Working through the COVID-19 outbreak: Rapid review and recommendations for MSK and allied heath personnel

Viswanath, Aparna; Monga, Puneet

doi:10.1016/j.jcot.2020.03.014

Cited by 73 publications

(80 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In order to avoid any potential risk of infection for the patient and the surgical staff and to minimize further spread of SARS-CoV-2 virus, the personnel required to perform a necessary operation should be kept to a minimum [101]. This strict implementation has several advantages.…”

Section: Minimally Required (Senior) Staff Onlymentioning

confidence: 99%

COVID-19: Pandemic surgery guidance

Brücher

Nigri

Tinelli

et al. 2020

4open

View full text Add to dashboard Cite

Based on high quality surgery and scientific data, scientists and surgeons are committed to protecting patients as well as healthcare staff and hereby provide this Guidance to address the special issues circumstances related to the exponential spread of the Coronavirus disease 2019 (COVID-19) during this pandemic. As a basis, the authors used the British Intercollegiate General Surgery Guidance as well as recommendations from the USA, Asia, and Italy. The aim is to take responsibility and to provide guidance for surgery during the COVID-19 crisis in a simplified way addressing the practice of surgery, healthcare staff and patient safety and care. It is the responsibility of scientists and the surgical team to specify what is needed for the protection of patients and the affiliated healthcare team. During crises, such as the COVID-19 pandemic, the responsibility and duty to provide the necessary resources such as filters, Personal Protective Equipment (PPE) consisting of gloves, fluid resistant (Type IIR) surgical face masks (FRSM), filtering face pieces, class 3 (FFP3 masks), face shields and gowns (plastic ponchos), is typically left up to the hospital administration and government. Various scientists and clinicians from disparate specialties provided a Pandemic Surgery Guidance for surgical procedures by distinct surgical disciplines such as numerous cancer surgery disciplines, cardiothoracic surgery, ENT, eye, dermatology, emergency, endocrine surgery, general surgery, gynecology, neurosurgery, orthopedics, pediatric surgery, reconstructive and plastic surgery, surgical critical care, transplantation surgery, trauma surgery and urology, performing different surgeries, as well as laparoscopy, thoracoscopy and endoscopy. Any suggestions and corrections from colleagues will be very welcome as we are all involved and locked in a rapidly evolving process on increasing COVID-19 knowledge.

show abstract

Section: Minimally Required (Senior) Staff Onlymentioning

confidence: 99%

COVID-19: Pandemic surgery guidance

Brücher

Nigri

Tinelli

et al. 2020

4open

View full text Add to dashboard Cite

show abstract

“…The spread of SARS-CoV-2 is predominantly via droplets/aerosols, but also via direct contact with contaminated surfaces. 5 Both these modes have to be considered while taking personal prophylaxis.…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, one needs to consider the viral load to which the health worker is exposed which in turn directly in uence the severity of the disease if acquired. 5,7 Most of the orthopaedic surgical procedures involve the use of surgical power tools, such as electrocautery, bone saws, reamers and drills which are shown to produce aerosols/droplets. 5,10 It has been postulated that virus transmission can happen through blood aerosol infecting the health care professionals.…”

Section: Introductionmentioning

confidence: 99%

“…5,7 Most of the orthopaedic surgical procedures involve the use of surgical power tools, such as electrocautery, bone saws, reamers and drills which are shown to produce aerosols/droplets. 5,10 It has been postulated that virus transmission can happen through blood aerosol infecting the health care professionals. 6,10 We describe the current practice that we have adopted to reduce aerosol production and dissemination while treating patients surgically.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Prevention of aerosol dissemination in Orthopaedics while reaming or drilling during COVID 19 pandemic - A technical note

Yuvarajan

Chalumuri

Rajshekhar

et al. 2020

Preprint

View full text Add to dashboard Cite

SARS-CoV-2 / COVID 19 is the largest health emergency and a global pandemic of recent times. Orthopaedic surgery involves procedures involving routine reaming and drilling the bones that generate substantially high volumes of aerosols and microdroplets creating a huge concern among the operating surgeons, anaesthetists and the supporting staff. We aimed at reducing the amount of aerosol generation and microdroplet spread by a simple and cost-effective technique which can be very well reproducible by anyone, thereby reducing the infection/viral load.

show abstract

“…The novel coronavirus crisis started in Wuhan, China in late 2019and has spread worldwide [1].On 11 March 2020, the World Health Organization (WHO) declared that the epidemic of COVID-19 had become a pandemic [2]. To face this global health emergency which has overwhelmed the health systems around the world, health institutions have had to readjust their functioning, to cope with COVID 19 while ensuring the continuity of care and protecting medical staff and patients [3]. At rst glance, orthopaedic surgeons are not considered front-line staff in the ght against the COVID-19, comparing with our colleagues of other specialities: infectiologists, pneumologists and intensive care physicians.…”

Section: Introductionmentioning

confidence: 99%

Orthopaedic surgeons’ perceptions on COVID-19 related changes in practice: an international survey

Meraghni¹,

Bouyoucef²,

Soal³

et al. 2020

Preprint

View full text Add to dashboard Cite

Purpose The purpose of this study was to assess the orthopaedic surgeons’ perceptions on COVID-19 related changes in their practice.MethodsAn online survey was shared with orthopaedic surgeons practicing in different countries.ResultsThis study showed that orthopaedic surgery plan management was adapted to respond more effectively to the COVID-19 pandemic while maintaining the continuity of health care and ensuring protection of medical staff and patients. Among the introduced measures, elective surgery was postponed to free-up beds for suspected or COVID-19 positive patients requiring hospitalization. Additionally, the number of outpatient visits was considerably decreased and non-urgent visits were postponed to reduce the flow of patients in and out of hospitals and therefore minimize the risk of contamination. Interestingly, data revealed the willingness of orthopaedic surgeons to take care of COVID-19 positive patients and support their colleagues in intensive care units, if needed.ConclusionsThough, orthopaedic surgeons are not in the frontline, they have an important role to play to face the increasing pressure due to the COVID-19 pandemic. In addition to the changes imposed in their current practice, they have a role in providing support to other colleagues in the fight against this global crisis.

show abstract

Working through the COVID-19 outbreak: Rapid review and recommendations for MSK and allied heath personnel

Cited by 73 publications

References 15 publications

COVID-19: Pandemic surgery guidance

COVID-19: Pandemic surgery guidance

Prevention of aerosol dissemination in Orthopaedics while reaming or drilling during COVID 19 pandemic - A technical note

Orthopaedic surgeons’ perceptions on COVID-19 related changes in practice: an international survey

Contact Info

Product

Resources

About