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About:
Ethical surgical triage of patients with head and neck cancer during the COVID‐19 pandemic
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An Entity of Type :
schema:ScholarlyArticle
, within Data Space :
wasabi.inria.fr
associated with source
document(s)
Type:
Academic Article
research paper
schema:ScholarlyArticle
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Attributes
Values
type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
title
Ethical surgical triage of patients with head and neck cancer during the COVID‐19 pandemic
Creator
Arnold, J
David, |
Face,
Casiano, Roy
Sargi, Zoukaa
Stubbs, Vanessa
Civantos, Francisco
Kenneth, |
Leibowitz, Jason
Thomas, Giovana
Weed, |
Franzmann, Elizabeth
Goodman, W
Goodwin, |
Gross, Jennifer
Perez, Cesar
Samuels, Michael
source
Medline; PMC
abstract
BACKGROUND: Coronavirus has serially overtaken our metropolitan hospitals. At peak, patients with acute respiratory distress syndrome may outnumber mechanical ventilators. In our Miami Hospital System, COVID‐19 cases have multiplied for 4 weeks and elective surgery has been suspended. METHODS: An Otolaryngologic Triage Committee was created to appropriately allocate resources to patients. Hospital ethicists provided support. Our tumor conference screened patients for nonsurgical options. Patients were tested twice for coronavirus before performing urgent contaminated operations. N95 masks and protective equipment were conserved when possible. Patients with low‐grade cancers were advised to delay surgery, and other difficult decisions were made. RESULTS: Hundreds of surgeries were canceled. Sixty‐five cases screened over 3 weeks are tabulated. Physicians and patients expressed discomfort regarding perceived deviations from standards, but risk of COVID‐19 exposure tempered these discussions. CONCLUSIONS: We describe the use of actively managed surgical triage to fairly balance our patient's health with public health concerns.
has issue date
2020-05-21
(
xsd:dateTime
)
bibo:doi
10.1002/hed.26229
bibo:pmid
32357378
has license
no-cc
sha1sum (hex)
5c4965666d14b60a1b466dd4db5a9b2aedc177b5
schema:url
https://doi.org/10.1002/hed.26229
resource representing a document's title
Ethical surgical triage of patients with head and neck cancer during the COVID‐19 pandemic
has PubMed Central identifier
PMC7267510
has PubMed identifier
32357378
schema:publication
Head Neck
resource representing a document's body
covid:5c4965666d14b60a1b466dd4db5a9b2aedc177b5#body_text
is
schema:about
of
named entity 'COVID-19'
named entity 'surgical'
named entity 'COVID-19'
named entity 'cases'
named entity 'patients'
named entity 'mechanical ventilators'
named entity 'COVID-19 pandemic'
named entity 'March 15'
named entity 'pathology'
named entity 'Otolaryngology'
named entity 'false negatives'
named entity 'MRI'
named entity 'Hippocratic oath'
named entity 'ICU'
named entity 'tumors'
named entity 'pandemics'
named entity 'U.S. Center for Disease Control and Prevention'
named entity 'epidemics'
named entity 'melanomas'
named entity 'intensivist'
named entity 'thyroid'
named entity 'U.S. Surgeon General'
named entity 'turnaround time'
named entity 'coronavirus infection'
named entity 'anesthetized'
named entity 'disaster date'
named entity 'surgical care'
named entity 'dyspnea'
named entity 'house staff'
named entity 'tested positive'
named entity 'Public health'
named entity 'critical illness'
named entity 'optic nerve'
named entity 'otolaryngology'
named entity 'bronchoscope'
named entity 'COVID'
named entity 'SARS-CoV-2'
named entity 'MRI'
named entity 'medical care'
named entity 'SARS-CoV-2'
named entity 'PPE'
named entity 'immunocompromised patients'
named entity 'radiation oncologists'
named entity 'West African Ebola epidemic'
named entity 'natural disasters'
named entity 'turnaround time'
named entity 'Jerome Adams'
named entity 'ophthalmologists'
named entity 'Coronavirus'
named entity 'flexible bronchoscope'
named entity 'COVID-19 pandemic'
named entity 'cancer of the thyroid'
named entity 'asymptomatic'
named entity 'intubated'
named entity 'lidocaine'
named entity 'COVID-19 testing'
named entity 'RT-PCR'
named entity 'computed tomography'
named entity 'MRI'
named entity 'natural disaster'
named entity 'Laryngeal'
named entity 'biopsy'
named entity 'triage'
named entity 'nasopharyngeal swabs'
named entity 'ventilator'
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