthesiologist planning is recommended. During the recovery phase, at the end of the surgery, the patient must be aided directly in the OR until ready to be transported back to the inpatients staying place.In order to lessen contact between COVID-positive patients and the nearby environment, the time patients spend returning to wards must be reduced.

It is mandatory to establishaccuratefirmstrategies to accomplish undeferrable surgical procedures and emergencies on COVID-19-positive patient. Hospitals mustformulateprecise internal rules and arrange suitable training of the involved personnel.

Source: World J EmergSurg, 2020 Apr 7;15(1):25.