Risk stratification protocol to reduce consumption of personal protective equipment for emergency surgeries during COVID-19 pandemic

The appropriate use of personal protective equipment (PPE) during AGP, including N95 respirator, face shield or goggles, disposable gloves, splash-resistant gown (full PPE) effectively protects healthcare workers against SARS-CoV-2 infection.6 7 Surgical procedures involving patients with suspected...

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Bibliographic Details
Published in:Hong Kong medical journal = Xianggang yi xue za zhi 2020-06, Vol.26 (3), p.252
Main Authors: Wong, D H T, Tang, E W H, Njo, A, Chu, C K L, Chau, S K Y, Chow, T L, Lim, H S, Fung, K S C, Li, K K W
Format: Article
Language:eng ; chi
Subjects:
Aerosols
Anesthesiology
Asymptomatic
Betacoronavirus - pathogenicity
Clinical Protocols
Coronavirus Infections - epidemiology
Coronavirus Infections - prevention & control
Coronaviruses
COVID-19
Critical Pathways - organization & administration
Critical Pathways - standards
Disease control
Disease prevention
Disease transmission
Disease Transmission, Infectious - prevention & control
Emergency medical care
Emergency Medical Services - methods
Emergency Medical Services - organization & administration
Hong Kong
Hospitals
Humans
Infection Control - organization & administration
Infections
Intubation
Laparoscopy
Medical personnel
Ophthalmology
Ostomy
Otolaryngology
Pandemics
Pandemics - prevention & control
Personal protective equipment
Personal Protective Equipment - supply & distribution
Pneumonia, Viral - epidemiology
Pneumonia, Viral - prevention & control
Risk Assessment - methods
SARS-CoV-2
Severe acute respiratory syndrome coronavirus 2
Surgery
Surgical Procedures, Operative - classification
Surgical Procedures, Operative - methods
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Summary:The appropriate use of personal protective equipment (PPE) during AGP, including N95 respirator, face shield or goggles, disposable gloves, splash-resistant gown (full PPE) effectively protects healthcare workers against SARS-CoV-2 infection.6 7 Surgical procedures involving patients with suspected COVID-19 should also be performed in an airborne isolation room with negative atmospheric pressure.6 In emergency situations, any delay in intervention caused by lack of clear protocol can increase morbidity and mortality of patients. Overriding emergency cases and patients who had positive PCR test results for SARS-CoV-2 infection required the use of eight sets of full PPE (two for anaesthetist, one for operation room assistant, two for runner nurses, one for scrub nurse, two for surgeon) and an airborne isolation room with negative pressure. Centers for Disease Control and Prevention, US Department of Health & Human Services. Centers for Disease Control and Prevention, US Department of Health & Human Services.
ISSN:1024-2708
2226-8707
DOI:10.12809/hkmj208533