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DOI: 10.1055/s-0041-1736564
Otolaryngology and Head and Neck Surgeries during Pandemic era – How Make them Safer
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In the first quarter of 2020, we had many questions and few answers. We did not know how COVID-19 could impact our patients and our surgical teams. The speed at which scientific papers were published helped us to understand COVID-19 and how we can perform our surgical procedures. One important lesson is that it is imperative to follow universal pandemic precautions, including appropriate personal protective equipment (PPE), because of the high risk for SARS-CoV-2 infection due to aerosol and droplet exposure during examinations and procedures within the head and neck region and airway. We will address important topics that must be taken into account in the daily practice of otolaryngologists and head and neck surgeons.
Publication History
Article published online:
29 October 2021
© 2021. Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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References
- 1 Howard BE. High-Risk Aerosol-Generating Procedures in COVID-19: Respiratory Protective Equipment Considerations. Otolaryngol Head Neck Surg 2020; 163 (01) 98-103
- 2 Mick P, Murphy R. Aerosol-generating otolaryngology procedures and the need for enhanced PPE during the COVID-19 pandemic: a literature review. J Otolaryngol Head Neck Surg 2020; 49 (01) 29
- 3 Ministério da Saúde. Diretrizes para diagnóstico e tratamento da COVID-19. Brasil. [cited 2021 Sept]. Available from: https://www.gov.br/saude/pt-br
- 4 Wainstein AJA, Drummond-Lage AP, Ribeiro R. et al. Risks of COVID-19 for surgical cancer patients: The importance of the informed consent process. J Surg Oncol 2020; ••• DOI: 10.1002/so.26065.
- 5 Li Y, Yao L, Li J. et al. Stability issues of RT-PCR testing of SARS-CoV-2 for hospitalized patients clinically diagnosed with COVID-19. J Med Virol 2020; 92 (07) 903-908
- 6 Rubin GD, Ryerson CJ, Haramati LB. et al. The role of chest imaging in patient management during the COVID-19 pandemic: a multinational consensus statement from the Fleischner Society. Chest 2020; 158 (01) 106-116
- 7 Ota I, Asada Y. The impact of preoperative screening system on head and neck cancer surgery during the COVID-19 pandemic: Recommendations from the nationwide survey in Japan. Auris Nasus Larynx 2020; 47 (04) 687-691
- 8 SBCCP – Sociedade Brasileira de Cirurgia de Cabeça e Pescoço. Brasil. [cited 2021 Sept]. Available from: http://sbccp.org.br/
- 9 Inui S, Fujikawa A, Jitsu M. et al. Chest CT findings in cases from the cruise ship “diamond princess” with coronavirus disease 2019 (COVID-19). Radiol Cardiothorac Imaging 2020; 2 (02) e200110 DOI: 10.1148/ryct.2020200110.
- 10 Livingston EH. Surgery in a time of uncertainty: a need for universal respiratory precautions in the operating room. JAMA 2020; 323 (22) 2254-2255
- 11 Oliveira MC, Gabardo BA, Martins CC. et al. Recomendações AMIB sobre controle sanitário e estratégias de contingenciamento das unidades de terapia intensiva para atendimento dos pacientes com coronavírus. AMIB – Associação de Medicina Intensiva Brasileira. [cited 2021 Sept]. Available from: https://www.amib.org.br/fileadmin/user_upload/amib/2020/marco/28/VJS_280320_21H40_RECOMENDACOES_AMIB_SOBRE_CONTROLE_SANITARIO_E_ESTRATEGIAS_DE_CONTINGENCIAMENTO_DAS_UNIDADES_DE_TERAPIA_INTENSIVA_PARA_ATENDIMENTO_DOS_PACIENTES_COM_CORONAVIRUS.pdf
- 12 CDC – Centers for Disease Control and Prevention. Ventilation in Buildings. [cited 2021 Sept]. Available from: https://www.cdc.gov/coronavirus/2019-ncov/community/ventilation.html
- 13 Doglietto F, Vezzoli M, Gheza F. et al. Factors Associated with surgical mortality and complications among patients with and without coronavirus disease 2019 (COVID-19) in Italy. JAMA Surg 2020; 155 (08) 691-702
- 14 Lei S, Jiang F, Su W. et al. Clinical characteristics and outcomes of patients undergoing surgeries during the incubation period of COVID-19 infection. EClinicalMedicine 2020; 21: 100331
- 15 SBA – Sociedade Brasileira de Anestesiologia. Declaração Conjunta da Sociedade Americana de Anestesiologistas e Fundação para a Segurança do Paciente de Anestesia a respeito de Cirurgia Eletiva e Anestesia para Pacientes pós-infecção Covid-19. [cited 2021 Sept]. Available from: https://www.saerj.org.br/wp-content/uploads/2020/12/artigo-cirurgia-eletiva-pos-covid-portugues-FINAL-1-3-1.pdf
- 16 COVIDSurg Collaborative, GlobalSurg Collaborative. Timing of surgery following SARS-CoV-2 infection: an international prospective cohort study. Anaesthesia 2021; 76 (06) 748-758 DOI: 10.1111/anae.15458.
- 17 UK Surgical Royal Colleges. Vaccinated patients guidance. [cited 2021 Sept]. Available from: https://www.rcseng.ac.uk/coronavirus/vaccinated-patients-guidance/