Otolaryngology Surgical Activity in Tertiary Care Center During the Covid-19 Lockdown

Atru, Balasubramanyam; Sutrave, Mithun; George, Rani Mary; James, Rhea; Ross, Anita; Pratibha, C B

doi:10.1007/s12070-020-02155-7

Cited by 2 publications

(1 citation statement)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Furthermore, there is a risk to operating room personnel during surgery due to aerosol-generating procedures like intubation and endotracheal tube suction. A general consensus during COVID-19 pandemic is to postpone all elective surgeries, while all emergency surgery requires utmost consideration to indication, urgency of surgery, surgical approach, risk of aerosol spread, and availability of staff and resources (29,30). All our patients were started on medical management with antifungal agents at diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Clinical Characteristics And Outcomes of 16 Cases With COVID19 and Mucormycosis: Experience From A Tertiary Care Center In India and Review of Literature

Paul

Kumar

Meena

et al. 2021

Preprint

View full text Add to dashboard Cite

Background-The sharp uptick in the cases of mucormycosis in the background of the COVID19 pandemic is a cause of concern and the reasons and it’s impact remains to be seen. We studied the clinical characteristics in patients with mucormycosis and COVID19 co-infection and performed a literature review.Methods-This retrospective study was conducted at tertiary centre in India. All patients admitted with COVID19 and mucormycosis were included, clinical details were obtained from hospital records. We did review of literatures using the terms “SARS-CoV2” OR “COVID19” AND “Mucormycosis” AND “co-infection” on Pubmed published before February 20, 2021.Results-Sixteen cases (M:F–13:3), mean age 46·5 years (24-75years), were included. Fourteen had known risk factors for mucormycosis, the most common being diabetes mellitus. Most patients (n=14) were symptomatic with mucormycosis before diagnosis of COVID19. There was delay in surgery by 22.5 days (IQR–>17.75–29.5), pending SARS-CoV-2 RT-PCR negativity. There were six deaths in this cohort, unrelated to the COVID19 severity. The literature review revealed eleven case reports on co-infection. Patients who had developed mucormycosis were found to have history of mechanical ventilation.Conclusion-The apparent increase in the incidence of mucormycosis may be due to decompensation of underlying comorbidities (decreased access to healthcare), and increased use of immunosuppressants in COVID19. Patients with co-infection were noted to have poorer outcomes.

show abstract

Section: Discussionmentioning

confidence: 99%

Clinical Characteristics And Outcomes of 16 Cases With COVID19 and Mucormycosis: Experience From A Tertiary Care Center In India and Review of Literature

Paul

Kumar

Meena

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

Impact of COVID-19 restrictions on hospitalisation and post-operative rehabilitation of head and neck cancer patients

Crosetti

Tascone

Arrigoni

et al. 2021

Acta Otorhinolaryngol Ital

View full text Add to dashboard Cite

SUMMARY Objective The COVID-19 pandemic emergency forced the health system in Italy to implement an immediate reorganisation to support the care of tens of thousands of patients and to maintain the quality of care for patients with other pathologies, such as oncologic diseases. The main goal of this study was to evaluate the impact of COVID-19 restrictions on the hospitalisation and post-operative rehabilitation of head and neck oncologic patients and to determine whether the introduction of new technologies such as video-communication may be useful to mitigate social distancing by close family members. Methods Fifty-one consecutive patients underwent surgery for head and neck cancer during the period of lockdown caused by the COVID-19 pandemic. The data collected (post-operative pain, post-operative complications, duration of hospitalisation) were compared with those of 51 consecutive patients treated for head and neck cancer in the period immediately preceding lockdown. Results The average duration of hospitalisation was longer in patients operated on in the COVID-19 period, and, in particular, among patients who underwent a more demanding rehabilitation protocol. Despite this, our study did not show a significant difference in psychological aspects during hospitalisation. Conclusions The greatest difficulties that occurred in the COVID-19 period were met by a greater commitment from medical staff, allowing the quality of life of head and neck cancer patients during post-operative rehabilitation to be maintained at a similar level to that before the pandemic. In the future, there will be a need for technological solutions to bring the patient closer to family members.

show abstract

Otolaryngology Surgical Activity in Tertiary Care Center During the Covid-19 Lockdown

Cited by 2 publications

References 16 publications

Clinical Characteristics And Outcomes of 16 Cases With COVID19 and Mucormycosis: Experience From A Tertiary Care Center In India and Review of Literature

Clinical Characteristics And Outcomes of 16 Cases With COVID19 and Mucormycosis: Experience From A Tertiary Care Center In India and Review of Literature

Impact of COVID-19 restrictions on hospitalisation and post-operative rehabilitation of head and neck cancer patients

Contact Info

Product

Resources

About