scholarly journals Surgery Safety Protocol for Patients and Staff During the COVID-19 Global Pandemic – A Prospective Study of 78 Consecutive, Open and Laparoscopic Surgical Procedures

2020 ◽  
pp. 1-6
Author(s):  
Gianluca Matteo Sampietro ◽  
Gianluca Matteo Sampietro ◽  
Carlo Corbellini ◽  
Caterina Baldi ◽  
Salvatore Barberi ◽  
...  

Background: To evaluate safety, for patients and staff, and efficacy of a protocol for the surgical treatment of patients during COVID-19 pandemic (50 days period) in a hospital located in the northern Italy. Methods: Two different pathways were adopted (non-COVID-19 and COVID-19), with dedicated OR and ICU, and PPE for personnel. A monitoring of patients and staff for COVID-19 was carried out. Results: 78 patients were included. Laparoscopy was used in 33.4% without gas filtration. COVID-19- positive patients (11.5%) were older men (0.04%), with elevated ASA score (0.002), and two or more comorbidities (0.02). They experienced longer hospitalization (0.003), more complications and more deaths (0.0001). All COVID-19 related deaths were due to severe acute respiratory syndrome. None of the patients included resulted infected, but one out of 47 staff personnel (<2%). Conclusion: COVID-19 is largely unknown, but a safe and effective surgical pathway is feasible.

2020 ◽  
Vol 134 (8) ◽  
pp. 717-720 ◽  
Author(s):  
MH Hussain ◽  
M Mair ◽  
P Rea

AbstractObjectiveTo evaluate the prevalence of severe acute respiratory syndrome coronavirus-2 infection in patients presenting with epistaxis to a tertiary otolaryngology unit.MethodsA prospective study was conducted of 40 consecutive patients presenting with epistaxis referred to our tertiary otolaryngology unit. A group of 40 age-matched controls were also included. All patients underwent real-time reverse transcriptase polymerase chain reaction testing for severe acute respiratory syndrome coronavirus-2. Symptoms of fever, cough and anosmia were noted in the study group.ResultsThe mean age was 66.5 ± 22.4 years in the study group. There were 22 males (55 per cent) and 18 females (45 per cent). The mean age in the control group was 66.3 ± 22.4 years (p = 0.935). There were six positive cases for severe acute respiratory syndrome coronavirus-2 (15 per cent) in the epistaxis group and one case (2.5 per cent) in the control group. The difference was statistically significant (p = 0.05).ConclusionEpistaxis may represent a presenting symptom of severe acute respiratory syndrome coronavirus-2 infection. This may serve as a useful additional criterion for screening patients.


2020 ◽  
Vol 138 ◽  
pp. S83
Author(s):  
E. Palma ◽  
G. Rizzo ◽  
S. Papi ◽  
F. Combi ◽  
S. Fenocchi ◽  
...  

2020 ◽  
Vol 80 ◽  
pp. 100-107
Author(s):  
Jong-myung Jung ◽  
Seung-Jae Hyun ◽  
Ki-Jeong Kim ◽  
Chi Heon Kim ◽  
Chun Kee Chung ◽  
...  

2012 ◽  
Vol 97 (3) ◽  
pp. 862-870 ◽  
Author(s):  
Avantika C. Waring ◽  
Stephanie Harrison ◽  
Mary H. Samuels ◽  
Kristine E. Ensrud ◽  
Erin S. LeBlanc ◽  
...  

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