The American College of Surgeons (ACS), Association of perioperative Registered Nurses (AORN), and the American Society of Anesthesiologists (ASA) on March 24 released a joint statement regarding decision making on elective surgeries.
The statement includes that: "A Surgical Review Committee, composed of surgery, anesthesiology, and nursing personnel is essential to provide defined, transparent, and responsive oversight."
In conjunction with this statement, the ACS and surgical specialty societies prepared triage criteria, and issued "Elective Case Triage Guidelines for Surgical Care," which recommends that surgeons curtail the performance of elective procedures.
While some cases can be postponed indefinitely, the vast majority are associated with progressive disease, such as cancer, vascular disease, and organ failure, that will continue to progress. Delaying some cases risks having them reappear as more severe emergencies at a time when they will be less easily handled.
Decision making for elective surgery follows a tiered acuity scale:
Although COVID-19 is a clear risk to all, it is but one of many competing risks for patients requiring surgical care, the statement says.Read More >>