COVID-19 Infection

Greenland, John R.; Michelow, Marilyn D.; Wang, Linlin; London, Martin J.

doi:10.1097/aln.0000000000003303

Cited by 171 publications

(87 citation statements)

References 94 publications

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“…The health questionnaire has to cover signs of acute infection such as fever, dry cough, fatigue, sore throat, anosmia, skin rash or other gastrointestinal symptoms such as diarrhea, anorexia, vomiting, nausea, abdominal pain and/or gastrointestinal bleeding [40,42,45,[48][49][50][51][52][53].…”

Section: Pre-anesthetic Processmentioning

confidence: 99%

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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

145

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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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Section: Pre-anesthetic Processmentioning

confidence: 99%

“…The standard preoperative laboratory workup should include a full blood count to identify COVID-19-related alterations such as leukocytopenia and lymphopenia as well as coagulation tests, kidney-liver function and CRP levels, as well as blood sugar levels to exclude diabetes [40,42,47,49,50,52,57,58].…”

Section: Pre-anesthetic Processmentioning

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

145

View full text Add to dashboard Cite

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“…Thus, differentiating the new virus from other known infections based on the clinical presentation is practically impossible. A severe disease, usually presenting in the elderly and in those with an underlying disease, may result in progressive respiratory failure requiring intensive care unit (ICU) hospitalization [5]. Hypertension, cardiovascular disease, diabetes mellitus, smoking, chronic obstructive pulmonary disease (COPD), chronic kidney disease and malignancy were shown to be prevalent underlying diseases among hospitalized COVID-19 patients [7,8].…”

Section: Introductionmentioning

confidence: 99%

Hazardous Postoperative Outcomes of Unexpected COVID‐19 Infected Patients: A Call for Global Consideration of Sampling all Asymptomatic Patients Before Surgical Treatment

et al. 2020

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Background In December 2019, a novel coronavirus was identified as the cause of many pneumonia cases in China and eventually declared as a pandemic as the virus spread globally. Few reports were published on the outcome of surgical procedures in diagnosed COVID-19 patients and even fewer on the surgical outcomes of asymptomatic undiagnosed COVID-19 surgical patients. We aimed to review all published data regarding surgical outcomes of preoperatively asymptomatic untested coronavirus disease 2019 (COVID-19) patients. Methods This report is a review on the perioperative period in COVID-19 patients who were preoperatively asymptomatic and not tested for COVID-19. Searches were conducted in PubMed April 4th, 2020. All publications, of any design, were considered for inclusion. Results Four reports were identified through our literature search, comprising 64 COVID-19 carriers, of them 51 were diagnosed only in the postoperative period. Synthesis of these reports, concerning the postoperative outcomes of patients diagnosed with COVID-19 during the perioperative period, suggested a 14/51 (27.5%) postoperative mortality rate and severe mostly pulmonic complications, as well as medical staff exposure and transmission. Conclusions COVID-19 may have potential hazardous implications on the perioperative course. Our review presents results of unacceptable mortality rate and a high rate of severe complications. These observations warrant further well-designed studies, yet we believe it is time for a global consideration of sampling all asymptomatic patients before surgical treatment.

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“…A novel coronavirus was identified as the cause of many pneumonia cases in Wuhan, China in December 2019 1 . The new virus, COVID-19 usually presents with fever, coughs dyspnea, myalgia, and fatigue and may infect people of any age 2,3 . But many carriers do not present any symptoms 3,4 .…”

Section: Introductionmentioning

confidence: 99%

“…The new virus, COVID-19 usually presents with fever, coughs dyspnea, myalgia, and fatigue and may infect people of any age 2,3 . But many carriers do not present any symptoms 3,4 . During the current pandemic, it is recommended to postpone all elective surgeries in addition to guidance on infection control and prevention [5][6][7] .…”

Section: Introductionmentioning

confidence: 99%

Importance of Pre-Operative COVID 19 Screening of Asymptomatic Patients Undergoing Maxillofacial Surgery

Sadat

Badruddoza

2020

J. Bangladesh Coll. Phys.

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COVID-19 usually presents with fever, coughs dyspnea, myalgia, and fatigue and may infect people of any age though older people with co morbidities are more vulnerable. But many carriers do not present any symptoms. Operating on undiagnosed COVID-19 patients may cause exposure of medical staff in ward and theatre.A cross sectional was done on 100 consecutive cases suffering from oral and maxillofacial pathologies from 20th May 2020 to 28th August 2020, recruited from Oral and Maxillofacial Surgery department of Dhaka Dental College Hospital and Square Hospitals Ltd, Dhaka, Bangladesh. Out of 100 cases, 7 were affected (7%) by COVID 19 confirmed by RT-PCR in pre-operative screening.Preoperative COVID 19 screening of asymptomatic patients should be considered to improve patient and provider safety and reduce the cost of resource. J Bangladesh Coll Phys Surg 2020; 38(4): 229-231

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COVID-19 Infection

Cited by 171 publications

References 94 publications

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

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

Hazardous Postoperative Outcomes of Unexpected COVID‐19 Infected Patients: A Call for Global Consideration of Sampling all Asymptomatic Patients Before Surgical Treatment

Importance of Pre-Operative COVID 19 Screening of Asymptomatic Patients Undergoing Maxillofacial Surgery

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