The Risk of Spread of Infection During Craniotomy/Craniostomy on Patients with Active Coronavirus Disease 2019 (COVID-19) Infection: Myth or Fact?

Singh, Ashutosh; Salunke, Pravin; Chhabra, Rajesh; Sethi, Sunil; Sahoo, Sushanta K.; Karthigeyan, Madhivanan; Gendle, Chandrasekhar; Kumar, Rakesh; Gupta, Sunil

doi:10.1016/j.wneu.2020.12.040

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…Our findings confirm those of our previous publication [24] and other studies[ 25 , 26 , 30 ] that ocular surfaces are SARS-CoV-2-septic. Our previous meta-narrative review (OCEBM's LoE 2a) [24] and the present study (OCEBM's LoE 2b) provide higher LoEs than expert-opinion guidelines (OCEBM's LoE 5) 1 , 2 , 3 (and along with data from relevant literature[ 9 , 16 , 19 , 24 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 ], are shown in Table 4 ), as well as according to Burn et al [4] , could attract far more citations and public attention.…”

Section: Discussionmentioning

confidence: 66%

“…Because of no negative-pressure operating room (OR) available, video laryngoscopy was used to better visualise the vocal cords, and subsequently, reduce the risk of exposure to aerosols generated during intubation. [9] The surgical team entered the OR 10-15 min after intubation ended. 1 , 2 , 3 To reduce intraoperative viral load, the oral cavity was cleaned with 10% povidone iodine solution (Betaisodona Lösung™, Mundipharma GmbH, Frankfurt/Main, Germany), or 0.1% octenidine dihydrochloride solution (Octenisept™, Schülke & Mayr GmbH, Norderstedt, Germany) if iodine-allergic, after throat packing.…”

Section: Methodsmentioning

confidence: 99%

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Inanimate surface contamination of SARS-CoV-2 during midfacial fracture repair in asymptomatic COVID-19 patients

Pitak‐Arnnop¹,

Sirintawat²,

Tangmanee³

et al. 2022

Journal of Stomatology, Oral and Maxillofacial Surgery

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Purposes To evaluate inanimate surface contamination of SARS-CoV-2 during midfacial fracture repair (MFR) and to identify relevant aggregating factors. Methods Using a prospective non-randomised comparative study design, we enrolled a cohort of asymptomatic COVID-19 patients undergoing MFR. The predictor variables were osteofixation system (conventional titanium plates [CTiP] vs. ultrasound-assisted resorbable plates [USaRP]). The main outcomes were the presence of SARS-CoV-2 on four different surfaces. Other study variables were categorised into demographic, anatomic, and operative. Descriptive, bi- and multivariate statistics were computed. Results The sample consisted of 11 patients (27.3% females. 63.6% right side, 72.7% displaced fractures) with a mean age of 52.7 ± 20.1 years (range, 19-85). Viral spread was, on average, 1.9 ± 0.4 m. from the operative field, including most oral and orbital retractors’ tips (81.8% and 72.7%) and no virus was found at 3 m from the operative field, but no significant difference was found between 2 osteofixation types. On binary adjustments, significantly broader contamination was linked to centrolateral MFR ( P = 0.034; 95% confidence interval [CI], 0.05 to 1.02), and displaced MFR > 45 min ( P = 0.022; 95% CI, 0.1 to 1.03). Conclusions USaRP, albeit presumably heavily aerosol-producing, cause similar SARS-CoV-2 distribution to CTiP. Non-surgical operating room (OR) staff should stay ≥ 3 m from the operative field, if the patient is SARS-CoV-2-positive. Enoral and orbital instruments are a potential virus source, especially during displaced MFR > 45 min and/or centrolateral MFR, emphasising an importance of appropriate patient screening and OR organisation.

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Section: Discussionmentioning

confidence: 66%

Section: Methodsmentioning

confidence: 99%

Inanimate surface contamination of SARS-CoV-2 during midfacial fracture repair in asymptomatic COVID-19 patients

Pitak‐Arnnop¹,

Sirintawat²,

Tangmanee³

et al. 2022

Journal of Stomatology, Oral and Maxillofacial Surgery

View full text Add to dashboard Cite

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Analysis of Neurosurgical Cases Before and During the Coronavirus Disease 2019 Pandemic from a Tertiary-Care Centre in India

et al. 2021

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Objective We present the unique administrative issues as well as specific patient and surgeon related challenges and solutions implemented while treating neurosurgical cases during the COVID pandemic vis-à-vis the pre COVID times at our tertiary care center. Methods This is a retrospective study comparing the outcome of the neurosurgical patients treated from the beginning of lockdown in India on 25 March 2020 to 30 November 2020 with that of same period in the previous year, 2019. Results We had a total of 687 admissions under neurosurgery this year during the study period as compared to 2550 admissions in 2019. The total number of surgeries done under neurosurgery also showed a similar trend with only 654 surgeries in 2020 compared to 3165 surgeries in 2019. During COVID-19 times, a total of 474 patients were operated including both trauma and non-trauma cases. Out of the 50 COVID-19 suspect/ indeterminate patients who were operated upon, 5 patients turned out to be positive for COVID-19. Significant differences were seen in the mortality (p<0.01) and morbidity (p<0.01) among trauma patients on comparing COVID and pre-COVID periods. Similarly, a significant difference was observed in the mortality (p<0.001) and morbidity (p<0.001) in non-trauma patients. Conclusions A higher mortality and morbidity during the COVID times is primarily attributable to poorer baseline clinical status. Our experience in this COVID period might not only help us in tackling subsequent waves but also help other institutions in developing world to be better prepared for the same.

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The Risk of Spread of Infection During Craniotomy/Craniostomy on Patients with Active Coronavirus Disease 2019 (COVID-19) Infection: Myth or Fact?

Cited by 2 publications

References 9 publications

Inanimate surface contamination of SARS-CoV-2 during midfacial fracture repair in asymptomatic COVID-19 patients

Inanimate surface contamination of SARS-CoV-2 during midfacial fracture repair in asymptomatic COVID-19 patients

Analysis of Neurosurgical Cases Before and During the Coronavirus Disease 2019 Pandemic from a Tertiary-Care Centre in India

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