tetano
Editor, Senior Moderator
Patient Saf Surg. 2020 Apr 19;14:15.
doi: 10.1186/s13037-020-00243-9. eCollection 2020.
Isolation Protocol for a COVID-2019 Patient Requiring Emergent Surgical Intervention: Case Presentation
Michael S Firstenberg[SUP] 1 [/SUP], Matthew Libby[SUP] 1 [/SUP], Michael Ochs[SUP] 1 [/SUP], Jennifer Hanna[SUP] 1 [/SUP], Julie E Mangino[SUP] 2 [/SUP], Joseph Forrester[SUP] 1 [/SUP]
Affiliations
Abstract
Background: The concerns of the highly contagious and morbid nature of Coronavirus Disease-2019 (COVID-2019) have prompted healthcare workers to implement strict droplet and contact isolation precautions. Unfortunately, some patients who may be or presumptively or confirmed as infected with COVID-2019 may also require emergent surgical procedures. As such, given the high-risk for exposure of many healthcare workers involved the complex requirements for appropriate isolation must be adhered to.
Case presentation: We present our experience with a 77-year-old who required emergency cardiac surgery for a presumed acute aortic syndrome in the setting of a presumed, and eventually confirmed, COVID-2019 infection. We outline the necessary steps to maintain strict isolation precautions to limit potential exposure to the surgical Team.
Conclusions: We hereby provide our algorithm for emergent surgical procedures in critically-ill patients with presumptive or confirmed infection with COVID-2019. The insights from this case report can potentially be templated to other facilities in order to uphold high standards of infection prevention and patient safety in surgery during the current COVID-19 pandemic.
doi: 10.1186/s13037-020-00243-9. eCollection 2020.
Isolation Protocol for a COVID-2019 Patient Requiring Emergent Surgical Intervention: Case Presentation
Michael S Firstenberg[SUP] 1 [/SUP], Matthew Libby[SUP] 1 [/SUP], Michael Ochs[SUP] 1 [/SUP], Jennifer Hanna[SUP] 1 [/SUP], Julie E Mangino[SUP] 2 [/SUP], Joseph Forrester[SUP] 1 [/SUP]
Affiliations
- PMID: 32328170
- PMCID: PMC7167216
- DOI: 10.1186/s13037-020-00243-9
Abstract
Background: The concerns of the highly contagious and morbid nature of Coronavirus Disease-2019 (COVID-2019) have prompted healthcare workers to implement strict droplet and contact isolation precautions. Unfortunately, some patients who may be or presumptively or confirmed as infected with COVID-2019 may also require emergent surgical procedures. As such, given the high-risk for exposure of many healthcare workers involved the complex requirements for appropriate isolation must be adhered to.
Case presentation: We present our experience with a 77-year-old who required emergency cardiac surgery for a presumed acute aortic syndrome in the setting of a presumed, and eventually confirmed, COVID-2019 infection. We outline the necessary steps to maintain strict isolation precautions to limit potential exposure to the surgical Team.
Conclusions: We hereby provide our algorithm for emergent surgical procedures in critically-ill patients with presumptive or confirmed infection with COVID-2019. The insights from this case report can potentially be templated to other facilities in order to uphold high standards of infection prevention and patient safety in surgery during the current COVID-19 pandemic.