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. 2020 Apr 28;S0278-2391(20)30440-7.
doi: 10.1016/j.joms.2020.04.034. Online ahead of print.

Evolution of COVID-19 Guidelines for University of Washington Oral and Maxillofacial Surgery Patient Care

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Free PMC article

Evolution of COVID-19 Guidelines for University of Washington Oral and Maxillofacial Surgery Patient Care

Kanvar Panesar et al. J Oral Maxillofac Surg. .
Free PMC article

Abstract

The emergence of coronavirus disease 2019 (COVID-19), caused by the SARS-CoV-2 (SC2) virus, in late December 2019 has placed an overwhelming strain on healthcare institutions nationwide. The modern healthcare system has never managed a pandemic of this magnitude, the ramifications of which will undoubtedly lead to lasting changes in policy and protocol development for viral testing guidelines, personal protective equipment (PPE), surgical scheduling, and residency education and training. The State of Washington had the first reported case and death related to COVID-19 in the United States. Oral and maxillofacial surgeons have a unique risk of exposure to SC2 and developing COVID-19 because of our proximity of working in and around the oropharynx and nasopharynx. The present report has summarized the evolution of COVID-19 guidelines in 4 key areas: 1) preoperative SC2 testing; 2) PPE stewardship; 3) surgical scheduling guidelines; and 4) resident education and training for oral and maxillofacial surgery at the University of Washington, Seattle, Washington.

Figures

Figure 1
Figure 1
Initial UW Medicine preoperative COVID-19 testing algorithm.
Figure 2
Figure 2
a. UW Medicine COVID-19 Testing Approach for Inpatients. Figure 2. b. UW Medicine COVID-19 Testing Approach for Asymptomatic Patients Assessed in Clinics
Figure 3
Figure 3
UW Personal Protective Equipment (PPE) Algorithm
Figure 4
Figure 4
Comparison of Mask Levels, Indications, and Filtration Effectiveness

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