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2020, Número 4

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Rev Fac Med UNAM 2020; 63 (4)


Importancia del uso adecuado del equipo de protección individual y la implementación de protocolos de seguridad perioperatorios durante la pandemia de COVID-19

Pérez CN, García CCE, Ruiz FMAP, Ángeles CAM, Estrada SM, Guillén MEA, Meza CJ, Cuevas OVJ, Farell RJ

Idioma: Español
Referencias bibliográficas: 32
Paginas: 49-59
Archivo PDF: 389.03 Kb.


FRAGMENTO

El panorama que se presenta en la actualidad es un reto sin precedentes para el manejo de los pacientes quirúrgicos, la toma de decisiones y el empleo de recursos en cuanto a material y equipos de protección en el contexto de la pandemia por COVID-19. Por lo que el presente artículo pretende dar a conocer los lineamientos para el correcto actuar en el quirófano, el uso del equipo de protección individual, las indicaciones de cirugía y el mejor abordaje en el marco de esta situación. El principal objetivo de seguir estas recomendaciones es mitigar el riesgo de contagio y educar al personal de salud médico-quirúrgico para que esté preparado para hacer frente a esta pandemia.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Johns Hopkins. Coronavirus COVID-19 Global Cases [Internet]. Johns Hopkins University (JHU): Center for Systems Science and Engineering (CSSE). 2020 Apr 10 [updated 2020 Apr 4; cited 2020 Apr 10]. Available from: https://coronavirus.jhu.edu/map.html

  2. Daodu O, Panda N, Lopushinsky S, Varghese T, Brindle M. COVID-19 – Considerations and Implications for Surgical Learners. Annals of Surgery. Forthcoming 2020.

  3. Manejo quirúrgico de pacientes con infección por COVID- 19. Recomendaciones de la Asociación Española de Cirujanos [Internet]. Madrid: Asociación Española de Cirujanos; 2020 [cited 2020 Apr 6]. Available from: https:// www.aecirujanos.es/files/noticias/152/documentos/Manejo_ quirurgico_v2(1).pd

  4. American College of Surgeons (ACS). COVID-19 update: guidance for triage of non-emergent surgical procedures. March 13, 2020. (www.facs.org).

  5. Zhang S. What it really means to cancel elective surgeries: to make room for coronavirus patients, hospitals are delaying procedures that would make major differences in people’s lives. The Atlantic, March 17, 2020.

  6. Stahel P. How to risk-stratify elective surgery during the COVID-19 pandemic? Patient Saf Surg. 2020;14:8.

  7. Liang W, Guan W, Chen R, Wang W, Li J, Xu K, et al. Cancer patients in SARS‐ CoV‐2 infection: a nationwide analysis in China. Lancet Oncol. 2020

  8. Henriford B, Shao J, Deerenberg E, Brown J and the MIS Task Force. Statement for Laparoscopic Surgery During the COVID-19 Pandemic. 2020

  9. Badia JM, Rubio-Pérez I, Arias Díaz J, Guirao Garriga X, Serrablo A, Jover Navalón JM. Surgical protocol for confirmed or suspected cases of Ebola and other highly transmissible diseases. Cir Esp. 2016 Jan;94(1):11-5.

  10. Kwak HD, Kim SH, Seo YS, Song KJ. Detecting hepatitis B virus in surgical smoke emitted during laparoscopic surgery. Occup Environ Med. 2016;73(12):857-63.

  11. Alp E, Bijl D, Bleichrodt RP, Hansson B, Voss A. Surgical smoke and infection control. J Hosp Infect. 2006;62(1):1-5.

  12. Smith JD, Macdougall CC, Johnstone J, Copes RA, Schwartz B, Garber GE. Effectiveness of N95 respirators versus surgical masks in protecting health care workers from acute respiratory infection: a systematic review and meta-analysis. 2016;188(8):567-74.

  13. Connor R, Travis G, Peace K, Propper B.W, Hale D, Alseidi A, et al. Using Technology to Maintain the Education of Residents During the COVID-19 Pandemic. Journal of Surgical Education [Internet]. 2020 [cited 2020 10 Apr]; 00(00): 1-4. Available from: https://doi.org/10.1016/j. jsurg.2020.03.018

  14. Pryor A. SAGES AND EAES RECOMMENDATIONS REGARDINGS SURGICAL RESPONSE TO COVID- 19 CRISIS [Internet]. Los Angeles (CA): Society of American Gastrointestinal and Endoscopic Surgeons; 2020 Mar 30 [updated 2020 Mar 30; cited 2020 Apr 6]. Available from:https://www.sages.org/recommendationssurgical- response-covid-19/

  15. Brindle M, Gawande A. Managing COVID-19 in Surgical Systems. Annals of Surgery. Forthcoming 2020.

  16. Greenland J, Michelow M, Wang L, London M. COVID- 19 Infection. Implications for Perioperative and Critical Care Physicians. Anesthesiology [Internet]. 2020 Mar 10 [cited 2020 Apr 6]; XXX:1-16. Available from: https:// www.ncbi.nlm.nih.gov/pubmed/32195698

  17. Aminian A, Safari S, Razeghian-Jahromi A, Ghorbani M, Delaney C. COVID-19 Outbreak and Surgical Practice: Unexpected Fatality in Perioperative Period. Annals of Surgery. Forthcoming 2020.

