Panesar Kanvar, Dodson Thomas, Lynch John, Bryson-Cahn Chloe, Chew Lisa, Dillon Jasjit
Resident, Department of Oral and Maxillofacial Surgery, University of Washington, Seattle, WA.
Professor and Chairman, Department of Oral and Maxillofacial Surgery, University of Washington School of Dentistry, Seattle, WA.
J Oral Maxillofac Surg. 2020 Jul;78(7):1136-1146. doi: 10.1016/j.joms.2020.04.034. Epub 2020 Apr 28.
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.
2019年12月下旬，由严重急性呼吸综合征冠状病毒2型（SARS-CoV-2，简称SC2）病毒引起的2019冠状病毒病（COVID-19）出现，给全国的医疗机构带来了巨大压力。现代医疗体系从未应对过如此规模的大流行，其影响无疑将给病毒检测指南、个人防护装备（PPE）、手术安排以及住院医师教育与培训等方面的政策和规程制定带来持久变化。华盛顿州是美国首个报告与COVID-19相关病例和死亡的州。口腔颌面外科医生因在口咽和鼻咽及其周围工作，接触SC2并感染COVID-19的风险独特。本报告总结了华盛顿大学西雅图分校口腔颌面外科在以下4个关键领域COVID-19指南的演变情况：1）术前SC2检测；2）个人防护装备管理；3）手术安排指南；4）住院医师教育与培训。
