Plans for Action: Mitigating the Impact of COVID-19 on ... · important to promote education of the...

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As the current pandemic threatens to divert valuable resources from children’s surgical care to other pressing public health and clinical priorities, the Global Initiative for Children’s Surgery sought input from colleagues worldwide on what were the biggest challenges facing them and what GICS could do to help. We recognize this is a rapidly evolving, dynamic situation with most countries and hospitals facing different sets of challenges. In this follow-up session, we ask our panelists how GICS could help with the following: KEN WONG | Pediatric General Surgeon, Hong Kong LEECARLO MILLANO | Pediatric General Surgeon, Indonesia BEDA ESPINEDA | Pediatric General Surgeon, The Philippines LUBNA SAMAD | Pediatric General Surgeon, Pakistan VRISHA MADHURI | Pediatric Orthopedic Surgeon, India SAMEH SHEHATA | Pediatric General Surgeon, Egypt ALAWAL-AIYEDUN OLUBUNMI | Pediatric Nurse, Nigeria NABULINDO SUSANE | Pediatric Anesthesiologist, Kenya FABIO BOTELHO | Pediatric General Surgeon, Brazil EMMANUEL AMEH and KOKILA LAKHOO | Moderators See our website for extensive COVID-19 resources www.GICSurgery.org Plans for Action: Mitigating the Impact of COVID-19 on Children’s Surgery Thursday, 2 July 2020 15h00 – 16h30 BST (London UK time) § Educational resources § Guidelines § Backlog of patients § Research

Transcript of Plans for Action: Mitigating the Impact of COVID-19 on ... · important to promote education of the...

Page 1: Plans for Action: Mitigating the Impact of COVID-19 on ... · important to promote education of the future Ped Surgeons. Mitigating the Impact of COVID-19 on Children’s Surgery

Asthecurrentpandemicthreatenstodivertvaluableresourcesfromchildren’ssurgicalcaretootherpressingpublichealthandclinicalpriorities,theGlobalInitiativeforChildren’sSurgerysoughtinputfromcolleaguesworldwideonwhatwerethebiggestchallengesfacingthemandwhatGICScoulddotohelp.Werecognizethisisarapidlyevolving,dynamicsituationwithmostcountriesandhospitalsfacingdifferentsetsofchallenges.Inthisfollow-upsession,weaskourpanelistshowGICScouldhelpwiththefollowing:

KENWONG|PediatricGeneralSurgeon,HongKongLEECARLOMILLANO|PediatricGeneralSurgeon,IndonesiaBEDAESPINEDA|PediatricGeneralSurgeon,ThePhilippinesLUBNASAMAD|PediatricGeneralSurgeon,PakistanVRISHAMADHURI|PediatricOrthopedicSurgeon,India

SAMEHSHEHATA|PediatricGeneralSurgeon,EgyptALAWAL-AIYEDUNOLUBUNMI|PediatricNurse,NigeriaNABULINDOSUSANE|PediatricAnesthesiologist,KenyaFABIOBOTELHO|PediatricGeneralSurgeon,BrazilEMMANUELAMEHandKOKILALAKHOO|Moderators

SeeourwebsiteforextensiveCOVID-19resourceswww.GICSurgery.org

PlansforAction:MitigatingtheImpactofCOVID-19onChildren’sSurgery

Thursday,2July202015h00–16h30BST(LondonUKtime)

§  Educationalresources§  Guidelines§  Backlogofpatients§  Research

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ThankstoourPartners

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PREVIOUSWEBINAR:

Whatarethegreatestchallengesfacingyou?WhatcanGICSdotohelp?

