About: Safe surgery during the coronavirus disease 2019 crisis

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An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Safe surgery during the coronavirus disease 2019 crisis
Creator	Mbbs, Babidge Bappsci, W Babidge, Wendy Collinson, Trevor Collinson, ; Davis, ; Davis, Sean Hewett, Peter Hugh, ; Hugh, Thomas Kovoor, Joshua Maddern, ; Maddern, Guy Padbury, ; Padbury, Robert Tan Bsc, ; Tan, Lorwai Tivey, David Tivey Bsc, D
source	Medline; PMC
abstract	BACKGROUND: Coronavirus disease 2019 (COVID‐19), caused by severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2), has created a global pandemic. Surgical care has been impacted, with concerns raised around surgical safety, especially in terms of laparoscopic versus open surgery. Due to potential aerosol transmission of SARS‐CoV‐2, precautions during aerosol‐generating procedures and production of surgical plume are paramount for the safety of surgical teams. METHODS: A rapid review methodology was used with evidence sourced from PubMed, Departments of Health, surgical colleges and other health authorities. From this, a working group of expert surgeons developed recommendations for surgical safety in the current environment. RESULTS: Pre‐operative testing of surgical patients with reverse transcription‐polymerase chain reaction does not guarantee lack of infectivity due to a demonstrated false‐negative rate of up to 30%. All bodily tissues and fluids should therefore be treated as a potential source of COVID‐19 infection during operative management. Caution must be taken, especially when using an energy source that produces surgical plumes, and an appropriate capture device should also be used. Limiting the use of such devices or using lower energy devices is desirable. To reduce perceived risks association with desufflation of pneumoperitoneum during laparoscopic surgery, an appropriate suction irrigator system, attached to a high‐efficiency particulate air filter, should be used. Additionally, appropriate use of personal protective equipment by the surgical team is necessary during high‐risk aerosol‐generating procedures. CONCLUSIONS: As a result of the rapid review, evidence‐based guidance has been produced to support safe surgical practice.
has issue date	2020-06-28(xsd:dateTime)
bibo:doi	10.1111/ans.16089
bibo:pmid	32594617
has license	no-cc
sha1sum (hex)	533437a6e64bc73f135a205c6923b8d44218ed3b
schema:url	https://doi.org/10.1111/ans.16089
resource representing a document's title	Safe surgery during the coronavirus disease 2019 crisis
has PubMed Central identifier	PMC7361254
has PubMed identifier	32594617
schema:publication	ANZ J Surg
resource representing a document's body	covid:533437a6e64bc73f135a205c6923b8d44218ed3b#body_text
is schema:about of	named entity 'COVID-19' named entity 'infection' named entity 'laparoscopic surgery' named entity 'desirable' named entity 'plume' named entity 'Limiting' named entity 'attached' named entity 'pandemic' named entity 'false-negative' named entity 'potential' named entity 'Methods' named entity 'reverse' named entity 'SURGICAL TEAMS' named entity 'LACK' named entity 'AS A RESULT OF' named entity 'FALSE' named entity 'POTENTIAL' named entity 'SURGICAL TEAM' named entity 'WORKING GROUP' named entity 'impacted' named entity 'paramount' named entity 'devices' named entity 'developed' named entity 'evidence' named entity 'procedures' named entity 'chain reaction' named entity 'severe acute respiratory syndrome coronavirus 2' named entity 'high-efficiency particulate air filter' named entity 'laparoscopic' named entity 'SARS-CoV-2' named entity 'SARS-CoV-2' named entity 'personal protective equipment' named entity 'Scotland' named entity 'aerosolization' named entity 'serotype' named entity 'pneumoperitoneum' named entity 'infection' named entity 'aerosolization' named entity 'Pneumoperitoneum' named entity 'genome' named entity 'New Zealand' named entity 'trocar' named entity 'faeces' named entity 'viral load' named entity 'surgical procedures' named entity 'operating theatre' named entity 'systemic infection' named entity 'laparoscopic surgery' named entity 'HEPA' named entity 'carbon dioxide' named entity 'COVID' named entity 'coronavirus disease 2019' named entity 'asymptomatic' named entity 'pneumoperitoneum' named entity 'false-negative' named entity 'laser ablation' named entity 'elective procedures' named entity 'upper respiratory' named entity 'coughing' named entity 'evidence-based' named entity 'aerosol' named entity 'systemic disease' named entity 'epidemiological'

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