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