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[新型冠状病毒肺炎疫情期间鼻内镜手术:管理指南]

[Endoscopic endonasal surgery during COVID-19 pandemic: Management guideline].

作者信息

Mato-Mañas David, López-Gómez Patricia, Viera-Artiles Jaime, García-Milán Víctor, Morales-Angulo Carmelo, Ruíz-García Isabel, Rabanal-Llevot José Manuel, Fariñas-Álvarez María Carmen, Rebollo-Rodrigo María Henar, Martín-Láez Rubén

机构信息

Servicio de Neurocirugía, Hospital Universitario Marqués de Valdecilla, Santander, España.

Servicio de Otorrinolaringología, Hospital Universitario Marqués de Valdecilla, Santander, España.

出版信息

Neurocirugia (Astur). 2022 May-Jun;33(3):130-134. doi: 10.1016/j.neucir.2021.03.007. Epub 2021 Apr 20.

Abstract

Current SARS-CoV-2 coronavirus pandemic is challenging medical and surgical activities. Specifically, within neurosurgery, endoscopic endonasal approaches pose a high risk of contagion for healthcare personnel involved in it. Initially, the recommendation was to avoid such surgeries. However, the pandemic has dragged on and new solutions must be proposed to continue carrying out these approaches safely. Given the lack of established protocols, we propose the following one, which concisely establishes the measures to be taken in both urgent and scheduled surgery. In addition, a new protection-aspiration device (Maskpirator) is described.

摘要

当前的新型冠状病毒肺炎疫情对医疗和外科手术活动构成了挑战。具体而言,在神经外科领域,内镜下鼻内入路手术给参与其中的医护人员带来了很高的传染风险。最初,建议避免此类手术。然而,疫情持续蔓延,必须提出新的解决方案以继续安全地开展这些手术入路。鉴于缺乏既定的方案,我们提出以下方案,该方案简要规定了在急诊手术和择期手术中应采取的措施。此外,还介绍了一种新型的防护抽吸装置(面罩抽吸器)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c23/8057759/86e8a1dbf59e/gr1_lrg.jpg

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