2020, Number 2
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Rev Med UAS 2020; 10 (2)
Recommendations for health personnel on the management of surgical patients during COVID-19 Pandemic
Bolívar-Rodríguez MA, Pamanes-Lozano A, Cázarez-Aguilar MA, Ortiz-Bojórquez JC, Magaña-Zavala PA, Morgan-Ortiz F, Osuna-Wong BA, Niebla-Moreno JM
Language: Spanish
References: 19
Page: 95-104
PDF size: 903.21 Kb.
ABSTRACT
Compared to the general population, there is an increased risk of SARS-CoV-2 contagion in patients admitted to hospitalization as
well as the working health personnel. Due to the lack of a vaccine, risk reduction will be hard to acquire. Surgical patients involve even
a higher production of droplets and aerosol suspension. Therefore, every patient admitted to the operating room should be considered
COVID-19 positive until ruled otherwise. Human and material resources should be identified for emergency and scheduled surgery
during the pandemic. We elaborated a risk reduction scheme following international recommendations, clinical experience and resource
accessibility.
REFERENCES
Wu Z, McGoogan JM. Characteristics of and ImportantLessons from the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summaryof a Report of 72314 Cases from the ChineseCenter for Disease Control and Prevention.JAMA. 2020;323(13):1239-1242.
Kissler SM, Tedijanto C, Goldstein E, Grad YH,Lipsitch M. Projecting the transmission dynamicsof SARS-CoV-2 through the postpandemic period.Science. 2020 Abr 14 [Epub ahead of print].Disponible en:https://doi.org/10.1126/science.abb5793
Brücher BLDM, Nigri G, Tinelli A, Lapeña JFF,Espin-Basany E, et al. COVID-19: Pandemicsurgery guidance. 4open 2020;3,1:1-19. Disponibleen:https://doi.org/10.1051/fopen/2020002
Government of Iceland. Ministry for Foreign Affairs,Prime Minister´s Office, Ministry of Health.Large scale testing of general population in Icelandunderway. Mar 15, 2020. Disponible en:https://www.government.is/news/article/2020/03/15/Large-scale-testing-of-generalpopulation-in-Iceland-underway/.Accesado 3 Abril 2020.
Wu C, Chen X, Cai Y, Xia J, Zhou X, Xu S, et al.Risk Factors Associated with Acute RespiratoryDistress Syndrome and death in patients withCoronavirus Disease 2019 Pneumonia in Wuhan,China. JAMA Intern Med. 2020 Mar 13[Epub ahead of print]. Disponible en:https://doi.org/10.1001/jamainternmed.2020.0994
Wise Jacqui W. Covid-19: Know risk factors failto explain the increased risk of death amongpeople from ethnic minorities. BMJ2020;369:m1873.
Guan WJ, Liang WH, Zhao Y, Liang HR, ChenZS, Li YM et al. Comorbidity and its impact on1590 patients with COVID-19 in China: a nationwideanalysis. Eur Respir J. 2020 May 14 [Epubahead of print]. Disponible en:https://doi.org/10.1183/13993003.00547-2020
The Royal College of Radiologists. RCR positionon the role of CT in patients suspected withCOVID-19 infection. 2020 Disponible en:https://www.rcr.ac.uk/college/coronavirus-covid-19-what-rcr-doing/clinical-information/rcr-position-role-ct-patients (Accesado 29 Mar 2020).
Ai T, Yang Z, Hou H, Zhan Ch, Chen Ch, Lv W,et al. Correlation of Chest CT and RT-PCR Testingin Coronavirus Disease 2019 (COVID-19) inChina: A Report of 1014 Cases. Radiology 2020Feb 26 [Epub ahead of print]. Disponible en:https://doi.org/10.1148/radiol.2020200642
Biccard BM. Relationship Between the Inabilityto Climb Two Flights of Stairs and Outcome AfterMajor Non-Cardiac Surgery: Implications for thePre-Operative Assessment of Functional Capacity.Anaesthesia 2005;60(6):588-593.
Brindle M, Gawande A. Managing COVID-19 inSurgical Systems. Ann Surg. 2020 Mar 23 [Epubahead of print]. Disponible en:https://doi.org/10.1097/sla.0000000000003923
Li CI, Pai JY, Chen CH. Characterization ofsmoke generated during the use of surgical knifein laparotomy surgeries. J Air Waste Manag Assoc.2020;70(3)324-332.
Di Marzo F, Cardi M. Regarding “Understandingthe ‘Scope’ of the Problem Why Laparoscopy isConsidered Safe during the covid-19 Pandemic.J Minim Invasive Gynecol. 2020 abr 25 [Epubahead of print]. Disponible en:https://doi.org/10.1016/j.jmig.2020.04.027
US EPA. National Service Center for EnvironmentalPublications (NSCEP) [Internet] 2003.Hoja de Datos-Tecnología de Control de Contaminaciondel Aire [consultado 9 de febrero2020]. Diponible en:https://nepis.epa.gov/Exe/ZyPDF.cgi/P100RQ79.PDF?Dockey=P100RQ79.PDF
Zheng MH, Boni L, Fingerhunt A. Minimally InvasiveSurgery and the Novel Coronavirus Outbreak:Lessons learned in China and Italy. AnnSurg. 2020 Mar 26. [Epub ahead of print]. Disponibleen:https://doi.org/10.1097/sla.0000000000003924
Tang LY, Wang J. Anesthesia and COVID-19:What We Should Know and What We Should Do.Semin Cardiothorac Vasc Anesth. 2020;24(2):127-137.
Ti LK, Ang LS, Foong TW, Ng BSW. What we dowhen a COVID-19 patient needs an operation:operating room preparation and guidance. Can JAnaesth. 2020; 67(6):756-758.
B Todd Heniford. 2020. Proposed Guidelines forSurgery and, Minimally Invasive Surgery Duringthe COVID-19 Pandemic to maximize the safetyof surgical staff & patients. Attachments include2 protocols: 1) if testing available 2) not. Flow diagram.Intro and FAQ-1/2. https://twitter.com/THeniford/status/1242903477921165313. 25 de marzo de2020. [Consultado el 15 de abril de 2020] [Tuit].Disponible en:https://twitter.com/THeniford/status/1242903477921165313.
Cohen SL, Liu G, Abrao M, Heniford T. Perspectiveson Surgery in the Time of COVID-19: SafetyFirst. J Minim Invasive Gynecol. 2020;27(4):792-793