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Virus transmission during orthopedic surgery on patients with COVID-19 – a brief narrative review

Background and purpose — COVID-19 is among the most impactful pandemics that the society has experienced. Orthopedic surgery involves procedures generating droplets and aerosols and there is concern amongst surgeons that otherwise rational precautionary principles are being set aside due to lack of...

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Autores principales: Basso, Trude, Dale, Håvard, Langvatn, Håkon, Lønne, Greger, Skråmm, Inge, Westberg, Marianne, Wik, Tina S, Witsø, Eivind
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8023894/
https://www.ncbi.nlm.nih.gov/pubmed/32408845
http://dx.doi.org/10.1080/17453674.2020.1764234
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author Basso, Trude
Dale, Håvard
Langvatn, Håkon
Lønne, Greger
Skråmm, Inge
Westberg, Marianne
Wik, Tina S
Witsø, Eivind
author_facet Basso, Trude
Dale, Håvard
Langvatn, Håkon
Lønne, Greger
Skråmm, Inge
Westberg, Marianne
Wik, Tina S
Witsø, Eivind
author_sort Basso, Trude
collection PubMed
description Background and purpose — COVID-19 is among the most impactful pandemics that the society has experienced. Orthopedic surgery involves procedures generating droplets and aerosols and there is concern amongst surgeons that otherwise rational precautionary principles are being set aside due to lack of scientific evidence and a shortage of personal protective equipment (PPE). This narrative review attempts to translate relevant knowledge into practical recommendations for healthcare workers involved in orthopedic surgery on patients with known or suspected COVID-19. Patients and methods — We unsystematically searched in PubMed, reference lists, and the WHO’s web page for relevant publications concerning problems associated with the PPE used in perioperative practice when a patient is COVID-19 positive or suspected to be. A specific search for literature regarding COVID-19 was extended to include publications from the SARS epidemic in 2002/3. Results — Transmission of infectious viruses from patient to surgeon during surgery is possible, but does not appear to be a considerable problem in clinical practice. Seal-leakage is a problem with surgical masks. Due to the lack of studies and reports, the possibility of transmission of SARS-CoV-2 from patient to surgeon during droplet- and aerosol-generating procedures is unknown. Interpretation — Surgical masks should be used only in combination with a widely covering visor and when a respirator (N95, FFP2, P3) is not made available. Furthermore, basic measures to reduce shedding of droplets and aerosols during surgery and correct and consistent use of personal protective equipment is important.
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spelling pubmed-80238942021-04-22 Virus transmission during orthopedic surgery on patients with COVID-19 – a brief narrative review Basso, Trude Dale, Håvard Langvatn, Håkon Lønne, Greger Skråmm, Inge Westberg, Marianne Wik, Tina S Witsø, Eivind Acta Orthop Articles Background and purpose — COVID-19 is among the most impactful pandemics that the society has experienced. Orthopedic surgery involves procedures generating droplets and aerosols and there is concern amongst surgeons that otherwise rational precautionary principles are being set aside due to lack of scientific evidence and a shortage of personal protective equipment (PPE). This narrative review attempts to translate relevant knowledge into practical recommendations for healthcare workers involved in orthopedic surgery on patients with known or suspected COVID-19. Patients and methods — We unsystematically searched in PubMed, reference lists, and the WHO’s web page for relevant publications concerning problems associated with the PPE used in perioperative practice when a patient is COVID-19 positive or suspected to be. A specific search for literature regarding COVID-19 was extended to include publications from the SARS epidemic in 2002/3. Results — Transmission of infectious viruses from patient to surgeon during surgery is possible, but does not appear to be a considerable problem in clinical practice. Seal-leakage is a problem with surgical masks. Due to the lack of studies and reports, the possibility of transmission of SARS-CoV-2 from patient to surgeon during droplet- and aerosol-generating procedures is unknown. Interpretation — Surgical masks should be used only in combination with a widely covering visor and when a respirator (N95, FFP2, P3) is not made available. Furthermore, basic measures to reduce shedding of droplets and aerosols during surgery and correct and consistent use of personal protective equipment is important. Taylor & Francis 2020-05-14 /pmc/articles/PMC8023894/ /pubmed/32408845 http://dx.doi.org/10.1080/17453674.2020.1764234 Text en © 2020 The Author(s). Published by Taylor & Francis on behalf of the Nordic Orthopedic Federation. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.http://creativecommons.org/licenses/by/4.0/
spellingShingle Articles
Basso, Trude
Dale, Håvard
Langvatn, Håkon
Lønne, Greger
Skråmm, Inge
Westberg, Marianne
Wik, Tina S
Witsø, Eivind
Virus transmission during orthopedic surgery on patients with COVID-19 – a brief narrative review
title Virus transmission during orthopedic surgery on patients with COVID-19 – a brief narrative review
title_full Virus transmission during orthopedic surgery on patients with COVID-19 – a brief narrative review
title_fullStr Virus transmission during orthopedic surgery on patients with COVID-19 – a brief narrative review
title_full_unstemmed Virus transmission during orthopedic surgery on patients with COVID-19 – a brief narrative review
title_short Virus transmission during orthopedic surgery on patients with COVID-19 – a brief narrative review
title_sort virus transmission during orthopedic surgery on patients with covid-19 – a brief narrative review
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8023894/
https://www.ncbi.nlm.nih.gov/pubmed/32408845
http://dx.doi.org/10.1080/17453674.2020.1764234
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