Microsurgery in the era of COVID-19.

The COVID-19 pandemic has presented new challenges to microsurgeons. The virus is highly transmissible, with increased risk during operations that involve the aerodigestive tract. It is important to be able to identify high-risk operations and scenarios to guide management decisions and selection of...

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Publicado en:Baylor University Medical Center Proceedings Vol. 34; no. 2; pp. 269 - 274
Autores principales: Payton, Jesse I., Wong, Stacy, Lombana, Nicholas F., Saint-Cyr, Michel S., Altman, Andrew M., Brooke, Sebastian M.
Formato: algorithm pictorial tables/charts Journal Article
Publicado: Taylor & Francis Ltd Apr2021
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Taylor & Francis Ltd
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        atl: Microsurgery in the era of COVID-19.
      aug:
        au:
          Payton, Jesse I.
          Wong, Stacy
          Lombana, Nicholas F.
          Saint-Cyr, Michel S.
          Altman, Andrew M.
          Brooke, Sebastian M.
        affil: Division of Plastic Surgery, Baylor Scott and White Health, Texas A&M Health Science Center College of Medicine, Temple, Texas
      sug:
        subj:
          COVID-19 Pandemic
          Microsurgery Methods
          COVID-19 Risk Factors
          COVID-19 Prevention and Control
          Surgeons
          Occupational Safety
          Algorithms
          Preoperative Care
          Decision Making, Clinical
          Protocols
          COVID-19 Transmission
          Conjunctiva
          Microsurgery Equipment and Supplies
          Equipment Maintenance
          Diffusion of Innovation
          Surgery, Digestive System
      ab: The COVID-19 pandemic has presented new challenges to microsurgeons. The virus is highly transmissible, with increased risk during operations that involve the aerodigestive tract. It is important to be able to identify high-risk operations and scenarios to guide management decisions and selection of personal protective equipment. Preoperative testing is a key element in identifying high-risk scenarios, and preoperative testing protocols are essential to maintaining safety in the COVID-19 era. Because COVID-19 can be transmitted via the conjunctiva, adaptations to loupes and microscopes are necessary to safely perform microsurgery in high-risk scenarios. We outline a potential risk stratification algorithm, as well as precautions for each scenario. Potential areas for innovation are also discussed.
      pubtype: Academic Journal
      doctype:
        algorithm
        pictorial
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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