Risk of spreading delta coronavirus to operating room personnel after COVID-19 vaccination

Merajikhah, Amirmohammad; Beigi-Khoozani, Atefeh; Soleimani, Mehran

doi:10.5603/demj.a2021.0026

Cited by 4 publications

(3 citation statements)

References 4 publications

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“…There were seven studies in emergency surgery [ 92 ] in which SAS could predict complications after surgery ( n = 7) and death after surgery ( n = 4).…”

Section: Resultsmentioning

confidence: 99%

Ability to predict surgical outcomes by surgical Apgar score: a systematic review

Mirzaiee,

Soleimani,

Banoueizadeh

et al. 2023

BMC Surg

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Background The Surgical Apgar score (SAS) is a straightforward and unbiased measure to assess the probability of experiencing complications after surgery. It is calculated upon completion of the surgical procedure and provides valuable predictive information. The SAS evaluates three specific factors during surgery: the estimated amount of blood loss (EBL), the lowest recorded mean arterial pressure (MAP), and the lowest heart rate (LHR) observed. Considering these factors, the SAS offers insights into the probability of encountering postoperative complications. Methods Three authors independently searched the Medline, PubMed, Web of Science, Scopus, and Embase databases until June 2022. This search was conducted without any language or timeframe restrictions, and it aimed to cover relevant literature on the subject. The inclusion criteria were the correlation between SAS and any modified/adjusted SAS (m SAS, (Modified SAS). eSAS, M eSAS, and SASA), and complications before, during, and after surgeries. Nevertheless, the study excluded letters to the editor, reviews, and case reports. Additionally, the researchers employed Begg and Egger's regression model to evaluate publication bias. Results In this systematic study, a total of 78 studies \were examined. The findings exposed that SAS was effective in anticipating short-term complications and served as factor for a long-term prognostic following multiple surgeries. While the SAS has been validated across various surgical subspecialties, based on the available evidence, the algorithm's modifications may be necessary to enhance its predictive accuracy within each specific subspecialty. Conclusions The SAS enables surgeons and anesthesiologists to recognize patients at a higher risk for certain complications or adverse events. By either modifying the SAS (Modified SAS) or combining it with ASA criteria, healthcare professionals can enhance their ability to identify patients who require continuous observation and follow-up as they go through the postoperative period. This approach would improve the accuracy of identifying individuals at risk and ensure appropriate measures to provide necessary care and support.

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“…There were seven studies in emergency surgery [ 92 ] in which SAS could predict complications after surgery ( n = 7) and death after surgery ( n = 4).…”

Section: Resultsmentioning

confidence: 99%

Ability to predict surgical outcomes by surgical Apgar score: a systematic review

Mirzaiee,

Soleimani,

Banoueizadeh

et al. 2023

BMC Surg

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“…It is worth noting that airway management, which often requires endotracheal intubation or tracheostomy, is classified as a high-risk aerosol-generating procedure [31,32]. The use of PPE-AGP suits adds an extra layer of protection, safeguarding healthcare staff from infection [33]. However, these PPE-AGP outfits can present difficulties.…”

Section: Discussionmentioning

confidence: 99%

ETView SL versus Macintosh Direct Laryngoscope for Endotracheal Intubation Amid Simulated COVID-19 Cardiac Arrest: A Randomized Crossover Study

Evrin,

Dabkowski,

Pruc

et al. 2023

JCM

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Airway management procedures, such as endotracheal intubation (ETI), pose a significant risk of aerosol generation, requiring robust personal protective equipment (PPE) against aerosol-generating procedures (AGP). This study aimed to assess the impact of PPE-AGP on intubation success rates, time to intubation, and glottic visualization using ETView and a standard Macintosh laryngoscope (MAC). A total of 52 physicians participated in this prospective, observational, randomized crossover study conducted in a medical simulation setting. Participants included COVID-19 patients with cardiac arrest scenarios with and without PPE-AGP who were intubated with ETView and MAC. During intubation without PPE-AGP, ETView showed a similar first-pass success rate (FPS) but had a shorter intubation time and better glottal hydration compared to MAC. In scenario B (with PPE-AGP), ETView outperformed MAC in FPS, initiation time, and glottic visualization. The use of PPE-AGP had little impact on ETView’s performance. However, it negatively affected the Macintosh laryngoscope, reducing FPS and glottic visibility. Participants found intubation with ETView easier in both scenarios. In conclusion, as compared to the Macintosh laryngoscope, ETView demonstrated higher performance under the circumstances of the simulation, especially when PPE-AGP was used.

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“…The number of confirmed cases and deaths from COVID-19 disease started to grow each day [ 3 ]. Mortality rates vary from country to country and depend on the capacity and effectiveness of the health care system.…”

Section: Introductionmentioning

confidence: 99%

COVID-19-induced coagulopathy: Experience, achievements, prospects

et al. 2023

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Risk of spreading delta coronavirus to operating room personnel after COVID-19 vaccination

Cited by 4 publications

References 4 publications

Ability to predict surgical outcomes by surgical Apgar score: a systematic review

Ability to predict surgical outcomes by surgical Apgar score: a systematic review

ETView SL versus Macintosh Direct Laryngoscope for Endotracheal Intubation Amid Simulated COVID-19 Cardiac Arrest: A Randomized Crossover Study

COVID-19-induced coagulopathy: Experience, achievements, prospects

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