Hua Wenbin, Zhang Yukun, Wu Xinghuo, Gao Yong, Yang Cao
Department of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.
Bone Jt Open. 2020 May 1;1(5):88-92. doi: 10.1302/2633-1462.15.BJO-2020-0020. eCollection 2020 May.
During the pandemic of COVID-19, some patients with COVID-19 may need emergency surgeries. As spine surgeons, it is our responsibility to ensure appropriate treatment to the patients with COVID-19 and spinal diseases. A protocol for spinal surgery and related management on patients with COVID-19 has been reviewed. Patient preparation for emergency surgeries, indications, and contraindications of emergency surgeries, operating room preparation, infection control precautions and personal protective equipments (PPE), anesthesia management, intraoperative procedures, postoperative management, medical waste disposal, and surveillance of healthcare workers were reviewed. It should be safe for surgeons with PPE of protection level 2 to perform spinal surgeries on patients with COVID-19. Standardized and careful surgical procedures should be necessary to reduce the exposure to COVID-19.
在新型冠状病毒肺炎疫情期间，部分新型冠状病毒肺炎患者可能需要进行急诊手术。作为脊柱外科医生，我们有责任确保对患有新型冠状病毒肺炎和脊柱疾病的患者进行恰当治疗。已对针对新型冠状病毒肺炎患者的脊柱手术及相关管理方案进行了审查。审查内容包括急诊手术的患者准备、急诊手术的适应证和禁忌证、手术室准备、感染控制预防措施和个人防护装备（PPE）、麻醉管理、术中操作、术后管理、医疗废物处理以及医护人员监测。对于佩戴2级防护水平个人防护装备的外科医生而言，为新型冠状病毒肺炎患者实施脊柱手术应该是安全的。应采取标准化且细致的外科手术操作以减少接触新型冠状病毒肺炎的机会。
