新冠疫情时代的显微外科手术。
Microsurgery in the era of COVID-19.
作者信息
Payton Jesse I, Wong Stacy, Lombana Nicholas F, Saint-Cyr Michel S, Altman Andrew M, Brooke Sebastian M
机构信息
Division of Plastic Surgery, Baylor Scott and White Health, Texas A&M Health Science Center College of Medicine, Temple, Texas.
出版信息
Proc (Bayl Univ Med Cent). 2021 Jan 26;34(2):269-273. doi: 10.1080/08998280.2020.1864982.
The COVID-19 pandemic has presented new challenges to microsurgeons. The virus is highly transmissible, with increased risk during operations that involve the aerodigestive tract. It is important to be able to identify high-risk operations and scenarios to guide management decisions and selection of personal protective equipment. Preoperative testing is a key element in identifying high-risk scenarios, and preoperative testing protocols are essential to maintaining safety in the COVID-19 era. Because COVID-19 can be transmitted via the conjunctiva, adaptations to loupes and microscopes are necessary to safely perform microsurgery in high-risk scenarios. We outline a potential risk stratification algorithm, as well as precautions for each scenario. Potential areas for innovation are also discussed.
新冠疫情给显微外科医生带来了新的挑战。该病毒具有高度传染性，在涉及气道消化道的手术中风险会增加。能够识别高风险手术和场景对于指导管理决策以及个人防护设备的选择至关重要。术前检测是识别高风险场景的关键要素，术前检测方案对于在新冠疫情时代维持安全至关重要。由于新冠病毒可通过结膜传播，因此需要对放大镜和显微镜进行改进，以便在高风险场景中安全地进行显微手术。我们概述了一种潜在的风险分层算法以及每种场景下的预防措施。还讨论了潜在的创新领域。
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