Operating Room Instruction for COVID-19 Epidemic: A Meta-Synthesis (Preprint)

2020 ◽  
Author(s):  
Raziyeh Ghafouri ◽  
Maryam Vosoghian ◽  
Zahra Malmir ◽  
Zahra Arasteh ◽  
Sepideh Khodadadi
Keyword(s):  
Systematic Review ◽  
Head And Neck ◽  
Operating Room ◽  
Risk Of Infection ◽  
Inclusion Criteria ◽  
Safe Surgery ◽  
Operating Instructions ◽  
Treatment Procedures ◽  
Effective Service ◽  
Nose And Throat

BACKGROUND COVID-19crisis changes the patients' treatment procedures worldwide. Preventive procedures should be developed for COVID-19 in order to prevent its development, managethis epidemic properly, and provide safe and effective service. Operating room is aplace where it is important to follow the instructions to cope with this disease because the operating room staffsare at the highest risk of infection with COVID-19. The present study aimed to design instructions for behavior in the operating room during the COVID-19 epidemic. OBJECTIVE The present study aimed to design instructions for behavior in the operating room during the COVID-19 epidemic. METHODS The present study was conducted by a systematic review method. Searching was performed by keywords COVID-19, surgery, operating room, anesthesia, and instructions on PUBMED, Science Direct, Ovid, and ProQuest databases; and 98 studied were obtained. It decreased to 42 items after repeating the duplicate items and reviewing the summary of articles, and finally 23 studies were selected for review. First, the articles were reviewed based on the titles and summary, and if they were included in the study if they had the inclusion criteria. The inclusion criteria were English and Persian languages; the relevance of articles on COVID-19, surgery and anesthesia. RESULTS : Patients should be screened for COVID-19 for surgery, and caution should be exercised if they had ear, nose and throat, jaw and face, head and neck surgeries. Intubation is one of the most risky activities that need to be done with full caution. Chlorine for the surface and equipment, and Ultraviolet (UV) for operating rooms are now the most accessible and effective disinfectants. CONCLUSIONS Following the operating instructions in the operating room prevented the transmission of COVID among patients and staff and helped to perform safe surgery during the COVID-19 epidemic. CLINICALTRIAL -

scholarly journals High-Risk Surgeries during the COVID-19 Epidemy

2021 ◽  
Vol 7 (2) ◽  
pp. 035-041
Author(s):  
Raziyeh Ghafouri ◽  
Maryam Vosoghian ◽  
Zahra Malmir ◽  
Zahra Arasteh ◽  
Sepideh Khodadadi
Keyword(s):  
High Risk ◽  
Head And Neck ◽  
Operating Room ◽  
Treatment Process ◽  
Inclusion Criteria ◽  
Safe Surgery ◽  
Nose And Throat

Introduction: The prevalence of coronavirus has led to minimal and emergency surgeries. It is recommended that surgery should be performed if it is necessary during the treatment process in order not to interfere with the treatment of patients, but surgery, which are more likely to transmit COVID-19, should be identified in order to have a safe surgery and improve the safety of patients and staff. Therefore, the present study aimed to identify surgeries with the possibility of transmitting COVID-19. Method: The present study was conducted by an integrated review method. Searching was performed by keywords COVID-19, surgery, operating room, anesthesia, and instructions on PUBMED, Science Direct, Ovid, and ProQuest databases; and 98 studied were obtained. It decreased to 42 items after removing the duplicate items and reviewing the abstract of articles, and finally 23 studies were selected for review based on the inclusion criteria. The inclusion criteria were English and Persian languages; the relevance of articles on COVID-19, surgery and anesthesia. Results: Tracheostomy, ear, nose and throat, maxillofacial, and head and neck surgeries such thoracotomy are high-risk surgeries for the COVID-19 transmission. Conclusion: High-risk surgeries should be performed the full preventive precautions against the COVID-19 transmission.

scholarly journals The Role of Robotic Surgery in Benign Otolaryngology Head and Neck Surgery: A Systematic Review of the Literature.

