key: cord-0889542-dy2ycpn5
authors: Mankarious, Mark; Massand, Sameer; Potochny, John
title: Considerations for Elective Surgery in the Post-COVID-19 Patient
date: 2021-05-04
journal: Aesthet Surg J
DOI: 10.1093/asj/sjab214
sha: 82f5ad7967326a6dfd8cee3828e5e47898454133
doc_id: 889542
cord_uid: dy2ycpn5

nan

A c c e p t e d M a n u s c r i p t Thrombosis has been widely established as a culprit of mortality in acutely infected COVID-19 patients, and it has now been established as a persistent risk in the convalescent phase as well. Data reported in April 2021 demonstrate that patients remain at high risk in a ninety-day window postdischarge, indicating prolonged predisposition to thromboembolism. 5 Longer term data is not yet available.

A c c e p t e d M a n u s c r i p t

The findings of prolonged cardiopulmonary and thrombotic risk are vital considerations in the suitability of post-COVID patients for elective surgery. Outside of the above recommendations, our search of available literature finds no specific guidelines to direct surgeons in a preoperative workup for these patients. Therefore, it is critical that plastic surgeons be aware of these persistent physiologic changes when offering elective surgery to post-COVID-19 patients and maintain a low threshold to refer for a complete preoperative workup despite waiting six or more weeks from infection.

ASA and APSF Joint Statement on Elective Surgery and Anesthesia for Patients after COVID-19 Infection

Timing of surgery following SARS

CoV-2 infection: an international prospective cohort study

6-month consequences of COVID-19 in patients discharged from hospital: a cohort study

Outcomes of Cardiovascular Magnetic Resonance Imaging in Patients Recently Recovered From Coronavirus Disease 2019 (COVID-19)

Post-Discharge Thromboembolic Outcomes and Mortality of Hospitalized COVID-19 Patients: The CORE-19 Registry

A c c e p t e d M a n u s c r i p t