Plastic surgery during the COVID-19 pandemic times

Mayer, Horacio F.; Persichetti, Paolo

doi:10.1007/s00238-020-01685-1

Cited by 14 publications

(13 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Also, lack of adequate staffing level and training, redeployment of nursing staff from other hospital areas and unfamiliarity with the new work environment may have led to failure to recognise the hazard of pressure ulcers from tracheal tube securing devices. The requirement to prone many patients at the same time mandated a team composed of health professionals ranging from surgeons, speech and language therapists, medical students and physiotherapist to help alleviate the pressure on clinical teams and reduce the manual workload [16]. As with many aspects of this new virus, a learning curve was soon evident as the reports highlighted the issue of facial pressure ulcers.…”

Section: Discussionmentioning

confidence: 99%

Perioral pressure ulcers in patients with COVID-19 requiring invasive mechanical ventilation

et al. 2020

View full text Add to dashboard Cite

Background Facial pressure ulcers are a rare yet significant complication. National Institute for Health and Care Excellence (NICE) guidelines recommend that patients should be risk-assessed for pressure ulcers and measures instated to prevent such complication. In this study, we report case series of perioral pressure ulcers developed following the use of two devices to secure endotracheal tubes in COVID-19 positive patients managed in the intensive care setting. Methods A retrospective analysis was conducted on sixteen patients identified to have perioral pressure ulcers by using the institutional risk management system. Data parameters included patient demographics (age, gender, comorbidities, smoking history and body mass index (BMI)). Data collection included the indication of admission to ITU, duration of intubation, types of medical devices utilised to secure the endotracheal tube, requirement of vasopressor agents and renal replacement therapy, presence of other associated ulcers, duration of proning and mortality. Results Sixteen patients developed different patterns of perioral pressure ulcers related to the use of two medical devices (Insight, AnchorFast). The mean age was 58.6 years. The average length of intubation was 18.8 days. Fourteen patients required proning, with an average duration of 5.2 days. Conclusions The two devices utilised to secure endotracheal tubes are associated with unique patterns of facial pressure ulcers. Measures should be taken to assess the skin regularly and avoid utilising devices that are associated with a high risk of facial pressure ulcers. Awareness and training should be provided to prevent such significant complication. Level of evidence: Level IV, risk/prognostic study.

show abstract

Section: Discussionmentioning

confidence: 99%

Perioral pressure ulcers in patients with COVID-19 requiring invasive mechanical ventilation

et al. 2020

View full text Add to dashboard Cite

show abstract

“…In our study, 72% surgeons say that less than 10% of their consultations or follow-ups were virtual in the pre-pandemic era and they rarely got appointments or queries via these platforms. This is likely to change in the coming times as many surgeons are willing to encourage virtual consultations thus avoiding interhuman contacts and, therefore, contagion [37,38]. However, with virtual consultations, there is an inadequacy of a comprehensive examination as well as certain medico legal concerns.…”

Section: Escalating the Role Of Social Media In A Surgeons' Practice mentioning

confidence: 99%

Evolution of aesthetic surgery in India, current practice scenario, and anticipated post-COVID-19 changes: a survey-based analysis

Thakurani

Gupta

2020

Eur J Plast Surg

View full text Add to dashboard Cite

Background The declaration of COVID pandemic by the WHO can certainly be seen as a watershed era the world has witnessed in modern times. All non-essential industries and services have taken a back seat including aesthetic medicine. Over the last decade, India has witnessed a steady growth in medical tourism owing to global standards of care and services at a relatively modest cost. The following study was conducted to ascertain the sea change that this pandemic has brought into aesthetic surgeons' practice, patient management, planning and consultation. This paper throws light on the journey of Indian aesthetic surgery from its infancy to its current presence in the global market as a context of the study. We have also discussed the impact of social media on aesthetic surgeons' practice, lifestyle and its role as an emerging new method of medical education. Methods A questionnaire consisting of 62 questions divided in 3 sections was rolled out to 150 Indian aesthetic surgeons who have been practising either independently in their clinics or are associated with hospitals. A: Pre-COVID practice management and lifestyle; B: life during the lockdown; C: anticipated changes in post-COVID era. Results In the pre-COVID era, an average aesthetic surgeon was finely balancing his profession, personal lifestyle, learning, and recreation. The lockdown clamped their practices which lead into a financial drought; despite which, they were able to maintain their productivity by engaging in webinars, reading, and research. The post-COVID times demand an implementation of safety protocols along with changes in setup , regulating patient traffic, engaging in distant learning through virtual conferences, and maintaining a healthy lifestyle acquired during the lockdown. Conclusions India was rightly witnessing a surge in popularity of aesthetic surgery and medical tourism over the last decade. The corona pandemic has definitely hit this escalating growth curve hard, and it will take some time for the demand to recover. Our study revealed the following conclusions: The effect of COVID 19 demands a major change in aesthetic surgeons' professional practice like limiting consultations, changing hospital floor plan, following COVID testing, and having new safety protocols. Social media is rightly poised to be a major tool for education and marketing as also for recreation and leisure. The role of teleconsultation needs to be reprised and legalised. Webinars and virtual conferences will find more takers in future. Level of evidence: not ratable.

show abstract

“…The recent emergence of a novel coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), and the disease it causes, coronavirus disease 2019 (COVID-19), has rapidly developed into a global pandemic and public health emergency [ 1 – 4 ]. As of 14 June 2020, a total of 7,895,800 accumulated cases and 432,882 deaths have been reported worldwide in 215 countries and regions, with an overall mortality rate of about 1% [ 5 ].…”

mentioning

confidence: 99%

Concepts of management of plastic surgery services during the coronavirus disease 2019 pandemic

Al-Benna

2020

Eur J Plast Surg

View full text Add to dashboard Cite

show abstract

Plastic surgery during the COVID-19 pandemic times

Cited by 14 publications

References 3 publications

Perioral pressure ulcers in patients with COVID-19 requiring invasive mechanical ventilation

Perioral pressure ulcers in patients with COVID-19 requiring invasive mechanical ventilation

Evolution of aesthetic surgery in India, current practice scenario, and anticipated post-COVID-19 changes: a survey-based analysis

Concepts of management of plastic surgery services during the coronavirus disease 2019 pandemic

Contact Info

Product

Resources

About