From: How to risk-stratify elective surgery during the COVID-19 pandemic?
Indication | Urgency | Case examples |
---|---|---|
Emergent | <  1 h | • Life-threating emergencies • Acute exsanguination / hemorrhagic shock • Trauma level 1 activations • Acute vascular injury or occlusion • Aortic dissection • Emergency C-section • Acute compartment syndrome • Necrotizing fasciitis • Peritonitis • Bowel obstruction / perforation |
Urgent | <  24 h | • Appendicitis / cholecystitis • Septic arthritis • Open fractures • Bleeding pelvic fractures • Femur shaft fractures & hip fractures • Acute nerve injuries / spinal cord injuries • Surgical infections |
Urgent-elective | <  2 weeks | • Cardiothoracic / cardiovascular procedures • Cerebral aneurysm repair • Vascular access devices • Skin grafts / flaps / wound closures • Scheduled C-section • Closed fractures • Spinal fractures & acetabular fractures |
Elective (essential) | 1–3 months | • Cancer surgery & biopsies • Subacute cardiac valve procedures • Hernia repair • Hysterectomy • Reconstructive surgery |
Elective (discretionary) | >  3 months | • Cosmetic surgery • Bariatric surgery • Joint replacement • Sports surgery • Vasectomy / tubal ligation • Infertility procedures |