MitigatingtheImpactofCOVID-19onChildren’sSurgeryEmmanuelAmeh,PaediatricGeneralSurgeon,Nigeria,GICSChair

KokilaLakhoo,PaediatricGeneralSurgeon,Oxford,UK,GICSPastChair

GICSPastChairGICSChair

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Whatarethegreatestchallengesfacingyou?• Cancellationofelectiveoperationswithoutproperguidelinesonwhichcasesshouldbedelayed• Noguidanceonwhentoresumeelectivesurgery,therateatwhichtoresume,andwhichcasesshouldbeperformedfirst• Alargebacklogofcasestobedonewhenelectivesurgeryresumes• Cessationofoutreachandsurgicalvisitingteams

MitigatingtheImpactofCOVID-19onChildren’sSurgeryEmmanuelAmeh,PaediatricGeneralSurgeon,Nigeria,GICSChair

KokilaLakhoo,PaediatricGeneralSurgeon,Oxford,UK,GICSPastChair

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Whatarethegreatestchallengesfacingyou?•  Latepresentationforemergentconditions•  Increasedlengthofstayduetolatepresentations•  LessendoscopyandMIS•  Treatmentofchildrenbyless-experiencedprovidersatlocalhospitals•  Inabilitytoseepatientswithcongenitalanomaliesinclinicsinatimelyfashion

MitigatingtheImpactofCOVID-19onChildren’sSurgeryEmmanuelAmeh,PaediatricGeneralSurgeon,Nigeria,GICSChair

KokilaLakhoo,PaediatricGeneralSurgeon,Oxford,UK,GICSPastChair

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Whatarethegreatestchallengesfacingyou?• Cessationofeducationoftraineesandmedicalstudents• UnavailabilityofCOVID-19testing•  ShortageofappropriatePPE•  LackofguidelinesforuseofPPE•  InfectionanddeathofHCWs• AnxietyandfearofHCWs

MitigatingtheImpactofCOVID-19onChildren’sSurgeryEmmanuelAmeh,PaediatricGeneralSurgeon,Nigeria,GICSChair

KokilaLakhoo,PaediatricGeneralSurgeon,Oxford,UK,GICSPastChair

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HowcouldGICShelpwiththefollowing?• Educationalresources• Guidelines• Backlogofpatients• Research

MitigatingtheImpactofCOVID-19onChildren’sSurgeryEmmanuelAmeh,PaediatricGeneralSurgeon,Nigeria,GICSChair

KokilaLakhoo,PaediatricGeneralSurgeon,Oxford,UK,GICSPastChair

GICSPastChairGICSChair

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ActionPlanningForum:MitigatingtheImpactofCOVID-19onChildren’sSurgery

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MitigatingtheImpactofCOVID-19onChildren’sSurgeryKennethWong,PaediatricGeneralSurgeon,HongKong

HowcouldGICShelpwitheducationalresources?

•  Educationforpatientsandcarers

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MitigatingtheImpactofCOVID-19onChildren’sSurgeryKennethWong,PaediatricGeneralSurgeon,HongKong

HowcouldGICShelpwithguidelines?

• Pre-optestingàWhatisthebesttest?How?

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MitigatingtheImpactofCOVID-19onChildren’sSurgeryKennethWong,PaediatricGeneralSurgeon,HongKong

HowcouldGICShelpwithbacklogofpatients?

• Raisefundingfor:•  Extraequipment•  PPE•  COVID-19testing

• Redistributecasestootherunitstocatchup?

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MitigatingtheImpactofCOVID-19onChildren’sSurgeryKennethWong,PaediatricGeneralSurgeon,HongKong

HowcouldGICShelpwithresearch?

• Detailsofbacklogofoperations•  Long-termeffectsofpandemiconchildren

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MitigatingtheImpactofCOVID-19onChildren’sSurgeryLeecarloMillano,PaediatricGeneralSurgeon,Jakarta,Indonesia

HowcouldGICShelpwitheducationalresources?

• Safetyofconductingsurgicaloperationsonchildren•  Laparoscopy,thoracoscopy

• Safetyofdeliveringteachingmaterialsforresidents• Currentlydeliveringlecturesforresidentsthroughonlinemeetings

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MitigatingtheImpactofCOVID-19onChildren’sSurgeryLeecarloMillano,PaediatricGeneralSurgeon,Jakarta,Indonesia

HowcouldGICShelpwithguidelines?

• Protocolsforsafepre-op,intra-op,post-opcare

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MitigatingtheImpactofCOVID-19onChildren’sSurgeryLeecarloMillano,PaediatricGeneralSurgeon,Jakarta,Indonesia

HowcouldGICShelpwithbacklogofpatients?

