scholarly journals A COVID-19 Patient Who Underwent Endonasal Endoscopic Pituitary Adenoma Resection: A Case Report

Neurosurgery ◽  
2020 ◽  
Vol 87 (2) ◽  
pp. E140-E146 ◽  
Author(s):  
Wende Zhu ◽  
Xing Huang ◽  
Hongyang Zhao ◽  
Xiaobing Jiang
Keyword(s):  
Case Report ◽  
Pituitary Adenoma ◽  
Endoscopic Surgery ◽  
Personal Protective Equipment ◽  
Medical Staff ◽  
Clinical Presentation ◽  
Protective Equipment ◽  
Airway Protection ◽  
Endonasal Endoscopic Surgery ◽  
Adenoma Patient

Abstract BACKGROUND AND IMPORTANCE A pituitary adenoma patient who underwent surgery in our department was diagnosed with COVID-19 and 14 medical staff were confirmed infected later. This case has been cited several times but without accuracy or entirety, we feel obligated to report it and share our thoughts on the epidemic among medical staff and performing endonasal endoscopic surgery during COVID-19 pandemic. CLINICAL PRESENTATION The patient developed a fever 3 d post endonasal endoscopic surgery during which cerebrospinal leak occurred, and was confirmed with SARS-CoV-2 infection later. Several medical staff outside the operating room were diagnosed with COVID-19, while the ones who participated in the surgery were not. CONCLUSION The deceptive nature of COVID-19 results from its most frequent onset symptom, fever, a cliché in neurosurgery, which makes it hard for surgeons to differentiate. The COVID-19 epidemic among medical staff in our department was deemed as postoperative rather than intraoperative transmission, and attributed to not applying sufficient personal airway protection. Proper personal protective equipment and social distancing between medical staff contributed to limiting epidemic since the initial outbreak. Emergency endonasal endoscopic surgeries are feasible since COVID-19 is still supposed to be containable when the surgeries are performed in negative pressure operating rooms with personal protective equipment and the patients are kept under quarantine postoperatively. However, we do not encourage elective surgeries during this pandemic, which might put patients in conditions vulnerable to COVID-19.

scholarly journals A mask-based infection control method for screening endoscopy may prevent SARS-CoV-2 transmission and relieve staff anxiety

2021 ◽  
Vol 9 ◽  
pp. 205031212110470
Author(s):  
Yuji Nadatani ◽  
Akira Higashimori ◽  
Shingo Takashima ◽  
Hirotsugu Maruyama ◽  
Koji Otani ◽  
...  
Keyword(s):  
High Risk ◽  
Infection Control ◽  
Personal Protective Equipment ◽  
Medical Staff ◽  
Fluorescent Dyes ◽  
Control Method ◽  
Protective Equipment ◽  
Health Checkup ◽  
Screening Endoscopy ◽  
Droplet Trajectory

Objectives: Endoscopy confers high risk for acquiring coronavirus disease 2019. Although guidelines recommend that medical staff use personal protective equipment, no infection control equipment have been established for patients. This study aimed to clarify the usefulness of two face masks we had designed for transnasal and transoral endoscopy. Methods: The efficacy of the masks was evaluated by simulating coughing in a mannequin with fluorescent dyes and mapping the droplet trajectory and number. The number of aerosols generated during endoscopy was clinically evaluated in the endoscopy room. Overall, 4356 screening endoscopies were performed with the patients wearing our masks at Medcity21, a health checkup facility, between June and December 2020; the effects of the masks on the patient’s condition were evaluated retrospectively. An 11-item paper-based survey was performed by the endoscopy staff 6 months after the adoption of the mask-based infection control method. Results: Use of both masks reduced the number of droplets released during the simulation. Clinically, the use of both masks did not affect the patients’ conditions during endoscopy and prevented an increase in the aerosols in the endoscopy room. This mask-based infection control method was favorably received, and all staff indicated that understanding the efficacy of our mask-based infection control reduced their anxiety regarding infection. Until December 2020, none of our staff had contracted SARS-CoV-2. Conclusion: Our mask-based infection control method is easy to adopt, inexpensive, and effective; understanding its effectiveness may help ease the fear of infection among endoscopy staff.