2021 ◽  
Vol 9 (2) ◽  
Author(s):  
Sarah Gillanders ◽  
Akshaya Ravi ◽  
Shawkat Abdulrahman
Keyword(s):  
Systematic Review ◽  
Head And Neck ◽  
Neck Surgery ◽  
Review Of The Literature ◽  
Inclusion Criteria ◽  
Robot Assisted ◽  
Robotic Assisted ◽  
Robotic Assisted Surgery ◽  
Near Future

The role of robotic-assisted surgery has increased exponentially in many surgical specialities over recent years. However, common usage within otolaryngology still appears limited. We aim to explore the alternative uses for robot-assisted surgery in benign otolaryngology, head and neck pathologies. A systematic review of the literature was performed by searching electronic databases and references libraries. 2485 papers were identified through our search. 96 studies met our inclusion criteria. Our results are categorized and displayed in table format. There are multiple novel adaptations of robotic-assisted surgery being performed across the world in benign otolaryngology, head and neck pathologies. Exciting advances in technology and availability will expand this scope even further in the near future.

scholarly journals Clinical Features of COVID-19 Patients in the First Year of Pandemic: A Systematic Review and Meta-Analysis

2021 ◽  
pp. 109980042110558
Author(s):  
Mohammed Al Maqbali ◽  
Khalid Al badi ◽  
Mohammed Al Sinani ◽  
Norah Madkhali ◽  
Geoffrey L. Dickens
Keyword(s):  
Systematic Review ◽  
Clinical Symptoms ◽  
Meta Analysis ◽  
First Year ◽  
Random Effects Model ◽  
Risk Of Infection ◽  
Limited Data ◽  
Inclusion Criteria ◽  
Pooled Prevalence ◽  
And Control

Background The new coronavirus disease (COVID-19) carries a high risk of infection and has spread rapidly around the world. However, there are limited data about the clinical symptoms globally. The purpose of this systematic review and meta-analysis is to identify the prevalence of the clinical symptoms of patient with COVID-19. Methods A systematic review and meta-analysis were carried out. The following databases were searched: PubMed, CINAHL, MEDLINE, EMBASE, PsycINFO, medRxiv, and Google Scholar, from December 1st, 2019 to January 1st, 2021. Prevalence rates were pooled with meta-analysis using a random-effects model. Heterogeneity was tested using I-squared (I2) statistics. Results A total of 215 studies, involving 132,647 COVID-19 patients, met the inclusion criteria. The pooled prevalence of the four most common symptoms were fever 76.2% ( n = 214; 95% CI 73.9–78.5); coughing 60.4% ( n = 215; 95% CI 58.6–62.1); fatigue 33.6% ( n = 175; 95% CI 31.2–36.1); and dyspnea 26.2% ( n = 195; 95% CI 24.1–28.5). Other symptoms from highest to lowest in terms of prevalence include expectorant (22.2%), anorexia (21.6%), myalgias (17.5%), chills (15%), sore throat (14.1%), headache (11.7%), nausea or vomiting (8.7%), rhinorrhea (8.2%), and hemoptysis (3.3%). In subgroup analyses by continent, it was found that four symptoms have a slight prevalence variation—fever, coughing, fatigue, and diarrhea. Conclusion This meta-analysis found the most prevalent symptoms of COVID-19 patients were fever, coughing, fatigue, and dyspnea. This knowledge might be beneficial for the effective treatment and control of the COVID-19 outbreak. Additional studies are required to distinguish between symptoms during and after, in patients with COVID-19.

Adverse Effects of Natural Products: A Brief Pre-Systematic Review

2020 ◽  
Vol 01 ◽  
Author(s):  
Carla Pires ◽  
Ana Fernandes
Keyword(s):  
Systematic Review ◽  
Adverse Event ◽  
Natural Products ◽  
Adverse Events ◽  
In Vitro Study ◽  
Google Scholar ◽  
Inclusion Criteria ◽  
Exclusion Criteria ◽  
Meta Analyses

