Os cirurgiões e a pandemia do COVID-19.

Correia, María Isabel Toulson Davisson; Ramos, Rodrigo Felippe; Bahten, Luiz Carlos Von

doi:10.1590/0100-6991e-20202536

Cited by 70 publications

(56 citation statements)

References 16 publications

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“…A study carried out among Jordanian dentists working in various levels of care (26) corroborates with our findings and the findings of another study (23). It establishes that dentists are aware of COVID-19 symptoms, mode of transmission, infection controls and measures in dental clinics.…”

Section: Discussionsupporting

confidence: 88%

Brazilian Primary and Secondary Public Oral Health Attention: Are Dentists Ready to Face the COVID-19 Pandemic?

Vieira‐Meyer

Coutinho

Santos

et al. 2020

Disaster med. public health prep.

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Objective: Investigate knowledge and practice of Brazilian public primary and secondary healthcare dentists during COVID-19 pandemic. Methods: An online questionnaire, with socio-demographic and COVID-19 knowledge questions, was utilized. Results: A total of 4,048 dentists working in the Brazilian public primary and secondary healthcare system were investigated. 4,024 (99.41%) believe COVID-19 can be transmitted through dental procedures. It was observed a fair level of COVID-19 symptoms knowledge by these dentists (3.76±1.27 of 6.00), as well as a disbelieve in the actual personal protective equipment (3,382; 83.55%) and biosafety procedures (3,278; 80.98%) utilized as an efficient form of COVID-19 transmission prevention. Country region, performance of social distancing, dental specialty, the believe on personal protective equipment and biosafety preventive measures influenced the likelihood of dentists to perform dental treatment, either elective or urgent, during the COVID-19 pandemic. Conclusion: The need of extra preventive barriers for dental treatment may bring an extra financial stress in the Brazilian public primary and secondary healthcare system, as well as in the patient-dentist relationship, which may have to be reframed. Internationally accepted public guidelines policies regarding dental treatment safety, as well as the technological development of preventive tools, are needed to deal with the challenges brought by COVID-19.

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Section: Discussionsupporting

confidence: 88%

Brazilian Primary and Secondary Public Oral Health Attention: Are Dentists Ready to Face the COVID-19 Pandemic?

Vieira‐Meyer

Coutinho

Santos

et al. 2020

Disaster med. public health prep.

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“…A growing number of articles are published at this moment covering all aspects of contamination prevention, elevated surgical risk and clinical management of COVID-19-positive patients. The question remains if elective surgery is still advisable on infected patients at all or should be generally postponed [18,19].…”

Section: Introductionmentioning

confidence: 99%

Elective, Non-urgent Procedures and Aesthetic Surgery in the Wake of SARS–COVID-19: Considerations Regarding Safety, Feasibility and Impact on Clinical Management

Kaye¹,

Paprottka²,

Escudero³

et al. 2020

Aesth Plast Surg

138

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Background The worldwide spread of a novel coronavirus disease has led to a near total stop of nonurgent, elective surgeries across all specialties in most affected countries. In the field of aesthetic surgery, the selfimposed moratorium for all aesthetic surgery procedures recommended by most international scientific societies has been adopted by many surgeons worldwide and resulted in a huge socioeconomic impact for most private practices and clinics. An important question still unanswered in most countries is when and how should elective/aesthetic procedures be scheduled again and what kind of organizational changes are necessary to protect patients and healthcare workers when clinics and practices reopen. Defining manageable, evidence-based protocols for testing, surgical/ procedural risk mitigation and clinical flow management/contamination management will be paramount for the safety of non-urgent surgical procedures. Methods We conducted a MEDLINE/PubMed research for all available publications on COVID-19 and surgery and COVID-19 and anesthesia. Articles and referenced literature describing possible procedural impact factors leading to exacerbation of the clinical evolution of COVID-19positive patients were identified to perform risk stratification for elective surgery. Based on these impact factors, considerations for patient selection, choice of procedural complexity, duration of procedure, type of anesthesia, etc., are discussed in this article and translated into algorithms for surgical/anesthesia risk management and clinical management. Current recommendations and published protocols on contamination control, avoidance of crosscontamination and procedural patient flow are reviewed. A COVID-19 testing guideline protocol for patients planning to undergo elective aesthetic surgery is presented and recommendations are made regarding adaptation of current patient information/informed consent forms and patient health questionnaires. Conclusion The COVID-19 crisis has led to unprecedented challenges in the acute management of the crisis, and the wave only recently seems to flatten out in some countries. The adaptation of surgical and procedural steps for a riskminimizing management of potential COVID-19-positive patients seeking to undergo elective aesthetic procedures in the wake of that wave will present the next big challenge for the aesthetic surgery community. We propose a clinical algorithm to enhance patient safety in elective surgery in the context of COVID-19 and to minimize cross-contamination between healthcare workers and patients. New evidence-based guidelines regarding surgical risk stratification, testing, and clinical flow management/contamination management are proposed. We believe that only the continuous development and broad implementation of guidelines like the ones proposed in this paper will allow an early reintegration of all aesthetic procedures into the scope of surgical care currently performed and to prepare