• Developmentofprotocolsduringthepandemic•  Teachingofresidents,disseminationofknowledge• Afterelectiveoperationsresume:•  Assistinthetrainingofsurgeons•  Exchangeofknowledgeandskillsthroughonlinemedia

• Aftertravelrestrictionslifted:•  Supportdevelopingcountriesthroughcollaborationofresearchandtrainingofpediatricsurgeons

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MitigatingtheImpactofCOVID-19onChildren’sSurgeryLeecarloMillano,PaediatricGeneralSurgeon,Jakarta,Indonesia

HowcouldGICShelpwithresearch?

• Researchonsafetyofprocedures• Whatsafealternativescanweapplytokeepmeetingthedemandofpediatricsurgery,atthesametimekeepingthepatientandthehealthworkerssafe?

• Researchonsafealternatives•  Forinstance,theuseoflaparoscopyissaferthanlaparotomyduringthepandemic

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MitigatingtheImpactofCOVID-19onChildren’sSurgeryBedaEspineda,PaediatricGeneralSurgeon,PhilippineChildren’sMedicalCenter

HowcouldGICShelpwitheducationalresources?

EDUCATIONFORGICSMEMBERS•  Topics

•  Updatesonthevarioustopicsofpediatricsurgeryanditssubspecialties•  TumorBoardconferences•  “HowIdoit”videos

•  Format• Webinar,teleconferencelivestreaming,YouTubes,etc

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MitigatingtheImpactofCOVID-19onChildren’sSurgeryBedaEspineda,PaediatricGeneralSurgeon,PhilippineChildren’sMedicalCenter

HowcouldGICShelpwitheducationalresources?

EDUCATIONFORTRAINEES/FELLOWS•  Topics

•  Didacticlecturesonneonatalandpediatricsurgery•  TeachingandsurgicalcurriculummoduleswithPre-andPost-Tests•  Skillssimulationtrainingvideosfortrainees

•  Format• Webinar,Zoom,orWebexconferences

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MitigatingtheImpactofCOVID-19onChildren’sSurgeryBedaEspineda,PaediatricGeneralSurgeon,PhilippineChildren’sMedicalCenter

HowcouldGICShelpwithguidelines?

•  Howtopreparepatientspriortosurgery•  RoleandimportanceofRT-PCRtesting,othertypesofrapidantibodytesting•  PrioritizationofsurgicalcaseswhenschedulingintheOR•  Issuesonthecorrectandproperphysicalsetupoftheoperatingroomsandanesthesiaunit•  IssuesofsafetyofallhealthcareworkersandotherpersonnelintheOR,anesthesia,andPACU

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MitigatingtheImpactofCOVID-19onChildren’sSurgeryBedaEspineda,PaediatricGeneralSurgeon,PhilippineChildren’sMedicalCenter

HowcouldGICShelpwithbacklogofpatients?

• Designandprovideguidelinesonhowtoincreasethecensusofsurgicalcasesandminimizethebacklog•  SendorprovidefundstoLMICstopurchasemuch-neededPPEs,goggles,andothersurgicalmaterials• Aftertravelrestrictionslifted:

•  HICsurgeonsshouldcontinuetosupportLMICproviderstoattendandparticipateinconferences/conventions

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MitigatingtheImpactofCOVID-19onChildren’sSurgeryBedaEspineda,PaediatricGeneralSurgeon,PhilippineChildren’sMedicalCenter

HowcouldGICShelpwithresearch?

• ProfileofpediatricsurgicalcasesdoneduringpandemicinbothHICsandLMICs•  FactorsaffectingprognosisandsurvivalofCOVID-19pediatricsurgicalcasesdoneduringemergentandelectivecases

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MitigatingtheImpactofCOVID-19onChildren’sSurgeryBedaEspineda,PaediatricGeneralSurgeon,PhilippineChildren’sMedicalCenter

HowcouldGICShelpwithresearch?

