Adaptações do processo de trabalho no centro cirúrgico e sala de recuperação pós-anestésica após o surgimento da Covid-19

Abstract

The COVID-19 pandemic has implemented new measures regarding the safety of operating rooms and the post-anesthetic recovery room through the institution of new routine protocols. Objectives: To analyze adaptations in the work process in the operating room and post-anesthetic recovery room after the onset of COVID-19. Method and Materials: Descriptive research with a quantitative approach, crosssectional, using the Survey tool. Data collection was performed online by nurses registered at the Brazilian Association of Surgical Center Nurses, Anesthetic Recovery and Material and Sterilization Center (SOBECC) and by selecting nurses through the Lattes Platform - CNPq. Data analysis took place using the statistical package R 4.3.0 (r core team, April/2023), with statistically significant results for p values (<0.05). Data collection took place through a self-administered structured questionnaire, after approval by the research ethics committee with CAAE: 58893022.0.0000.5013. Results: The population of 61 participants (100%) claimed to use the surgical mask on the patient, with regard to the use of the oxygen catheter under the mask 44(72.1%) claimed to use it, of these 24(39.3 %) self-declared testing positive for covid-19. When analyzing the statistical significance, p value (0.059) OR: 3.73 (0.47 – 4.04) and multinomial model coefficient -0.983 were obtained. Regarding PPE in the care of patients with covid-19, 50(81.9%) reported using the waterproof apron, 59(96.8%) the N95/PFF2 mask, 50(81.9%) the mask surgery and 47(77%) gloves that cover the cuff of the apron. The use of PPE in patient care diagnosed with covid-19 that generate aerosols, 52 (85.3%) used glasses or face shield, 59 (96.7%) N95/PFF2 mask, 14 (23% ) surgical mask. Regarding the use of the N95/PFF2 mask with exhalation valve, 26 (42.7%) claimed to use it, with 12 (19.7%) self-declaring to test positive for covid19, presented p(0.07) OR: 8.67(1.15 – 163.1) with coefficient 2.16. In this way, the adaptations that occurred in the institutions, at the national level, within the surgical block during the most critical period of the pandemic were identified and, thus, associated with scientifically published data, in addition to the protocols established by ANVISA, MS and SOBECC.