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. 2020 Apr 25;S1878-8750(20)30862-7.
doi: 10.1016/j.wneu.2020.04.155. Online ahead of print.

Patients With Coronavirus 2019 (COVID-19) and Surgery: Guidelines and Checklist Proposal

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Free PMC article

Patients With Coronavirus 2019 (COVID-19) and Surgery: Guidelines and Checklist Proposal

Michael Grelat et al. World Neurosurg. .
Free PMC article

Abstract

The management of patients with novel coronavirus 2019 (COVID-19) represents a new challenge for medical and surgical teams. Each operating room in the world should be prepared thoughtfully, and the development of a protocol and patient route seems mandatory. An adequate degree of protection must be used. We propose recommendations to help different professionals in the establishment of protocols for the management of patients with COVID-19. We also offer a checklist that could be used in the operating room.

Keywords: COVID-19; Checklist; Health care workers; Operating room; Surgery.

Figures

Figure 1
Figure 1
Evolution of coronavirus cases coronavirus 2019 (COVID-19) in France (source: Public Health France).
Figure 2
Figure 2
Example of a pre-established patient route in case of suspected or confirmed patient with coronavirus 2019 (COVID-19). Green arrows: Usual route of patients. Red arrows: COVID-19 patient route. If possible, corridors, elevators, and operating rooms should be dedicated; patients should avoid buffers zones such as recovery rooms.
Figure 3
Figure 3
Management of suspicion of coronavirus 2019 (COVID-19) in the operating room: safety checklist of mandatory points to limit the surgical staff exposure and the spread of the disease.

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