2021
DOI: 10.1136/bcr-2020-241189
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Perioperative challenges in managing a patient with COVID-19 undergoing debridement for massive scalp myiasis

Abstract: A young man presented to our centre needing an urgent debridement of his postcraniotomy wound due to massive myiasis during the COVID-19 pandemic in October 2020. Prior to the surgery, his nasopharyngeal swab real-time PCR test result was unknown. One day later, it returned as SARS-CoV-2 positive. All healthcare workers who were involved in the patient management avoided cross infection as they wore appropriate personal protective equipment. This article depicts the importance of adequate preparations when han… Show more

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Cited by 5 publications
(3 citation statements)
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“…Our experience with PPE and the problems associated, is consistent irrespective of the types of surgical procedures being done [ [11] , [12] , [13] , [14] ]. The reports agreed that while PPE complicates resuscitation efforts and technical performance on manual tasks as well as significantly contributes to physical and mental exhaustion, it is necessary as it protects against HCW in this fight against the COVID-19 pandemic.…”
Section: Discussionmentioning
confidence: 61%
“…Our experience with PPE and the problems associated, is consistent irrespective of the types of surgical procedures being done [ [11] , [12] , [13] , [14] ]. The reports agreed that while PPE complicates resuscitation efforts and technical performance on manual tasks as well as significantly contributes to physical and mental exhaustion, it is necessary as it protects against HCW in this fight against the COVID-19 pandemic.…”
Section: Discussionmentioning
confidence: 61%
“…Yeap et al and Lo et al mentioned the difficulties encountered by HCWs due to thick gloves and powered air purified respirator when handling COVID-19 patients. 15 16 Teah et al also concurred with the negative impact of PPE towards the performances of bronchoscopy and one lung ventilation. 17 18 This was in addition to difficulties in intubation, ventilation and oxygenation due to Case report our patient's underlying lung condition.…”
Section: Discussionmentioning
confidence: 82%
“…[15][16][17] Lo et al also observed difficulties and complexities of PPE use during a surgical debridement for massive scalp myiasis. 18 The reports agreed that while PPE protected against COVID-19, its use not only complicated technical procedures and resuscitation efforts but also aggravated physical and mental distress. Our experience of PPE use agrees with the results reported by Yánez Benítez et al but Loibner et al provided contradictory findings.…”
Section: Discussionmentioning
confidence: 99%