Background: Natural products are commonly used for treating health problems. These products may be associated with adverse events, which are defined as "noxious and unintended response to a medicinal product" by the European Medicine Agency. Objectives: To identify studies describing at least one adverse event (or with potential to promote an adverse event) related to the use of natural products, as well as to describe the involved product(s) and adverse event(s). Methods: A pre-systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses criteria. Keywords: "natural product(s)" and ["adverse drug reaction(s)" or "adverse effect(s)"]. Screened databases: PubMed, SciELO, DOAJ and Google Scholar. Inclusion criteria: papers describing at least one adverse event associated with the use of natural products and published between 2017 and 2019. Exclusion criteria: Repeated studies, reviews and papers written in other languages than English, Portuguese, French or Spanish. Results: 104 studies were identified (20 PubMed; 0 SciELO; 2 DOAJ; 82 Google Scholar), but only 10 were selected (4 PubMed and 6 Google Scholar): 1 in-vitro study; 2 non-clinical studies, 1 study reporting in-vitro and clinical data and 5 studies were cases reports. Globally, 997 reports of adverse drug reactions with natural products were identified, mainly non-severe cases. Conclusion: Since a limited number of studies was found, we conclude that adverse events due to natural products may be underreported, or natural products may have a good safety profile. This review contributes for assuring the safety of natural products consumers, by evaluating the knowledge/information on the potential adverse events and interactions of these products.

Issues of geriatric otolaryngologic emergency have not been widely applied despite increase in geriatric population. (Preprint)

2019 ◽  
Author(s):  
Waheed Atilade Adegbiji ◽  
Shuaib Kayode Aremu ◽  
AbdulAkeem Adebayo Aluko
Keyword(s):  
Foreign Body ◽  
Head And Neck ◽  
Clinical Features ◽  
University Teaching ◽  
Age Group ◽  
Geriatric Population ◽  
Female Ratio ◽  
Common Diagnosis ◽  
Foreign Body Impaction ◽  
Nose And Throat

BACKGROUND Issues of geriatric otolaryngologic emergency have not been widely applied despite increase in geriatric population. OBJECTIVE This study aimed at determining prevalence, sociodemographic features, aetiology, clinical features, Complications and sources ofreferral of geriatric otorhinolaryngological, head and neck emergency in our center. METHODS This was a prospective hospital based study of geriatric otorhinolaryngology emergency in the Ear, Nose and Throat Department of Ekiti State University Teaching Hospital. The study was carried out between October 2016 and September 2018. Data were obtained by using pretested interviewers questionnaire.All data were collated and analyzed using SPSS version 18.0. The data were expressed by frequency table, percentage, bar charts and pie charts. RESULTS Geriatric otorhinolaryngology, head and neck emergency accounted for 5.3%. Major prevalence age group was 43.9% in the age group (60-64). There were 38.6% males with male to female ratio of 1:1.5. The main aetiology of geriatric otorhinolaryngology emergency was 29.5% trauma/road traffic accident/foreign body impaction and 25.8% tumour. Main anatomical distribution of geriatric otorhinolaryngology emergency were 38.6% throat diseases and 31.1% ear diseases. The most frequent clinical features were pain in 27.3%, hearing loss in 21.2%, tinnitus in 15.9%, bleeding in 14.4%, difficulty breathing in 12.9% and discharge in 11.4%. Common diagnosis in this study were 15.9% sinonasal tumour, 14.4% upper aerodigestive foreign body impaction, 10.6% earwax impaction and 19.8% otitis externa. Acute presentation (<13 weeks) occurred in 1 week in 74.2% and 2-13 weeks In 19.7%. Commonest time of presentation was daytime in 65.9%. Major sources of referral were 43.2% general practitioner and 31.1% casualty officers. Presentation of geriatric otorhinolaryngology emergency were mainly ear, nose and throat clinic in 59.8% with accident and emergency in 28.8%. Commonest associated comorbid illnesses among the geriatric patients were 18.2% hypertension, 14.4% arthritis and 9.8% diabetes mellitus. CONCLUSIONS Geriatric otorhinolaryngological emergency are common pathology with associated with comorbid illnesses. Detailed clinical assessment are mandatory for effective management outcome.

Sign in / Sign up

Export Citation Format

Share Document