Singapore was one of the first countries affected by COVID-19 to be diagnosed with an outbreak on January 23, 2020. The second week of February had the highest number of COVID-19 cases after China. This document summarizes the policies of key countries and institutions implemented in response to COVID-19 with the help of Singapore hospitals. It also details these policies and how COVID-19 has changed the practice of vascular surgeons, along with relevant data.
They show that even using a separate team model, and vascular surgical devices can function with reduced risk of cross-contamination. It describes the various strategies adopted to reduce the volume of outpatients and inpatients. Provides a detailed analysis of the types of vascular surgery cases performed during the COVID19 pandemic and compares them to the previous month. Discuss operating room and personal protective equipment protocols for managing COVID19 patients and share how to continue surgical training in infectious diseases. Major discusses the challenges facing the future as COVID 19 degenerates.
As part of their inpatient service, the Singapore Clinic provide emergency vascular surgery counselling services to medical staff managing COVID 19 patients. Until now, I have not met them with COVID19-positive patients who show clinical symptoms of coagulation. The clinical symptoms of COVID19 may vary by race. Genetic polymorphism has been shown to significantly reduce the risk of venous thromboembolism in various Asian ethnic groups compared to Caucasians.
Clinics also created and implemented an internal scoring system to classify patients needing arteriovenous dialysis access generation. This scoring system consists of variables such as previous catheter-related bloodstream infections, extended tunnel catheter time of 6 months or more, limited access issues such as catheter options, and catheter malfunction history. Currently, these major clinics selectively perform arteriovenous dialysis access generation only in patients with multiple variables. Once Corona 19 has settled, this scoring system can also be used as a tool to prioritize patients who need faster dialysis access generation.
Many clinics start preparing for the future. Technologies that thrived between COVID 19, such as telemedicine and remote monitoring technologies, need to be leveraged for future practices. With COVID19 reduced, you can face a large case backlog. Reasonable classification still applies. More important cases now work first. As outpatient and inpatient services gradually increase to pre-COVID19 levels, vigilance is needed to continue screening potential COVID19 patients and maintain high levels of hygiene once Corona 19 has settled down.