Protocolo de actuación quirúrgica en casos confirmados o sospechosos de enfermedad por Ébola y otras enfermedades víricas altamente transmisibles

Badia, Josep M.; Rubio-Pérez, Inés; Díaz, Javier Arias; Garriga, Xavier Guirao; Serrablo, Alejandro; Navalón, José M. Jover

doi:10.1016/j.ciresp.2015.05.013

Cited by 10 publications

(4 citation statements)

References 1 publication

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“… Si bien en otras enfermedades víricas altamente trasmisibles a través de fluidos y aerosoles ha sido recomendada la utilización de abordajes mínimamente invasivos para disminuir el riesgo de contagio a los miembros del equipo quirúrgico 43 , recomendamos realizar la vía de abordaje que sea más beneficiosa para el paciente, independientemente de la infección por SARS-CoV-2 44 . Si bien no está demostrado que el SARS-COV-2 pueda estar presente en el aerosol tras la utilización del bisturí eléctrico 45 , recomendamos no utilizarlo siempre que sea posible, o que en su caso se utilice con métodos de succión-aspiración asociados 22 , 43 . De tener que utilizar el bisturí eléctrico, recomendamos que la configuración de potencia de este sea lo más baja posible 34 , 46 .…”

Section: Fracturas Por Fragilidad De La Cadera Y Covid-19unclassified

“…Si bien no está demostrado que el SARS-COV-2 pueda estar presente en el aerosol tras la utilización del bisturí eléctrico 45 , recomendamos no utilizarlo siempre que sea posible, o que en su caso se utilice con métodos de succión-aspiración asociados 22 , 43 . De tener que utilizar el bisturí eléctrico, recomendamos que la configuración de potencia de este sea lo más baja posible 34 , 46 .…”

Section: Fracturas Por Fragilidad De La Cadera Y Covid-19unclassified

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COVID-19 y fractura por fragilidad de la cadera. Recomendaciones conjuntas de la Sociedad Española de Fracturas Osteoporóticas y la Sociedad Española de Geriatría y Gerontología

Caeiro-Rey

Ojeda-Thies

Cassinello

et al. 2020

Revista Española de Geriatría y Gerontología

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Section: Fracturas Por Fragilidad De La Cadera Y Covid-19unclassified

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COVID-19 y fractura por fragilidad de la cadera. Recomendaciones conjuntas de la Sociedad Española de Fracturas Osteoporóticas y la Sociedad Española de Geriatría y Gerontología

Caeiro-Rey

Ojeda-Thies

Cassinello

et al. 2020

Revista Española de Geriatría y Gerontología

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“…For these features, FCM may also apply to the current pandemic scenario. Besides, the handling and processing of specimen from Covid-19 infected patients is arising safety concerns in pathologists' community for the risk of pathogen viability through fresh tissue (40)(41)(42)(43). A study on the detection of COVID-19 in different types of specimen revealed that faeces and blood could display SARS-CoV-2 RNA (41).…”

Section: Organizational Perspectivesmentioning

confidence: 99%

Current and future perspectives of digital microscopy with fluorescence confocal microscope for prostate tissue interpretation: a narrative review

et al. 2021

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Fluorescence confocal microscopy (FCM) is an optical imaging technique providing digital microscopical images of fresh tissue in a real time fashion, without conventional processing. FCM has been widely applied in several fields of dermatology, including the detection of basal cell carcinoma and of cutaneous inflammatory diseases. The aim of the paper is to provide an overview of FCM applications in the field of prostate tissue interpretation and prostate cancer (PCa) detection. A Literature search (PubMed & Web of Science) was performed to identify articles concerned with the clinical and surgical applications of FCM in prostatic and periprostatic tissues interpretation. Overall, six articles were identified. All articles investigated the level of agreement between FCM and conventional histopathological analysis (hematoxylineosin, HE) for the discrimination between normal and PCa tissues. An investigative article on prostate samples retrieved from radical prostatectomy (RP) specimens and an atlas of FCM digital images from the same series were found. Two prospective clinical trials, comparing FCM and HE, pointed out a "substantial" to "almost perfect" discriminative performance of FCM for the diagnosis of PCa on prostate biopsy core.Finally, two studies investigated the intra-operative role of FCM during RP for the control of surgical dissection. In this setting, FCM could be used to analyse samples retrieved from suspicious peri-prostatic areas; FCM has also been tested for an en-face evaluation of flat slices obtained from the systematic sampling of the posterolateral aspects of the prostate, in a NeuroSAFE-like approach. Generally, FCM provides digital microscopical images of fresh tissue in a real time fashion, without requiring conventional processing.Currently, available studies confirmed a high concordance with conventional pathology for the detection of PCa. Further studies are required to validate the technology, to evaluate ISUP score attribution and to implement the fields of application of FCM for the treatment of prostate diseases.

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Global guidance for surgical care during the COVID-19 pandemic

Bhangu¹,

Lawani²,

Ng‐Kamstra³

et al. 2020

British Journal of Surgery

518

256

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Background: Surgeons urgently need guidance on how to deliver surgical services safely and effectively during the COVID-19 pandemic. The aim was to identify the key domains that should be considered when developing pandemic preparedness plans for surgical services. Methods: A scoping search was conducted to identify published articles relating to management of surgical patients during pandemics. Key informant interviews were conducted with surgeons and anaesthetists with direct experience of working during infectious disease outbreaks, in order to identify key challenges and solutions to delivering effective surgical services during the COVID-19 pandemic.Results: Thirteen articles were identified from the scoping search, and surgeons and anaesthetists representing 11 territories were interviewed. To mount an effective response to COVID-19, a pandemic response plan for surgical services should be developed in advance. Key domains that should be included are: provision of staff training (such as patient transfers, donning and doffing personal protection equipment, recognizing and managing COVID-19 infection); support for the overall hospital response to COVID-19 (reduction in non-urgent activities such as clinics, endoscopy, non-urgent elective surgery); establishment of a team-based approach for running emergency services; and recognition and management of COVID-19 infection in patients treated as an emergency and those who have had surgery. A backlog of procedures after the end of the COVID-19 pandemic is inevitable, and hospitals should plan how to address this effectively to ensure that patients having elective treatment have the best possible outcomes.

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Protocolo de actuación quirúrgica en casos confirmados o sospechosos de enfermedad por Ébola y otras enfermedades víricas altamente transmisibles

Cited by 10 publications

References 1 publication

COVID-19 y fractura por fragilidad de la cadera. Recomendaciones conjuntas de la Sociedad Española de Fracturas Osteoporóticas y la Sociedad Española de Geriatría y Gerontología

COVID-19 y fractura por fragilidad de la cadera. Recomendaciones conjuntas de la Sociedad Española de Fracturas Osteoporóticas y la Sociedad Española de Geriatría y Gerontología

Current and future perspectives of digital microscopy with fluorescence confocal microscope for prostate tissue interpretation: a narrative review

Global guidance for surgical care during the COVID-19 pandemic

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