CORR Insights®: Surgeon Personal Protection: An Underappreciated Benefit of Positive-pressure Exhaust Suits

Aims The worldwide COVID-19 pandemic is directly impacting the field of orthopaedic surgery and traumatology with postponed operations, changed status of planned elective surgeries and acute emergencies in patients with unknown infection status. To this point, Germany's COVID-19 infection numbers and death rate have been lower than those of many other nations. Methods This article summarizes the current regimen used in the field of orthopaedics in Germany during the COVID-19 pandemic. Internal university clinic guidelines, latest research results, expert consensus, and clinical experiences were combined in this article guideline. Results Every patient, with and without symptoms, should be screened for COVID-19 before hospital admission. Patients should be assigned to three groups (infection status unknown, confirmed, or negative). Patients with unknown infection status should be considered as infectious. Dependent of the infection status and acuity of the symptoms, patients are assigned to a COVID-19-free or affected zone of the hospital. Isolation, hand hygiene, and personal protective equipment is essential. Hospital personnel directly involved in the care of COVID-19 patients should be tested on a weekly basis independently of the presence of clinical symptoms, staff in the COVID-19-free zone on a biweekly basis. Class 1a operation rooms with laminar air flow and negative pressure are preferred for surgery in COVID-19 patients. Electrocautery should only be utilized with a smoke suction system. In cases of unavoidable elective surgery, a self-imposed quarantine of 14 days is recommended prior to hospital admission. Conclusion During the current COVID-19 pandemic, orthopaedic patients admitted to the hospital should be treated based on an interdisciplinary algorithm, strictly separating infectious and non-infectious cases. Cite this article: Bone Joint Open 2020;1-6:309–315.

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“…For this reason, FFP3 masks or positive pressure body exhaust suits should be worn by all personnel in these ORs. 32 , 33 …”

Section: Resultsmentioning

confidence: 99%

Dealing with the COVID-19 pandemic in orthopaedics: experiences and procedure in Germany

et al. 2020

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“…FFP3 masks should therefore be worn in these operating theatres. Use of positive-pressure body exhaust suits might possibly achieve greater protection of the operating team [24,25]. ▪ Room class II OTs and procedure rooms with a room ventilation system have low ventilation volume flows and often no sterile filters.…”

Section: Surgical Operations In Suspected or Confirmed Sars-cov-2 Posmentioning

confidence: 99%

“…FFP3 masks should therefore be worn in these operating theatres. Use of positive-pressure body exhaust suits might possibly achieve greater protection of the operating team 24 , 25 .…”

Section: Procedures In the Operating Theatrementioning

confidence: 99%

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Coronavirus Pandemic – SARS-CoV-2 in Orthopedics and Trauma Surgery

et al. 2020

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The corona virus has spread worldwide since it first appeared in China and represents a pandemic of unprecedented magnitude. The pandemic has not only social and economic effects, but even more impressive effects on the health system. If the virus spreads uncontrollably and rapidly, there is a risk of an unpredictable increase of patients with COVID-19 disease requiring hospital treatment. The capacities of a hospital can quickly reach the limit and consequently patients can no longer be adequately treated. Therefore, in the acute phase of the pandemic, it is necessary to release all hospital resources for the treatment of COVID-19 patients. Strict hygiene regulations must also be observed in order to prevent the virus from spreading unexpectedly in the hospital in order to protect patients and hospital staff. Elective operations and outpatient clinics must be cancelled in the acute phase. Special hygiene measures must be observed for urgent and unpostponable operations. These relate to the admission of the patients, the accommodation in the ward and the operative care in the operating room. In the post-acute phase, a normal surgical program can be resumed step by step. In this phase, however, clear hygiene regulations must also be observed. Regular medical meetings taking into account the current pandemic situation and the occurrence of new infections must be carried out in the hospital and the occupancy of the ward and operating room adjusted accordingly. To what extent the situation for the treatment of patients in orthopedics and trauma surgery will normalize cannot be predicted at the present time.

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“…In addition, saliva splash in the mouth and nose area less frequently than in the eye area, hip replacement is currently one of the most common orthopedic surgeries, although patient satisfaction in the short and long term varies widely. However, orthopedic specialists are advised to protect the eyes and face from conjunctival hazards (40).…”

Section: Effect Of the Holiday Season On Weight Gain: A Narrative Reviewmentioning

confidence: 99%

Experience and Insight Author in Preventing and Curbing the Novel Coronavirus (Covid19) Outbreak

Dwijayanti

2020

JKL

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Introduction: In December 31, 2019, China gave bad news the World Health Organization (WHO) throughtout an outbreak of a mysterious pneumonia characteristic in Wuhan, which is located in Hubei Province with 11 million people. On 1 January 2020, the source of the Coronavirus outbreak is a seafood market that has been closed. The Huanan Seafood Wholesale Market in Wuhan City, where the virus was first detected, fit that description to a tee, with vendors illegally trading in wild and exotic animals alongside the daily ocean catch. Discussion: This literature review retrieved the articles from databases such as Springer, PubMed, and Google Scholar. The articles on preventing were 17 articles and curbing were 15 articles. The literatur review is a critical and in-depth evaluation of previous research to obtain important information about the dangers of the corona virus and the important of preventing and curbing the corona virus. Guidance regarding personal protective equipment in infection prevention and control is provided by WHO. Goggles and face shield must always be used to protect against potential hazards, and health workers don’t touch mucous membranes (eyes, nose or mouth). Conclusion: Recommendations for preventing health and preventing Covid19 are: limiting physical contact or being in a room with people without symptoms, covering the mouth with a tissue when sneezing or coughing and then throwing the tissue into the trash. If there are no tissues, use your sleeves to avoid liquids or droplets on other people or sticking to nearby objects, do not travel to the red zone against the spread of Covid19, rub hands properly for 20 seconds with soap and water, If it is quite difficult to find water, it is advisable to always have a Hand Sanitizer with an alcohol content of at least 60% which is believed to be able to kill germs. Recommendation for curbing the spread the Covid19 include: lockdown, stay at home, and physical inactivity.

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CORR Insights®: Surgeon Personal Protection: An Underappreciated Benefit of Positive-pressure Exhaust Suits

Cited by 4 publications

References 16 publications

Dealing with the COVID-19 pandemic in orthopaedics: experiences and procedure in Germany

Dealing with the COVID-19 pandemic in orthopaedics: experiences and procedure in Germany

Coronavirus Pandemic – SARS-CoV-2 in Orthopedics and Trauma Surgery

Experience and Insight Author in Preventing and Curbing the Novel Coronavirus (Covid19) Outbreak

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