• Whathasbeengatheredalready?•  Dataonthenumberandtypesofcases,andoutcomesofemergencycasesdoneduringthis4monthslockdown

• Whatisthebestmeansofgatheringthisinformation?•  REDCapmulticenterstudies

• HowcanGICShelp?•  GICScouldinitiateandfundamultinationalinternationalstudybycommissioningaresearchgrouputilizingtheREDCapdatacollectionsystem

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MitigatingtheImpactofCOVID-19onChildren’sSurgeryLubnaSamadandMaryamAftab,PaediatricGeneralSurgeons,Karachi,Pakistan

HowcouldGICShelpwitheducationalresources?

• Format•  Interactivesessions,smallgroupsessions,nowebinars!

• Topic• Precautions,riskcategorizationofcases,management

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MitigatingtheImpactofCOVID-19onChildren’sSurgeryLubnaSamadandMaryamAftab,PaediatricGeneralSurgeons,Karachi,Pakistan

HowcouldGICShelpwithguidelines?

• Electivesurgeries • Whatisthebestpracticeforthesecases(eghernia,circumcision)

• PrecautionsforsurgeryofCOVID-19andnon-COVID-19patients• Guidelinesonlaparoscopicsurgery• SurgicalmanifestationssecondarytoCOVID-19

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MitigatingtheImpactofCOVID-19onChildren’sSurgeryLubnaSamadandMaryamAftab,PaediatricGeneralSurgeons,Karachi,Pakistan

HowcouldGICShelpwithbacklogofpatients?

• Financialresourcesforovertimeinpublicsectorfacilities• SupportatallHRlevels,notjustsurgeons

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MitigatingtheImpactofCOVID-19onChildren’sSurgeryLubnaSamadandMaryamAftab,PaediatricGeneralSurgeons,Karachi,Pakistan

HowcouldGICShelpwithresearch?

• Community-basedassessmentofunmetneed• ImpactofCOVID-19onsurgicaloutcomes

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MitigatingtheImpactofCOVID-19onChildren’sSurgeryVrishaMadhuri,PaediatricOrthopedicSurgeon,IndiaHowcouldGICShelpwitheducationalresources?

•  Structuredcourses(2-3times/week),whichincludepracticalexercisesthatallowthemtoacquireskills•  GICScoulddevelopcertificationcoursesineachsubspecialty,providingacertificateatcompletionforasenseofachievement

•  WouldrequirealotofinputfromGICSfaculty•  Bestdoneasawebinarwithinteractivecomponent,suchasexercises,tests,andparticipantresponses

•  Onlinetheoreticalcoursesandskillsupgrades•  YouTubevideosofproceduresineachsubspecialty,butnotlikelytobeabletodothisnowduetohighrisk

FORPOST-GRADUATESWHOSETRAININGHASCOMETOAVIRTUALHALT:

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MitigatingtheImpactofCOVID-19onChildren’sSurgeryVrishaMadhuri,PaediatricOrthopedicSurgeon,IndiaHowcouldGICShelpwitheducationalresources?

•  InformationaboutavailablePPE,drugs,andprotocolsforsymptomaticandasymptomaticpatients,bearinginmindthat:•  EachcountryandregionhasitsownguidelinesforPPE,testing,quarantine,andtreatment

•  SomeoftheseresourceswillnotbeavailableinallLMICsettings•  LMICscanproducesomethingslocallyatlowcost

•  Onlineresourcewhereallinformationandrecommendationsareinoneplace(seewww.GICSurgery.orgCOVID-19resources)•  Forexample,D-dimertestsforhypercoagulopathycanindicateneedforearlyanti-coagulation

COVID-19INFORMATION:

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MitigatingtheImpactofCOVID-19onChildren’sSurgeryVrishaMadhuri,PaediatricOrthopedicSurgeon,India

HowcouldGICShelpwithguidelines?

•  MusthavesufficientLMICrepresentationtoknowwhatisavailableandpractical•  Needtohaveguidelinesforallsubspecialties•  Eventuallyeachlocalsettingwillneedtomakeitsownguidelines,basedontheirneedsandsituation•  RepeatconsultationscouldbemanagedviatelemedicineorWhatsApp--ifallowed,safe,andlegal•  Safedocumentationessential

•  GICScouldhelpdevelopappstoincorporatedocumentationintopatientmedicalrecords

•  Mightneedtoinvolvelocalproviderstoelicitsomefindings

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MitigatingtheImpactofCOVID-19onChildren’sSurgeryVrishaMadhuri,PaediatricOrthopedicSurgeon,India

HowcouldGICShelpwithbacklogofpatients?

