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Table 3 Summary for decision-making in different pathologies during phase 3

From: A tentative guide for thoracic surgeons during COVID-19 pandemic

Pathology

What to operate

What to defer

NSCLC

• Threatened airway

• Tumor-associated severe infection

• Hemodynamically unstable patients with tumor-associated hemorrhage

As phase 1, 2 plus hemodynamically stable patients with any complication

Esophageal cancer

Septic perforation

As phase 1, 2 plus non-septic perforation

Postoperative complications

Only hemodynamically unstable patients, critically compromised airway as active bleeding not amenable to nonsurgical management, dehiscence of airway, and anastomotic leak with sepsis.

As phase 2 plus any complication not critically compromising the airway or causing hemodynamic instability

Trauma

All emergency cases as massive hemothorax, major airway injury, airway obstruction by inhaled foreign body or advanced tracheal stenosis, and diaphragmatic hernia with strangulation

As phase 2 plus any complication not critically compromising the airway or causing hemodynamic instability