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2020, Número 2

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Rev Med UAS 2020; 10 (2)


Recomendaciones para el personal de salud sobre el manejo de pacientes quirúrgicos durante la Pandemia COVID-19

Bolívar-Rodríguez MA, Pamanes-Lozano A, Cázarez-Aguilar MA, Ortiz-Bojórquez JC, Magaña-Zavala PA, Morgan-Ortiz F, Osuna-Wong BA, Niebla-Moreno JM

Idioma: Español
Referencias bibliográficas: 19
Paginas: 95-104
Archivo PDF: 903.21 Kb.


RESUMEN

El riesgo de síndrome respiratorio agudo por coronavirus 2 (SARS-CoV-2, COVID-19) en el personal de salud y de pacientes que ingresan a un área hospitalaria es más alto que la población en general, el cual persistirá al no existir vacuna. No solo deb ido a la exposición tan cercana con pacientes infectados o sospechosos de COVID-19, sino también al aumento de aerosoles que un paciente quirúrgico genera. Todo paciente quirúrgico deberá considerarse COVID-19 positivo hasta no tener la comprobación de negatividad. Se deben identificar los recursos disponibles para cirugía programada no diferible y cirugía de urgencia, además proveer al personal de salud y al paciente con las medidas de seguridad necesarias. Se elaboraron medidas fundamentadas con la experiencia clínic a y recomendaciones de otros centros hospitalarios nacionales sobre el ingreso de paciente COVID-19 positivo a quirófano para obtener una disminución de riesgos para todos los integrantes involucrados en el proceso quirúrgico.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Wu Z, McGoogan JM. Characteristics of and ImportantLessons from the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summaryof a Report of 72314 Cases from the ChineseCenter for Disease Control and Prevention.JAMA. 2020;323(13):1239-1242.

  2. Kissler SM, Tedijanto C, Goldstein E, Grad YH,Lipsitch M. Projecting the transmission dynamicsof SARS-CoV-2 through the postpandemic period.Science. 2020 Abr 14 [Epub ahead of print].Disponible en:https://doi.org/10.1126/science.abb5793

  3. Brücher BLDM, Nigri G, Tinelli A, Lapeña JFF,Espin-Basany E, et al. COVID-19: Pandemicsurgery guidance. 4open 2020;3,1:1-19. Disponibleen:https://doi.org/10.1051/fopen/2020002

  4. Government of Iceland. Ministry for Foreign Affairs,Prime Minister´s Office, Ministry of Health.Large scale testing of general population in Icelandunderway. Mar 15, 2020. Disponible en:https://www.government.is/news/article/2020/03/15/Large-scale-testing-of-generalpopulation-in-Iceland-underway/.Accesado 3 Abril 2020.

  5. Wu C, Chen X, Cai Y, Xia J, Zhou X, Xu S, et al.Risk Factors Associated with Acute RespiratoryDistress Syndrome and death in patients withCoronavirus Disease 2019 Pneumonia in Wuhan,China. JAMA Intern Med. 2020 Mar 13[Epub ahead of print]. Disponible en:https://doi.org/10.1001/jamainternmed.2020.0994

  6. Wise Jacqui W. Covid-19: Know risk factors failto explain the increased risk of death amongpeople from ethnic minorities. BMJ2020;369:m1873.

  7. Guan WJ, Liang WH, Zhao Y, Liang HR, ChenZS, Li YM et al. Comorbidity and its impact on1590 patients with COVID-19 in China: a nationwideanalysis. Eur Respir J. 2020 May 14 [Epubahead of print]. Disponible en:https://doi.org/10.1183/13993003.00547-2020

  8. The Royal College of Radiologists. RCR positionon the role of CT in patients suspected withCOVID-19 infection. 2020 Disponible en:https://www.rcr.ac.uk/college/coronavirus-covid-19-what-rcr-doing/clinical-information/rcr-position-role-ct-patients (Accesado 29 Mar 2020).

  9. Ai T, Yang Z, Hou H, Zhan Ch, Chen Ch, Lv W,et al. Correlation of Chest CT and RT-PCR Testingin Coronavirus Disease 2019 (COVID-19) inChina: A Report of 1014 Cases. Radiology 2020Feb 26 [Epub ahead of print]. Disponible en:https://doi.org/10.1148/radiol.2020200642

  10. Biccard BM. Relationship Between the Inabilityto Climb Two Flights of Stairs and Outcome AfterMajor Non-Cardiac Surgery: Implications for thePre-Operative Assessment of Functional Capacity.Anaesthesia 2005;60(6):588-593.

  11. Brindle M, Gawande A. Managing COVID-19 inSurgical Systems. Ann Surg. 2020 Mar 23 [Epubahead of print]. Disponible en:https://doi.org/10.1097/sla.0000000000003923

  12. Li CI, Pai JY, Chen CH. Characterization ofsmoke generated during the use of surgical knifein laparotomy surgeries. J Air Waste Manag Assoc.2020;70(3)324-332.

  13. Di Marzo F, Cardi M. Regarding “Understandingthe ‘Scope’ of the Problem Why Laparoscopy isConsidered Safe during the covid-19 Pandemic.J Minim Invasive Gynecol. 2020 abr 25 [Epubahead of print]. Disponible en:https://doi.org/10.1016/j.jmig.2020.04.027

  14. US EPA. National Service Center for EnvironmentalPublications (NSCEP) [Internet] 2003.Hoja de Datos-Tecnología de Control de Contaminaciondel Aire [consultado 9 de febrero2020]. Diponible en:https://nepis.epa.gov/Exe/ZyPDF.cgi/P100RQ79.PDF?Dockey=P100RQ79.PDF

  15. Zheng MH, Boni L, Fingerhunt A. Minimally InvasiveSurgery and the Novel Coronavirus Outbreak:Lessons learned in China and Italy. AnnSurg. 2020 Mar 26. [Epub ahead of print]. Disponibleen:https://doi.org/10.1097/sla.0000000000003924

  16. Tang LY, Wang J. Anesthesia and COVID-19:What We Should Know and What We Should Do.Semin Cardiothorac Vasc Anesth. 2020;24(2):127-137.

  17. Ti LK, Ang LS, Foong TW, Ng BSW. What we dowhen a COVID-19 patient needs an operation:operating room preparation and guidance. Can JAnaesth. 2020; 67(6):756-758.

  18. B Todd Heniford. 2020. Proposed Guidelines forSurgery and, Minimally Invasive Surgery Duringthe COVID-19 Pandemic to maximize the safetyof surgical staff & patients. Attachments include2 protocols: 1) if testing available 2) not. Flow diagram.Intro and FAQ-1/2. https://twitter.com/THeniford/status/1242903477921165313. 25 de marzo de2020. [Consultado el 15 de abril de 2020] [Tuit].Disponible en:https://twitter.com/THeniford/status/1242903477921165313.

  19. Cohen SL, Liu G, Abrao M, Heniford T. Perspectiveson Surgery in the Time of COVID-19: SafetyFirst. J Minim Invasive Gynecol. 2020;27(4):792-793




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