•  Increasingworkforcetoaddressthebacklog•  Sincebuildingupworkforcewouldtaketime,morelikelyexistingworkforcewillworkovertimeandcancelleave

•  Couldfundingbeprovidedforthisextraworkforlocalproviders?•  Patientsneedmoneytotravelbacktoreferralcenters

•  ManyinVellorehadtobesupportedbydonationsforfoodandaccommodationwhentheirfundsranout

•  ConsiderindividualdonationsfromGICSmemberstosupportpatients,withfeedbackonhowthefundswereused

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MitigatingtheImpactofCOVID-19onChildren’sSurgeryVrishaMadhuri,PaediatricOrthopedicSurgeon,India

HowcouldGICShelpwithresearch?

•  Dataonnumberofpatientsunabletoconsultforprimaryvisit,aswellasrepeatvisits•  Comparenumbersduringpandemicwithprevious2years

•  Changesinthesurgicalcaseloadprofile

WHATACTION-ORIENTEDRESEARCHISIMPORTANT?

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MitigatingtheImpactofCOVID-19onChildren’sSurgeryVrishaMadhuri,PaediatricOrthopedicSurgeon,India

HowcouldGICShelpwithresearch?

• Percentageofpatientsunabletokeepappointments• Reductioninnumberofnewpatientsandrevisits• Numberofpatientsgettingtreatmentbyphoneandtelemedicine

WHATINFORMATIONHASALREADYBEENGATHERED?

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MitigatingtheImpactofCOVID-19onChildren’sSurgeryVrishaMadhuri,PaediatricOrthopedicSurgeon,India

HowcouldGICShelpwithresearch?

• Adverseoutcomes• Delayinstartingessentialtreatments,suchascastingclubfoot,delayinDDHsurgery,delayinremovalorapplicationof8plate•  Financialstressassessmentbyinterviewingfamilies• Reviewofpatientrecordsforlast6-12monthstoassesshowmanyaremissingessentialvisitsthatmightaffectthemadversely

WHATINFORMATIONSHOULDBEGATHEREDNOW?

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MitigatingtheImpactofCOVID-19onChildren’sSurgeryVrishaMadhuri,PaediatricOrthopedicSurgeon,India

HowcouldGICShelpwithresearch?

• Utilizestudentsandprovideincentives• Contactthroughphones/email/socialmedia• REDCapcouldbeusedtogathermulti-centerdata

WHATISTHEBESTMEANSOFGATHERINGTHEDATA?

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MitigatingtheImpactofCOVID-19onChildren’sSurgeryVrishaMadhuri,PaediatricOrthopedicSurgeon,India

HowcouldGICShelp?

• Provideperson-to-personfundingforseveredistressinpatientsanddoctors•  Setupmulti-institutionalstudiestoassessstress• Developsoftwaretoidentifyandcallbackpatients,toguidethosewhoneedessentialfollow-ups,suchastumors/8plates/frames• Assesslocalissuesandfundraisingtoaddressthese,astheyvaryfromplacetoplace• Discussiononfrugalinnovationinareasofneed

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MitigatingtheImpactofCOVID-19onChildren’sSurgerySamehShehata,PaediatricGeneralSurgeon,Alexandria,Egypt

HowcouldGICShelpwitheducation?

• Onlinewebinars• Webinarsdedicatedtospecificgeographicallocationstoassesslocalproblems

•  YouTubevideos• Guidelinesstatements

•  Prioritizationofbacklogcases

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MitigatingtheImpactofCOVID-19onChildren’sSurgerySamehShehata,PaediatricGeneralSurgeon,Alexandria,Egypt

HowcouldGICShelpwithguidelines?

