Head and Neck Practice in the COVID-19 Pandemics Today: A Rapid Systematic Review
| Autor: | Hojaij, Flavio Carneiro, Chinelatto, Lucas Albuquerque, Boog, Gustavo Henrique Pereira, Kasmirski, Júlia Adriana, Lopes, João Vitor Ziroldo, Medeiros, Vitor Macedo Brito |
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| Rok vydání: | 2020 |
| Předmět: |
Special Article COVID-19
medicine.medical_specialty Telemedicine Coronavirus disease 2019 (COVID-19) otorhinolaryngology lcsh:Medicine head and neck surgery 03 medical and health sciences 0302 clinical medicine Pandemic Epidemiology Medicine 030223 otorhinolaryngology Head and neck Personal protective equipment SARS-CoV-2 business.industry General surgery lcsh:R COVID-19 lcsh:Otorhinolaryngology lcsh:RF1-547 Otorhinolaryngology 030220 oncology & carcinogenesis Head and neck surgery Systematic Review business |
| Zdroj: | International Archives of Otorhinolaryngology v.24 n.4 2020 International Archives of Otorhinolaryngology Fundação Otorrinolaringologia (FORL) instacron:FORL International Archives of Otorhinolaryngology, Volume: 24, Issue: 4, Pages: 518-526, Published: 16 NOV 2020 International Archives of Otorhinolaryngology, Vol 24, Iss 04, Pp e518-e526 (2020) |
| ISSN: | 1809-4864 1809-9777 |
| DOI: | 10.1055/s-0040-1715506 |
| Popis: | Introduction Head and neck specialists and otorhinolaryngologists are greatly exposed to coronavirus disease 2019 (COVID-19) transmission in their everyday praxis. Many articles are being published regarding medical staff protection and patient management during the pandemic. Objective To provide an easy access to and a trustful review of the main aspects that have changed in the head and neck surgery and otorhinolaryngology practice due to the COVID-19 pandemic. Data Synthesis The search terms used were: (head and neck or otorhinolaryngology or ORL or thyroid) AND (severe acute respiratory syndrome coronavirus 2 [SARS-COV-2] or COVID-19 or CORONAVIRUS). The results were limited to the year of 2020. Articles were read in English, Portuguese, French, German, and Spanish or translated from Chinese. All included articles were read by at least two authors. Thirty-five articles were included. Most articles suggest postponing elective surgeries, with exception to cancer surgeries, which should be evaluated separately. Twenty-five articles recommended some kind of screening prior to surgery, using polymerase chain reaction (PCR) tests and epidemiological data. Extra precautions, such as use of personal protective equipment (PPE), are suggested for both tracheostomies and endoscopies. Fifteen articles give recommendation on how to use telemedicine. Conclusion The use of PPE (N95 or powered air-purifying respirator [PAPR]) during procedures should be mandatory. Patients should be evaluated about their COVID-19 status before hospital admission. Cancer should be treated. Tracheostomy tube cuff should be inflated inside the tracheal incision. All COVID-19 precautions should be kept until there is a validated antiviral treatment or an available vaccine. |
| Databáze: | OpenAIRE |
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