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Br J Anaesth. 2020 Jul;125(1):e197-e198. doi: 10.1016/j.bja.2020.04.070. Epub 2020 Apr 27.
3
Multiorgan and Renal Tropism of SARS-CoV-2.新型冠状病毒2019(SARS-CoV-2)的多器官及肾脏嗜性
N Engl J Med. 2020 Aug 6;383(6):590-592. doi: 10.1056/NEJMc2011400. Epub 2020 May 13.
4
Elective surgery cancellations due to the COVID-19 pandemic: global predictive modelling to inform surgical recovery plans.由于 COVID-19 大流行而取消的择期手术:用于为手术恢复计划提供信息的全球预测模型。
Br J Surg. 2020 Oct;107(11):1440-1449. doi: 10.1002/bjs.11746. Epub 2020 Jun 13.
5
Screening of healthcare workers for SARS-CoV-2 highlights the role of asymptomatic carriage in COVID-19 transmission.对医护人员进行 SARS-CoV-2 筛查突出了无症状携带在 COVID-19 传播中的作用。
Elife. 2020 May 11;9:e58728. doi: 10.7554/eLife.58728.
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Estimating the generation interval for coronavirus disease (COVID-19) based on symptom onset data, March 2020.基于症状出现数据估算 2020 年 3 月冠状病毒病(COVID-19)的代际间隔。
Euro Surveill. 2020 Apr;25(17). doi: 10.2807/1560-7917.ES.2020.25.17.2000257.
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Evaluating the national PPE guidance for NHS healthcare workers during the COVID-19 pandemic.评估新冠疫情期间针对英国国家医疗服务体系医护人员的个人防护装备指南。
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Consensus statement: Safe Airway Society principles of airway management and tracheal intubation specific to the COVID-19 adult patient group.共识声明:针对 COVID-19 成年患者群体的安全气道学会气道管理和气管插管原则。
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严重急性呼吸综合征冠状病毒 2 感染风险在择期围手术期护理期间:叙事性综述。

Severe acute respiratory syndrome coronavirus 2 infection risk during elective peri-operative care: a narrative review.

机构信息

Department of Anaesthesia, Peri-operative Medicine, Pain and Critical Care, Royal Marsden Hospital NHS Foundation Trust, London, UK.

Imperial School of Anaesthesia, London, UK.

出版信息

Anaesthesia. 2020 Dec;75(12):1648-1658. doi: 10.1111/anae.15221. Epub 2020 Aug 26.

DOI:10.1111/anae.15221
PMID:32652529
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7404908/
Abstract

The protection of healthcare workers from the risk of nosocomial severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is a paramount concern. SARS-CoV-2 is likely to remain endemic and measures to protect healthcare workers against nosocomial infection will need to be maintained. This review aims to inform the assessment and management of the risk of SARS-CoV-2 transmission to healthcare workers involved in elective peri-operative care. In the absence of data specifically related to the risk of SARS-CoV-2 transmission in the peri-operative setting, we explore the evidence-base that exists regarding modes of viral transmission, historical evidence for the risk associated with aerosol-generating procedures and contemporaneous data from the COVID-19 pandemic. We identify a significant lack of data regarding the risk of transmission in the management of elective surgical patients, highlighting the urgent need for further research.

摘要

保护医护人员免受医院内严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)感染的风险是当务之急。SARS-CoV-2 可能会持续存在,因此需要采取措施保护医护人员免受医院感染。本综述旨在为评估和管理参与择期围手术期护理的医护人员感染 SARS-CoV-2 的风险提供信息。由于缺乏与围手术期 SARS-CoV-2 传播风险相关的具体数据,我们探讨了有关病毒传播模式、与气溶胶生成程序相关的历史证据以及 COVID-19 大流行期间的当代数据的现有证据。我们发现,关于管理择期手术患者的传播风险的数据严重缺乏,突出表明迫切需要进一步研究。