Emergency Hand and Reconstructive Microsurgery in the COVID-19-Positive Patient.
J Hand Surg Am
; 45(9): 869-875, 2020 09.
Article
en En
| MEDLINE
| ID: mdl-32888437
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 limb-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, nonspecific 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 perioperative care of the COVID-19-positive patient have been published. However, our practices differ from those of general orthopedic and plastic surgery, primarily because of the focus on trauma. This article discusses the perioperative and technical considerations that are essential to manage the COVID-19 patient requiring emergency care, without compromising clinical outcomes and while ensuring the safety of the attending staff.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Neumonía Viral
/
Infecciones por Coronavirus
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Procedimientos de Cirugía Plástica
/
Pandemias
/
Traumatismos de los Dedos
/
Betacoronavirus
/
Amputación Traumática
/
Microcirugia
Tipo de estudio:
Guideline
/
Prognostic_studies
Límite:
Adult
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Humans
/
Male
Idioma:
En
Revista:
J Hand Surg Am
Año:
2020
Tipo del documento:
Article