2020
DOI: 10.1002/bjs.11750
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Personal protective equipment for surgeons during COVID-19 pandemic: systematic review of availability, usage and rationing

Abstract: BackgroundSurgeons need guidance regarding appropriate personal protective equipment (PPE) during the COVID-19 pandemic based on scientific evidence rather than availability. The aim of this paper is to inform surgeons of appropriate PPE requirements, and to discuss usage, availability, rationing and future solutions.

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Cited by 126 publications
(143 citation statements)
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“…The COVID-19 has shattered the daily routine, business, schools, lifestyle and economy of the globe. Social distancing and self-quarantine aim to slow down the increase of new infections, thereby avoiding a surge in demand on health care systems 10 . Some measures such as telemedicine are recommended to reduce hospital visits for some mild injuries 11,12 .…”
Section: Discussionmentioning
confidence: 99%
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“…The COVID-19 has shattered the daily routine, business, schools, lifestyle and economy of the globe. Social distancing and self-quarantine aim to slow down the increase of new infections, thereby avoiding a surge in demand on health care systems 10 . Some measures such as telemedicine are recommended to reduce hospital visits for some mild injuries 11,12 .…”
Section: Discussionmentioning
confidence: 99%
“…The initial clinician is responsible for the diagnosis and preliminary management of the injuries throughout the whole process. As direct contact is a high risk for healthcare professionals performing wound care, surgery and resuscitation 10,18 . Appropriate use of personal protective equipment, as well as strict disinfection and hand hygiene are requested to every clinician 10,19 .…”
Section: Discussionmentioning
confidence: 99%
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“…In addition, the WHO guidelines are very strict regarding the mask specifications that must fulfill the minimum requirement of filtering 99.9% of microorganisms and viruses [ 32 ]. Surgical masks do not meet these requirements since they only filter 67% of pathogens due to the pore size; therefore, their usefulness is reduced to less than an hour [ 32 ].…”
Section: Biomedical Devicesmentioning
confidence: 99%
“…Whilst surgical intervention is being reserved for the most critical cases 1 , operating on patients who are COVID-19 positive poses an increased infection risk to surgical teams. Personal protective equipment (PPE) is being employed to reduce risk of transmission but this may rapidly become in shortage 2 . Telesurgery helps reduce the number of healthcare professionals required to be physically present during a procedure, which in turn decreases risk of viral transmission and consumption of PPE.…”
mentioning
confidence: 99%