  18. Nelson R. Guidelines on Delaying Cancer Surgery During COVID-19. Medscape [Internet]. 2020 Mar 26 [cited 2020 Apr 6]; 1-3. Available from: https://www.medscape.com/ viewarticle/927568

  19. Zheng M, Boni L, Fingerhut A. Minimally invasive surgery and the novel coronavirus outbreak: lessons learned in China and Italy. Annals of Surgery. Forthcoming 2020.

  20. Dexter F, Parra M, Brown J, Loftus R. Perioperative COVID-19 Defense: An Evidence-Based Approach for Optimization of Infection Control and Operating Room Management. Anesthesia & Analgesia Journal [Internet]. 2020 Mar 24 [cited 2020 Apr 6]; 1-21. Available from: doi: 10.1213/ANE.0000000000004829

  21. Wong J, Goh Q, Tan Z, Lie S, Tay Y, Ng S, et al. Preparing for a COVID-19 pandemic: a review of operating room outbreak response measures in a large tertiary hospital in Singapore. Can J Anesth/J Can Anesth [Internet]. 2020 Mar 11 [ cited 2020 Apr 6]. Available from: https://doi. org/10.1007/s12630-020-01620-9

  22. Ti LK, Ang LS, Foong TW, Ng B. What we do when a COVID-19 patient needs an operation: operating room preparation and guidance. Can J Anesth/J Can Anesth [Internet]. 2020 Mar 6 [cited 2020 Apr 6]. Available from: https://doi.org/10.1007/s12630-020-01617-4

  23. Leung CC, Lam TH, Cheng KK. Mass masking in the COVID-19 epidemic: people need guidance.Lancet [Internet]. 2020 Mar 2 [cited2020 Apr 6]; 395:945. Available from: https://www.thelancet.com/pdfs/journals/lancet/ PIIS0140-6736(20)30520-1.pdf

  24. Radonovich L.J, Simberkoff S, Bessesen M.T, Brown A.C, Cummings D.A, Gaydos C. A, et al. N95 Respirators vs Medical Masks for Preventing Influenza Among Health Care Personnel A Randomized Clinical Trial. JAMA [Internet]. 2019 Sep 3 [cited 2020 Apr 6]; 322 (9): 824-33. Available from: doi:10.1001/jama.2019.11645

  25. Brat GA, Hersey SP, Chhabra K, Gupta A, Scott J. Protecting Surgical Teams During the COVID-19 Outbreak: A Narrative Review and Clinical Considerations. Annals of Surgery. Forthcoming 2020.

  26. Livingston E, Desai A, Berkwits M. Sourcing Personal Protective Equipment During the COVID-19 Pandemic. JAMA [Internet]. 2020 Mar 28 [cited 2020 Apr 6]; E1-3. Available from: doi:10.1001/jama.2020.5317

  27. Isabel M, Ramos RF, Von Bahten LC. The surgeons and the COVID-19 pandemic. Rev Col Bras Cir [Internet]. 2020 Mar 23 [cited 2020 Apr 6]; 47:e20202536. Available from: DOI: 10.1590/0100-6991e-20202536

  28. Card KL, Crozier D, Dhawan A, Dinh M, Dolson E, Farrokhian N, et al. UV Sterilization of Personal Protective Equipment with Idle Laboratory Biosafety Cabinets During the COVID-19 Pandemic [Internet]. Cleveland (OH): 1Cleveland Clinic Lerner Research Institute and Case Western Reserve University School of Medicine; 2020 [cited 2020 Apr 6]. 13 p. Available from: https://doi. org/10.1101/2020.03.25.20043489

  29. Prolonged presence of SARS-CoV-2 viral RNA in faecal samples. Lancet Gastroenterol Hepatol [Internet]. 2020 Mar 19 [cited 2020 Abr 10]; 1-2. Available from: https:// doi.org/10.1016/ S2468-1253(20)30083-2

  30. Yeo C, Kaushal S, Yeo D. Enteric involvement of coronaviruses: is faecal–oral transmission of SARS-CoV-2 possible? Lancet Gastroenterol Hepatol [Internet]. 2020 Feb 19 [cited 2020 Abr 10]; 1-2. Available from: https://doi.org/10.1016/ S2468 1253(20)30048-0

  31. Wang Y, Dong C, Hu Y, Li C, Ren Q, Zhang X, et al. Temporal Changes of CT Findings in 90 Patients with COVID-19 Pneumonia: A Longitudinal Study. Radiology. Forthcoming 2020.

  32. Bernheim A, Mei X, Huang M, Yang Y, Fayad Z, Zhang N, et al. Chest CT Findings in Coronavirus Disease-19 (COVID-19): Relationship to Duration of Infection. Radiology. Forthcoming 2020.




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