Marching Ahead through the Pandemic: Continuing Anesthesia Services in COVID Era—Our Experience from a Tertiary Care Cancer Centre

Abstract

Introduction This paper aims to provide an overview of the administrative and clinical preparations done in a tertiary care cancer hospital in continuing operation theatre (OT) services through the COVID pandemic. Methods Retrospective data collection, data for the past 1.5 years (COVID period) March 2020 to August 2021 were compared to surgical output for a similar duration of time before the COVID era (September 2018–February 2020). Results A total of 1,022 surgeries were done under anesthesia in the COVID period as against 1,710 surgeries done in a similar time frame in the pre-COVID era. Overall, we saw a 40%drop in the total number of cases. Thorax, abdominal, and miscellaneous surgeries (soft tissue sarcomas, urology, and gyneconcology) saw a maximum fall in numbers; however, head and neck cases saw an increase in numbers during the pandemic. Surgical morbidity and mortality were similar in the COVID and pre-COVID era. No cases of severe COVID infection were reported among the healthcare staff working in OT. Discussion We could successfully continue our anesthesia services with minimal risk to healthcare staff throughout the pandemic by adopting major guidelines in a pragmatic and practical approach with minor changes to suit our setup. • Swati Bhan – Data collection and tabulation, literature review, manuscript writing. • Raghav Gupta – data collection and tabulation. • Saurabh Vig – literature review, data interpretation, manuscript writing. • Rakesh Garg – editing manuscript. • Nishkarsh Gupta - literature review, editing manuscript. • Vinod Kumar – editing manuscript • Sachidanand Jee Bharati – editing manuscript. • Seema Mishra – literature review and editing manuscript • Brajesh Ratre – literature review. • Anuja Pandit – literature review. • Prashant Sirohiya – editing manuscript. • Ram Singh – editing manuscript • Balbir Kumar – editing manuscript. • Shweta Bhopale – literature review. • Sushma Bhatnagar – conception of idea, literature review, final manuscript editing. • Manuscript has been read and approved by all authors. Not applicable (retrospective data collection), manuscript adheres to Helsinki guidelines. Article published online: 02 March 2023 © 2023. MedIntel Services Pvt Ltd. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/) Thieme Medical and Scientific Publishers Pvt. Ltd. A-12, 2nd Floor, Sector 2, Noida-201301 UP, India