Organization of personneindividual protection conducting diagnostic and treatment procedures using radionuclide and generating sources of ionizing radiation

2017 ◽  
Vol 62 (5) ◽  
pp. 28-30
Author(s):  
В. Рубцов ◽  
V. Rubcov ◽  
В. Клочков ◽  
V. Klochkov ◽  
А. Нефедов ◽  
...  
Keyword(s):  
Nuclear Medicine ◽  
Ionizing Radiation ◽  
Personal Protective Equipment ◽  
Medical Staff ◽  
High Performance ◽  
Protective Equipment ◽  
Study Guide ◽  
Personal Protection ◽  
Radiation Sources ◽  
Treatment Procedures

Purpose: To improve radiation safety of medical staff and patients during diagnostic and treatment procedures with using of radionuclide radiation sources. Materials and methods: Staff working conditions have been analyzed and the potential for using of various personal protective equipment has been assessed based on the developed framework of personal protection of medical staff and patients at nuclear medicine centers. In accordance with methods described in the current Russian standards, specimens of personal protective equipment manufactured at Russian industrial plants and suitable for use by medical staff and patients at nuclear medicine centers have been tested. Results: Results of laboratory tests of new advanced high-performance personal protective equipment of various purposes for protection of medical staff and patients during diagnostic and treatment procedures with using of radionuclide radiation sources are provided. Training and information documents and guidelines have been developed, including “Study guide on personal protection during diagnostic and treatment procedures with using of radionuclides and ionizing radiation sources” for various departments of the Institute of Continuing Vocational Education, State Research Center – Burnasyan Federal Medical Biophysical Center of the FMBA of Russia, and “Guidelines on personal protection of medical staff and patients during diagnostic and treatment procedures with using of radionuclides and ionizing radiation sources”. Conclusion: Study guide and Guidelines on personal protection of medical staff and patients at nuclear medicine centers during diagnostic and treatment procedures with using of radionuclide radiation sources, as well as the draft of the Standard guidelines on delivery of free personal protective equipment to medical staff have been developed based on the results of work and studies.

Endonasal Endoscopic Surgery for Pituitary Adenoma

2015 ◽  
Vol 2 (4) ◽  
Author(s):  
Bjorn Lobo ◽  
Xin Zhang ◽  
Garni Barkhoudarian ◽  
Chester F. Griffiths ◽  
Daniel F. Kelly
Keyword(s):  
Pituitary Adenoma ◽  
Endoscopic Surgery ◽  
Endonasal Endoscopic Surgery

scholarly journals Military trauma and orthopaedics experience of the UK COVID-19 pandemic: a lesson in versatility and how it can influence our deployed role

2020 ◽  
pp. bmjmilitary-2020-001663
Author(s):  
Tim Packer ◽  
L McMenemy ◽  
J Kendrew ◽  
S A Stapley
Keyword(s):  
Personal Protective Equipment ◽  
Medical Staff ◽  
Protective Equipment ◽  
Use Of Technology ◽  
Military Trauma ◽  
The Uk ◽  
And Training ◽  
Services Use

The COVID-19 pandemic necessitated unprecedented change within the NHS. Some medical staff have been deployed into unfamiliar roles, while others have been exposed to innovative ways of working. The embedded military Trauma and Orthopaedic (T&O) cadre have been integral to this change. Many of these new skills and ways of working learnt will be transferable to deployed environments. Feedback from the T&O military cadre highlighted key areas of learning as changes in T&O services, use of technology, personal protective equipment, redeployment and training. This paper aims to discuss how these changes were implement and how they could be used within future military roles. The T&O cadre played important roles within their NHS trusts and the skills they learnt will broaden their skills and knowledge for future deployments.

scholarly journals Syncope: A Very Atypical Presentation of COVID-19

2020 ◽  
Vol 2 (6) ◽  
Author(s):  
Richard D. Shih ◽  
Paul M. Louis ◽  
Scott M. Alter ◽  
Patrick G. Hughes ◽  
Joshua J. Solano ◽  
...  
Keyword(s):  
United States ◽  
Risk Factors ◽  
Risk Factor ◽  
Case Report ◽  
Personal Protective Equipment ◽  
Unusual Case ◽  
Protective Equipment ◽  
Atypical Presentation ◽  
Shortness Of Breath ◽  
Atypical Presentations

Possible COVID-19 patients have presented commonly to United States Emergency Departments. Patients presenting with cough, fever and shortness of breath are easy to identify as suspected cases. Unfortunately, not all COVID-19 patients present this way. Atypical presentations are a risk factor for healthcare worker (HCW) transmission of this disease. In this case report we describe the unusual case of COVID-19 presenting as syncope without any other risk factors. HCWs need to be aware of atypical COVID-19 presentations and to maintain proper use of personal protective equipment.

scholarly journals Annoying Skin Reaction Among The Medical Staff Using Personal Protective Equipment During COVID-19

2020 ◽  
Author(s):  
Thamir Alkubaisi
Keyword(s):  
Skin Reaction ◽  
Personal Protective Equipment ◽  
Medical Staff ◽  
Cross Sectional Study ◽  
Protective Equipment ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Skin Reactions ◽  
Prolonged Contact ◽  
Quantitative Descriptive

