O'Glasser, Avital Y, Schenning, Katie J · Perioperative care and operating room management · 2022 · DOI
This article reviews what doctors know about surgical risks for people who have had COVID-19. It discusses how hospitals have had to balance treating COVID-19 patients while also catching up on surgeries that were delayed during the pandemic. The authors highlight that COVID-19 survivors face higher risks during surgery and anesthesia, and they call for careful planning to keep these patients safe.
This review is relevant to ME/CFS research because post-COVID conditions share phenotypic overlap with ME/CFS, and understanding perioperative risks in post-COVID populations may inform clinical management of ME/CFS patients requiring surgery. The article addresses a critical gap: how to safely manage surgical needs in a population with persistent post-viral dysfunction, which has direct applicability to perioperative care planning for ME/CFS patients.
This literature review does not establish causal mechanisms for elevated perioperative risk in COVID-19 survivors, nor does it provide prospective outcome data. It does not differentiate between acute COVID-19 perioperative complications and those specific to post-COVID syndrome, and it cannot determine which individual patients are at highest risk for adverse surgical outcomes based on their specific post-COVID symptoms.
About the PEM badge: “PEM required” means post-exertional malaise was an explicit required diagnostic criterion for participant inclusion in this study — not that PEM was studied, observed, or discussed. Studies using criteria that do not require PEM (e.g. Fukuda, Oxford) are tagged “PEM not required”. How the atlas works →
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