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Isolation protocol for a COVID-2019 patient requiring emergent surgical intervention: case presentation

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Název: Isolation protocol for a COVID-2019 patient requiring emergent surgical intervention: case presentation
Autoři: Michael S. Firstenberg, Matthew Libby, Michael Ochs, Jennifer Hanna, Julie E. Mangino, Joseph Forrester
Zdroj: Patient Safety in Surgery, Vol 14, Iss 1, Pp 1-5 (2020)
Informace o vydavateli: BMC, 2020.
Rok vydání: 2020
Sbírka: LCC:Surgery
Témata: COVID-2019, SARS-CoV-2, Infection control, Emergency surgery, Surgery, RD1-811
Popis: Abstract Background The concerns of the highly contagious and morbid nature of Coronavirus Disease-2019 (COVID-2019) have prompted healthcare workers to implement strict droplet and contact isolation precautions. Unfortunately, some patients who may be or presumptively or confirmed as infected with COVID-2019 may also require emergent surgical procedures. As such, given the high-risk for exposure of many healthcare workers involved the complex requirements for appropriate isolation must be adhered to. Case presentation We present our experience with a 77-year-old who required emergency cardiac surgery for a presumed acute aortic syndrome in the setting of a presumed, and eventually confirmed, COVID-2019 infection. We outline the necessary steps to maintain strict isolation precautions to limit potential exposure to the surgical Team. Conclusions We hereby provide our algorithm for emergent surgical procedures in critically-ill patients with presumptive or confirmed infection with COVID-2019. The insights from this case report can potentially be templated to other facilities in order to uphold high standards of infection prevention and patient safety in surgery during the current COVID-19 pandemic.
Druh dokumentu: article
Popis souboru: electronic resource
Jazyk: English
ISSN: 1754-9493
Relation: http://link.springer.com/article/10.1186/s13037-020-00243-9; https://doaj.org/toc/1754-9493
DOI: 10.1186/s13037-020-00243-9
Přístupová URL adresa: https://doaj.org/article/b473b245cedb4a2bac4976b297bc1400
Přístupové číslo: edsdoj.b473b245cedb4a2bac4976b297bc1400
Databáze: Directory of Open Access Journals
Popis
Abstrakt:Abstract Background The concerns of the highly contagious and morbid nature of Coronavirus Disease-2019 (COVID-2019) have prompted healthcare workers to implement strict droplet and contact isolation precautions. Unfortunately, some patients who may be or presumptively or confirmed as infected with COVID-2019 may also require emergent surgical procedures. As such, given the high-risk for exposure of many healthcare workers involved the complex requirements for appropriate isolation must be adhered to. Case presentation We present our experience with a 77-year-old who required emergency cardiac surgery for a presumed acute aortic syndrome in the setting of a presumed, and eventually confirmed, COVID-2019 infection. We outline the necessary steps to maintain strict isolation precautions to limit potential exposure to the surgical Team. Conclusions We hereby provide our algorithm for emergent surgical procedures in critically-ill patients with presumptive or confirmed infection with COVID-2019. The insights from this case report can potentially be templated to other facilities in order to uphold high standards of infection prevention and patient safety in surgery during the current COVID-19 pandemic.
ISSN:17549493
DOI:10.1186/s13037-020-00243-9