Emergency hand & reconstructive microsurgery in the COVID-19 positive patient
Data
2020Autor
Das De, Soumen
Chang Liang, Zhen
Eu-Jin Cheah, Andre
Puhaindran, Mark Edward
Yutan Lee, Ellen
Tang Lim, Aymeric Yu
Sze Chong, Alphonsus Khin
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Resumo
The case spectrum in hand surgery is one of extremes – purely elective day surgery cases
under local anesthesia to mangling limb injuries that require immediate, and frequently,
lengthy, surgery. Despite the cancellation of most elective orthopedic and plastic surgical
procedures, hand surgeons around the world continue to see a steady stream of limb9 threatening cases such as severe trauma and infections that require emergent surgical care.
With the increase in community-spread, an increasing number of COVID-19 infected patients
may be asymptomatic or have mild, non-specific or atypical symptoms. Some of them may
already have an ongoing, severe infection. The time-sensitive nature of some of these cases
means that hand surgeons may need to operate urgently on patients who may be suspected of
COVID-19 infections, often before confirmatory test results are available. General guidelines
for peri-operative care of the COVID-19 positive patient have been published. However, our
practices differ from general orthopedic and plastic surgery, primarily because of the focus on
trauma. This article discusses the peri-operative and technical considerations that are essential
to manage the COVID-19 patient requiring emergency care, without compromising clinical
outcomes and while ensuring safety of the attending staff.
Palabras clave
Emergency hand; COVID-19; Microsurgery; Positive patientsLink para o recurso
https://doi.org/10.1016/j.jhsa.2020.07.013Collections
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