SettingpriorityofsurgeriesduringCOVID-19PediatricsurgeryconsultationGuidelinesForTheSurgicalPatientsInwardsScreening/testingofpatientsforsurgerySOP’SForOperationTheatresAerosolgeneratingdevicesandprocedures:PersonalProtectiveEquipment’sduringsurgerySOPsforAnesthesiaOperationtheater,Ventilation,andfiltrationLaparoscopyandthoracoscopyHistopathologyanddocumentation

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MitigatingtheImpactofCOVID-19onChildren’sSurgerySamehShehata,PaediatricGeneralSurgeon,Alexandria,Egypt

HowcouldGICShelpwithbacklogofpatients?

•  Suggestingaguidelineforprioritizingelectivecasesbasedonindication,age,potentialforcomplication,localresources•  FundraisingtocoverneededequipmentandhumantaskforcetoincreaseratesofORlistturnovertofinishtheaccumulatedbacklog•  Fundraisingtoassistspeedyresolutionofthebacklog

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MitigatingtheImpactofCOVID-19onChildren’sSurgerySamehShehata,PaediatricGeneralSurgeon,Alexandria,Egypt

HowcouldGICShelpwithresearch?

• Dataneeded•  Theexactvolumeofbacklogandspecificdiseaseentitiestobeabletotakeinformeddecisions•  Theeffectofdelayingelectivecasesonincreasedmorbidity

•  Wehavecollectedthewaitinglistswiththenumberanddiagnosisofcases•  TheREDCapplatformisanexcellentwayofonlinedatacollectionandmulticenterstudiesandcanbeofferedbytheWOFAPStoanycenterinneed

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MitigatingtheImpactofCOVID-19onChildren’sSurgeryNabulindoSusane,PaediatricAnaesthesiologist,Nairobi,Kenya

HowcouldGICShelpwitheducationalresources?

•  Topics:•  UpdatesonnumberofCOVID-19positivechildrengloballyandtheirseverityofdisease•  OfferingemergencysurgeryduringcommunityspreadofCOVID-19

•  Format:• Webinars•  YouTubevideostoshowsomeshortprocedures

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MitigatingtheImpactofCOVID-19onChildren’sSurgeryNabulindoSusane,PaediatricAnaesthesiologist,Nairobi,Kenya

HowcouldGICShelpwithguidelines?

• AppropriatePPEfordifferentCOVID-19status• Classificationofurgencyofsurgeryforthebacklogofcases• Precautionsduringaerosol-generatingprocedures• Peri-operativemanagementofCOVID-19positivechildren

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MitigatingtheImpactofCOVID-19onChildren’sSurgeryNabulindoSusane,PaediatricAnaesthesiologist,Nairobi,Kenya

HowcouldGICShelpwithbacklogofpatients?

•  Sharingofinformationviawebinars/emailsasitevolves• PPEs…..provision,strategiestominimizemisuseandoptimalreuse• Puttingtogethersurgicalteamstotraveltodifferentregionstooffersurgeryforbacklogatsurgicalcamps•  Fundraisingtosupportaboveinitiatives

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MitigatingtheImpactofCOVID-19onChildren’sSurgeryNabulindoSusane,PaediatricAnaesthesiologist,Nairobi,Kenya

HowcouldGICShelpwithresearch?

• Globalpaediatricsurgerybacklogduringthepandemicandtheimplicationsonmorbidityandmortality• OutcomesofCOVID-19positivechildrenundergoingsurgery

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•  Materialgearedtowardjuniorresidents,fellows,generalsurgeryresidents,andpediatricians,ratherthanseniorsurgeons• Websiteresources• Webinars•  YouTubevideosforsurgicaltechniques•  Translationoffundamentalmaterialintootherlanguages(egSpanish,Arabic,Mandarin,Russian,Hindi,French,Portuguese)

MitigatingtheImpactofCOVID-19onChildren’sSurgeryFabioBotelho,PaediatricGeneralSurgeon,Brazil

HowcouldGICSwitheducation?

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• HowtoprotectagainstCOVID-19withlowresources?•  NoNegativePressureORs•  PPEshortages

• Whichoperationsshouldreturnfirstafterlockdown?

MitigatingtheImpactofCOVID-19onChildren’sSurgeryFabioBotelho,PaediatricGeneralSurgeon,Brazil

HowcouldGICShelpwithguidelines?