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“…Para organização dos CC de todo o Brasil durante a pandemia da COVID-19, uma série de discussões sobre as recomendações da comunidade científica mundial aponta para a suspensão de procedimentos eletivos, diminuindo o contingente de circulação nas instituições e priorizando pacientes de procedimentos de urgência, emergência e oncológicos [13][14][15] . Outras ações relevantes são disponibilizar os insumos em saúde necessários -tais como máscaras cirúrgicas, máscaras N95, aventais de proteção individual e materiais de assistência ventilatória 8 -e otimizá-los para o atendimento de pacientes portadores de COVID-19, tanto no processo de triagem destes quanto na proteção dos profissionais envolvidos.…”

Section: Reorganização Dos Procedimentos Cirúrgicos: Uma Nova Realidadeunclassified

“…Manejo especial deve ser adotado durante a laparoscopia, com controle da pressão do pneumoperitônio ao mínimo possível, sem que, no entanto, haja comprometimento da visão do campo cirúrgico. Da mesma forma, devem-se utilizar o cautério em menor potência e a aspiração com filtragem durante a remoção da fumaça e aerossóis 8,14,[16][17][18] .…”

Section: Reorganização Dos Procedimentos Cirúrgicos: Uma Nova Realidadeunclassified

“…O Conselho Federal de Enfermagem (Cofen) publicou duas versões das recomendações gerais para organização dos serviços de saúde e preparo das equipes de enfermagem durante a pandemia 12 . No que tange aos procedimentos anestésico-cirúrgicos, as escalas de agendamento têm a orientação de atender a intervenções com caráter de urgência e emergência, para a priorização do atendimento às vítimas da COVID-19 9,13,14 .…”

Section: Introductionunclassified

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Centro cirúrgico: recomendações para o atendimento de pacientes com suspeita ou portadores de COVID-19

et al. 2020

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Objetivo: Apresentar as recomendações para reorganização do centro cirúrgico no atendimento a pacientes com suspeita ou confirmação de COVID-19.Método: Revisão crítica da literatura, com publicações dos anos de 2019 e 2020 relacionadas à produção científica, a normas técnicas, às diretrizes e recomendaçõesde sociedades, para o gerenciamento do centro cirúrgico na assistência a pacientes durante a pandemia do novo coronavírus. Resultados: A gestão dos recursoshumanos e materiais é primordial para: atender à demanda assistencial perioperatória; reorganizar os procedimentos cirúrgicos; garantir a segurança dos profissionaisde saúde; organizar a sala cirúrgica com materiais necessários; planejar a recuperação pós-anestésica do paciente; e realizar limpeza e desinfecção da sala cirúrgica.Conclusão: As recomendações apresentadas direcionam os enfermeiros a aplicar as melhores práticas no atendimento aos pacientes, em consonância comevidências científicas recomendadas por instituições de referência, para promoção de assistência segura e de qualidade aos pacientes e profissionais.

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Os cirurgiões e a pandemia do COVID-19.

Cited by 70 publications

References 16 publications

Brazilian Primary and Secondary Public Oral Health Attention: Are Dentists Ready to Face the COVID-19 Pandemic?

Brazilian Primary and Secondary Public Oral Health Attention: Are Dentists Ready to Face the COVID-19 Pandemic?

Elective, Non-urgent Procedures and Aesthetic Surgery in the Wake of SARS–COVID-19: Considerations Regarding Safety, Feasibility and Impact on Clinical Management

Centro cirúrgico: recomendações para o atendimento de pacientes com suspeita ou portadores de COVID-19

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