Abstract Backgrounds: the medical staff remains liable to COVID-19. Healthcare institutions must give offer to the supply of "personal protective equipment" to them, with the prolonged contact with this equipment that may cause a variety of skin diseases.Purpose: To shed light on the cutaneous abnormal reactions to the "personal protective equipment" among the medical staff and offers solutions.Methods: This cross-sectional study conducted for the medical staff that involved doctors, dentists, pharmacists, and nurses in the high-risk Ramadi General Teaching Hospital and low-risk Private Clinics, between 4-10 July 2020, at the time after the rise in COVID-19 patients in Anbar governorate, Iraq. A thorough quantitative descriptive research included age, gender, the duration and type of used masks, gloves, Goggles/face shield, and/or gown. About 23 questions described the adverse skin reactions chiefly that involve the skin. Results: A total of 196 participants were recruited for the online questionnaire, including (49.5%) doctor, (15.3%) dentist, (16.8%) pharmacist, and (18.4%) nurse, with a significant involvement between 20-29 years old age. The use of the mask and glove were associated significantly with an adverse skin reaction, like a wound, dry lips, Acne and/or folliculitis, hand dryness, erythema, itching, wrinkle, nail fracture. While workers who regularly used gowns had a negative correlation with adverse skin reactions including erythema with pruritus of trunk and shoulders, miliaria, and pityriasis versicolor. Goggles/face shield did not report adverse skin problems,Conclusions: The medical staff uses personal protective equipment that may develop mild dermatological adverse effects. It needs early diagnosis and treatment. There is dermatological advice that may be helpful to avoid these unwanted effects.

scholarly journals Monitoring of the Environmental Contamination and Exposure Risk of COVID-19 in the Medical Staff of Coronavirus referral hospitals in Qom, Iran

2020 ◽  
Vol 9 (1) ◽  
pp. 178-182
Keyword(s):  
Risk Assessment ◽  
Personal Protective Equipment ◽  
Medical Staff ◽  
Environmental Samples ◽  
Biological Fluid ◽  
Respiratory Illness ◽  
Assessment Process ◽  
Protective Equipment ◽  
Exposure Risk ◽  
Referral Hospitals

COVID-19 is a new infection that first occurred in China and now is spreading worldwide. The disease is considered to be a serious respiratory disease in humans. This study has been designed to assess surface contamination of SARS-CoV-2and exposure risk of the disease in the medical staff of two coronavirus referral hospitals of Qom province, which were dedicated to the admission and treatment of COVID -19 patients.. This study was carried in two steps including analysis of environmental samples and exposure risk assessment of COVID-19. In this study 50 environmental samples were collected from different sites of the hospitals. After extracting RNA, RT-PCR was done for the detection of SARS-CoV-2. The results showed that 18% of environmental sites, including elevator buttons (8%), doorknobs (6%) and bed rails (4%) were positive. In the risk assessment process based on according to wear of personal protective equipment, exposed to high touch surfaces, performing hand hygiene, any accident with biological fluid/respiratory secretions, the results indicate that 60.4 %, 68.3%, 28.6% and 20.6% health care personal including medical doctors, nurses and assistant nurses have high risk, respectively. In general, implement a plan for monitoring health personnel exposed to confirmed COVID-19 cases for respiratory illness including environmental surveillance engineering controls and personal protective equipment recommended.

Anthrax

2016 ◽  
Author(s):  
Rebecca Smith
Keyword(s):  
Antibiotic Therapy ◽  
Personal Protective Equipment ◽  
Human Disease ◽  
Clinical Presentation ◽  
Mass Casualty ◽  
Protective Equipment ◽  
The World ◽  
Anthrax Spores ◽  
Cardiopulmonary Monitoring ◽  
Route Of Exposure

Anthrax spores are found in the soil in many parts of the world and usually cause disease in grazing animals. Human disease is typically seen in farmers, ranchers, and workers handling animal carcasses, hides, hair, and bones. In biologic warfare or terrorism, aerosolization of the spores has been considered as an effective route of mass dissemination. Clinical presentation depends on the route of exposure: cutaneous, ingestion, inhalation (or Woolsorter’s disease). Personal protective equipment and patient decontamination are important before addressing a potential exposure. Mass casualty incidents will likely cause a strain on resources and appropriate triage will be crucial. Cardiopulmonary monitoring may not be available for all patients and should be reserved for patients with a high suspicion for inhalational anthrax. The duration of antibiotic therapy for all suspected bioterrorism attacks is 60 days in order to adequately cover for possible delayed development of inhalational anthrax.

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