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•  Sharecontentwithothercountriesandassociations•  Forexample,BrazilianPedSurgeryAssociationhaslaunchedspecificguidelinesfortracheostomyandformanagementofsurgicalpatientsduringCOVID-19

•  TheseguidelinesareinPortugueseandcouldhelpotherPortuguese-speakingcountries

•  Promoteaninternationalsurveytodeterminewhichsurgeriesareconsideredaprioritybychildren’ssurgicalprovidersaroundtheworld•  Wewouldthenhaveagloballistofsurgicalpriorities•  Wouldneedtoconsidergeographicaldifferences

•  GICScouldencourageandsupportobservershipsorshortfellowshipsforpediatricsurgeryfellowsfromLMICsatHICinstitutions•  Aswebelievethatlotofourfellowshadtheirtrainingimpaired,itwouldbeimportanttopromoteeducationofthefuturePedSurgeons.

MitigatingtheImpactofCOVID-19onChildren’sSurgeryFabioBotelho,PaediatricGeneralSurgeon,BrazilHowcouldGICShelpwithbacklogofpatients?

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•  Estimatetheburdenofchildren’ssurgicaldiseasesafterCOVID•  Itwouldhelptodeterminewhichdiseasesshouldbeprioritized

• Wehavethelistofpatientswaitingforsurgery• WeareusingappendectomiesasabellwetherproceduretodeterminetheimpactofCOVID-19inurgentconditions•  Thiswouldbeimportanttopreparebetterthefamiliesincaseofanotherpandemic

• WecouldcreateaREDCapmulticentersurveytoestimatethewaitinglistofchildren’ssurgicalpatientsaroundtheworld

MitigatingtheImpactofCOVID-19onChildren’sSurgeryFabioBotelho,PaediatricGeneralSurgeon,Brazil

HowcouldGICShelpwithresearch?

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•  Itwouldbeimportanttomonitorthepatientswhohaveundergonesurgicalprocedures,aswellasthesurgicalteam•  WecouldknowifCOVID-19transmissionhasincreasedintheinstitutionswheretheelectiveprocedureshavereturned

•  TheAmericanPediatricSurgicalAssociationhaslaunchedapublicGooglesheetwherepediatricsurgeonsacrosstheUSAcanenterthistypeofdata•  GICScoulddothesame

MitigatingtheImpactofCOVID-19onChildren’sSurgeryFabioBotelho,PaediatricGeneralSurgeon,Brazil

HowcouldGICShelpwithresearch?

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DISCUSSION:HowcouldGICShelpwiththefollowing?•  Educationalresources• Guidelines• Backlogofpatients• Research

MitigatingtheImpactofCOVID-19onChildren’sSurgeryEmmanuelAmeh,PaediatricGeneralSurgeon,Nigeria,GICSChair

KokilaLakhoo,PaediatricGeneralSurgeon,Oxford,UK,GICSPastChair

GICSPastChairGICSChair

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MitigatingtheImpactofCOVID-19onChildren’sSurgeryDiscussion:HowcouldGICShelp?

KennethWongHongKong

LeecarloMillanoIndonesia

BedaEspinedaThePhilippines

LubnaSamadPakistan

VrishaMadhuriIndia

SamehShehataEgypt

SusaneNabulindoKenya

FabioBotelhoBrazil

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GOINGFORWARD:•  Furtherdiscussions,summaryofneedsfromthissession• Reviewofproposedinterventions• Developmentofplansforaction• High-leveladvocacy• Harmonyofstrategieswithothergroups

MitigatingtheImpactofCOVID-19onChildren’sSurgeryKokilaLakhoo,PaediatricGeneralSurgeon,UK,GICSChair

EmmanuelAmeh,PaediatricGeneralSurgeon,Nigeria,GICSChair-Elect

GICSChair GICSChair-Elect

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ThankyoutoallofourspeakersandtoLifeboxforhelpingushostthisevent

Forquestions:[email protected]

COVID-19resourcesonourwebsite:www.GICSurgery.org

ActionPlanningForum:MitigatingtheImpactofCOVID-19onChildren’sSurgery