Department of Neurosciences, Section of Otolaryngology and Regional Centre for Head and Neck Cancer, University of Padova, Treviso, Italy; Department of Surgery, Oncology and Gastroenterology, Section of Oncology and Immunology, University of Padova, Padova, Italy.
Department of Neurosciences, Section of Otolaryngology and Regional Centre for Head and Neck Cancer, University of Padova, Treviso, Italy .
Acta Biomed. 2021 Feb 16;92(1):e2021105. doi: 10.23750/abm.v92i1.11281.
The pandemic caused by SARS-CoV2 has stressed health care systems worldwide. The high volume of patients, combined with an increased need for intensive care and potential transmission, has forced reorganization of hospitals and care delivery models. In this article, are presented approaches to minimize risk to Otolaryngologists during their patients infected with COVID-19 care. We performed a narrative literature review among PubMed, Scopus and Web of Science electronic databases, searching for studies on SARS-CoV2 and Risk Management. Standard operating procedures have been adapted both for facilities and for health care workers, including the development of well-defined and segregated patient care areas for treating those affected by COVID-19. Personal protective equipment (PPEs) availability and adequate healthcare providers training on their use should be ensured. Preventive measures are especially important in Otolaryngology-Head and Neck Surgery, as the exposure to saliva suspensions, droplets and aerosols are increased in the upper aero-digestive tract routine examination. Morever, the frequent invasive procedures, such as laryngoscopy, intubation or tracheotomy placement and care, represent a high risk of contracting COVID-19.
由 SARS-CoV2 引起的大流行使全球的医疗保健系统承受压力。大量的患者，加上对重症监护的需求增加和潜在的传播，迫使医院和护理提供模式进行重组。本文介绍了在为感染 COVID-19 的患者提供护理时，耳鼻喉科医生如何将风险降至最低。我们在 PubMed、Scopus 和 Web of Science 电子数据库中进行了叙述性文献综述，检索了有关 SARS-CoV2 和风险管理的研究。已经针对设施和医疗保健工作者制定了标准操作程序，包括为治疗 COVID-19 感染者开发明确界定和隔离的患者护理区域。应确保提供个人防护设备 (PPE) 并对其使用进行充分的医疗保健提供者培训。预防措施在耳鼻喉科-头颈外科中尤为重要，因为在上呼吸道常规检查中会增加对唾液悬浮液、飞沫和气溶胶的暴露。此外，喉镜检查、插管或气管切开术的放置和护理等频繁的侵入性手术会增加感染 COVID-19 的风险。
