Carvalho Erlon DE Avila, Oliveira Marina Varela Braga DE
Mario Penna Institute / Luxemburgo Hospital, Thoracic Surgery Service - Belo Horizonte - MG - Brazil
Alberto Cavalcanti Hospital - Foundation Minas Gerais State Hospital/FHEMIG - Belo Horizonte - MG - Brazil
Rev Col Bras Cir. 2020;47:e20202568. doi: 10.1590/0100-6991e-20202568. Epub 2020 Jun 1.
Over one million cases of the SARS-CoV-2 virus have been confirmed worldwide, with the death toll exceeding 50,000 people. An important issue to be addressed concerns the exposure of health professionals to this new virus. The first reports from Wuhan province, China, described infection rates of up to 29% among healthcare professionals before the use of personal protective equipment (PPE) was fully regulated. There are several protocols on the correct use of PPE during aerosol-generating procedures. However, there is no specific guidance on how to proceed in cases of need for chest tubes in patients with positive COVID-19 active air leak. The objective of this work is to assist surgeons of the most diverse specialties during the chest drainage of a patient with COVID-19 and to avoid a risk of contamination to the professional and the environment.
全球范围内已确诊超过100万例新冠病毒病例，死亡人数超过5万人。一个需要解决的重要问题是医护人员接触这种新病毒的情况。来自中国湖北省的首批报告称，在个人防护装备（PPE）的使用得到充分规范之前，医护人员的感染率高达29%。在产生气溶胶的操作过程中，有多种关于正确使用PPE的规程。然而，对于新冠病毒检测呈阳性且存在活动性气胸漏气的患者需要放置胸管的情况，尚无具体的处理指南。这项工作的目的是在为新冠病毒患者进行胸腔引流时协助不同专业的外科医生，并避免对医护人员和环境造成污染风险。
