Transnasal endoscopic skull base surgery in the COVID-19 era: Recommendations for increasing the safety of the method

Łysoń, Tomasz; Kiśluk, Joanna; Alifier, Marek; Polityńska, Barbara; Sieśkiewicz, Andrzej; Kochanowicz, Jan; Reszeć, Joanna; Nikliński, Jacek; Rogowski, Marek; Konopińska, Joanna; Mariak, Zenon; Carrau, Ricardo L.

doi:10.1016/j.advms.2021.03.001

Cited by 10 publications

(12 citation statements)

References 82 publications

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“…Such fears may negatively influence the physician's critical thinking and decision-making. On the other hand, the introduction of a program of vaccination against SARS-CoV-2 worldwide provides a certain perspective for the restoration of normality in many areas of life, perhaps most significantly in helping to relieve the psychological stress affecting both patients and HCWs [14]. Further studies providing insight into attitudes toward the COVID-19 vaccination among different populations and occupational groups are needed.…”

Section: Discussionmentioning

confidence: 99%

Intention to Get COVID-19 Vaccinations among Ophthalmology Residents in Poland: A Cross-Sectional Survey

et al. 2021

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This study aimed to evaluate the acceptability of coronavirus disease of 2019 (COVID-19) vaccination among ophthalmology residents in Poland. An online, self-administered, anonymous survey was distributed among Polish ophthalmology residents in early 2021. Of 126 residents who completed the survey, 71.4% indicated that they would get vaccinated, 17.5% were unsure, and 11.1% would refuse vaccination. Married respondents with children (p = 0.036) and respondents living with their families (p = 0.310) were more likely to accept vaccination, believing that the vaccine is effective (p = 0.002 and p = 0.001, respectively), and fearing for themselves (p = 0.031 and p = 0.023, respectively) or their families (p = 0.032 and 0.055, respectively) getting infected. Respondents who contracted COVID-19 often reported the expected relief in sanitization (p = 0.011) as their reason for vaccination, and the previous severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection (p = 0.050) as their reason for not vaccinating. Unmarried residents and residents living alone often declared that they were waiting for the effectiveness and long-term complications of the vaccine to be assessed (p = 0.005, both). Residents living with their families were significantly less likely to report COVID-19 as the reason for refusing vaccination (p = 0.022). In conclusion, most ophthalmology residents expressed a willingness to get vaccinated. Marital status and cohabitants affect vaccination acceptance. People with COVID-19 have different reasons for accepting or refusing vaccination. Medical authorities should persuade citizens more to vaccinate.

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Section: Discussionmentioning

confidence: 99%

Intention to Get COVID-19 Vaccinations among Ophthalmology Residents in Poland: A Cross-Sectional Survey

et al. 2021

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“…The supply of adequate personal protective equipment (PPE) and implementation of protocols may enhance the wellbeing of healthcare workers [ 34 , 35 , 36 , 37 ]. Wang et al [ 35 ] also found that up-to-date and accurate health information (e.g., treatment, local outbreak situation) and precautionary measures (e.g., hand hygiene, wearing a mask) were associated with a lower psychological impact and lower stress, anxiety, and depression in the general Chinese population.…”

Section: Discussionmentioning

confidence: 99%

“…Considering the changes in ophthalmic residency training caused by COVID-19, it is necessary to mention that the relative decline in outpatient visits among all specialties was found to be the largest in ophthalmology, reaching 79% [ 39 ]. Because ophthalmologists were considered to be at a high risk of COVID-19 infection due to direct contact with patients during examination, many international and national ophthalmic organizations had established recommendations concerning patient management at the beginning of the pandemic [ 36 , 40 ]. These regulations resulted in a significant limitation of ophthalmic examinations in urgent cases.…”

Section: Discussionmentioning

confidence: 99%

The Impact of the COVID-19 Pandemic on Ophthalmology Residents: A Narrative Review

Dub

Konopińska

Obuchowska

et al. 2021

IJERPH

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The ongoing outbreak of the coronavirus disease 2019 (COVID-19) pandemic has drastically affected medical societies. We aim to provide an overview and summarize the information published so far concerning the impact of the COVID-19 pandemic on ophthalmology residency programs and the mental wellbeing of trainees, and to establish factors to help maintain successful residency training to ensure high-quality, specialist ophthalmic training. A literature search was conducted in October 2021 of the PubMed database for articles assessing the impact of the COVID-19 pandemic on the mental health of ophthalmology trainees and on ophthalmology residency programs. Cross-sectional survey studies, editorials, articles in scientific journals, letters to editors, and commentaries were considered; finally, 19 studies were included after excluding abstract-only publications and conference posters. The studies’ demographic details, participant characteristics, interventions, outcomes, and limitations were extracted. Our summarized information showed the alarmingly significant impact of the COVID-19 pandemic on ophthalmology trainees’ mental health and the associated considerable changes in ophthalmic training programs. Thus, in future, virtual training and surgical simulators should be permanently introduced, in addition to traditional teaching, to complete successful ophthalmology residency programs. Additionally, we emphasize the need for a widely facilitated and encouraged access to psychological support programs for healthcare workers, including ophthalmologists.

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“…After these first attempts, the main recommendations reported in the literature during endoscopic surgery are the following 52 : a) Perform the procedure with a skilled surgeon, dedicated operating room team (nurse and anaesthesiologist) and set of precision instruments; b) Minimise the spread of the virus from bone drilling, cauterisation and exposure to the heat generated by light from the endoscope; c) Especially for anterior skull base pathologies, use ESS only when it constitutes the best option with regards to exposure, resection and morbidity. In fact, in many cases of anterior skull base pathologies, minimally-invasive transcranial approaches may remain a better option to reduce the spread of virus during surgery.…”

Section: Risk Of Contagion In Otolaryngology Specialistsmentioning

confidence: 99%

Risk of SARS-CoV-2 contagion in otolaryngology specialists

Ralli¹,

Colizza²,

D’Aguanno³

et al. 2022

Acta Otorhinolaryngol Ital

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Transnasal endoscopic skull base surgery in the COVID-19 era: Recommendations for increasing the safety of the method

Cited by 10 publications

References 82 publications

Intention to Get COVID-19 Vaccinations among Ophthalmology Residents in Poland: A Cross-Sectional Survey

Intention to Get COVID-19 Vaccinations among Ophthalmology Residents in Poland: A Cross-Sectional Survey

The Impact of the COVID-19 Pandemic on Ophthalmology Residents: A Narrative Review

Risk of SARS-CoV-2 contagion in otolaryngology specialists

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