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SARS-CoV-2 聚合酶链反应阳性康复受者肝移植的个人防护设备。

Personal Protective Equipment for Liver Transplant in SARS-CoV-2 Polymerase Chain Reaction-Positive Convalescing Recipients.

机构信息

Department of Anesthesia, University of Miami, Jackson Memorial Hospital, Miami, FL, USA; Miami Transplant Institute, University of Miami, Jackson Memorial Hospital, Miami, FL, USA.

Department of Anesthesia, University of Miami, Jackson Memorial Hospital, Miami, FL, USA; Miami Transplant Institute, University of Miami, Jackson Memorial Hospital, Miami, FL, USA.

出版信息

Transplant Proc. 2022 Jul-Aug;54(6):1528-1533. doi: 10.1016/j.transproceed.2022.05.014. Epub 2022 Jun 1.

DOI:10.1016/j.transproceed.2022.05.014
PMID:35871876
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9157021/
Abstract

Personal protective equipment (PPE) comes in several variations, and is the principal safety gear during the COVID-19 pandemic. Unfortunately, the user is severely impacted by its serious nonergonomic features. What PPE is appropriate for labor-intensive cases, like liver transplant (LT), remains unknown. We describe our experience with 2 types of PPE used during 2 separate LT performed in COVID-19 positive recipients. We conclude that for the safety of both health care workers and patients, hospitals should designate a few PPE kits for labor-intensive surgical procedures. These kits should include powered air-purifying respirators, or a similar loose-fitting powered air hood.

摘要

个人防护设备(PPE)有多种变体,是 COVID-19 大流行期间的主要安全装备。不幸的是,使用者受到其严重非人体工程学特征的严重影响。在 COVID-19 阳性受者中进行的 2 例肝移植(LT)中,哪种 PPE 适合劳动强度大的病例尚不清楚。我们描述了在 COVID-19 阳性受者中进行的 2 例 LT 中使用的 2 种 PPE 的经验。我们的结论是,为了医护人员和患者的安全,医院应为劳动强度大的手术程序指定几套 PPE 套件。这些套件应包括动力空气净化呼吸器,或类似的宽松动力空气罩。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83cb/9157021/a8d6dc97c86e/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83cb/9157021/14d154bce04c/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83cb/9157021/a8d6dc97c86e/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83cb/9157021/14d154bce04c/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83cb/9157021/a8d6dc97c86e/gr2_lrg.jpg

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本文引用的文献

1
Solid Organ Transplantation in SARS-CoV-2 Recovered Transplant Candidates: a Comprehensive Review of Recent Literature.SARS-CoV-2康复的移植候选者的实体器官移植:近期文献综述
Curr Transplant Rep. 2022;9(2):95-107. doi: 10.1007/s40472-022-00362-5. Epub 2022 Mar 9.
2
Impact of Coronavirus-2019 On Pediatric and Adult Heart Transplantation Waitlist Activity and Mortality in The United States: A Descriptive Approach.2019年冠状病毒对美国儿童和成人心脏移植等待名单活动及死亡率的影响:一种描述性方法。
Lancet Reg Health Am. 2021 Nov;3:100060. doi: 10.1016/j.lana.2021.100060. Epub 2021 Aug 31.
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Use of Organs from SARS-CoV-2 Infected Donors: Is It Safe? A Contemporary Review.
使用来自感染新冠病毒捐赠者的器官:安全吗?当代综述。
Curr Transplant Rep. 2021;8(4):281-292. doi: 10.1007/s40472-021-00343-0. Epub 2021 Oct 26.
4
Liver Transplant in a Polymerase Chain Reaction-Positive COVID-19 Recipient: A Case Report.聚合酶链反应阳性的 COVID-19 患者行肝移植:病例报告。
Transplant Proc. 2021 Oct;53(8):2490-2494. doi: 10.1016/j.transproceed.2021.07.045. Epub 2021 Jul 29.
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From advanced disease to transplantation: an overview of the liver at the time of COVID-19 pandemic.从晚期疾病到移植:COVID-19 大流行时期的肝脏概述。
Intern Emerg Med. 2022 Jan;17(1):15-24. doi: 10.1007/s11739-021-02801-0. Epub 2021 Jul 10.
6
When is it safe to perform abdominal transplantation in patients with prior SARS-CoV-2 infection: A case series.既往感染 SARS-CoV-2 的患者进行腹部移植的安全时间:病例系列研究。
Clin Transplant. 2021 Dec;35(12):e14370. doi: 10.1111/ctr.14370. Epub 2021 Nov 7.
7
Early outcomes after lung transplantation for severe COVID-19: a series of the first consecutive cases from four countries.COVID-19 肺移植术后早期结局:来自四个国家的一系列首例连续病例。
Lancet Respir Med. 2021 May;9(5):487-497. doi: 10.1016/S2213-2600(21)00077-1. Epub 2021 Mar 31.
8
Kidney Transplantation in a COVID-19-positive Pediatric Recipient.新冠病毒检测呈阳性的儿科受者的肾移植
Transplantation. 2021 Jul 1;105(7):e74-e75. doi: 10.1097/TP.0000000000003774.
9
Kidney transplantation in patients with prior coronavirus disease 2019 (COVID-19).曾患2019冠状病毒病(COVID-19)患者的肾移植
Clin Transplant. 2021 Jun;35(6):e14288. doi: 10.1111/ctr.14288. Epub 2021 Mar 23.
10
Mortality among solid organ waitlist candidates during COVID-19 in the United States.美国 COVID-19 大流行期间实体器官候补者的死亡率。
Am J Transplant. 2021 Jun;21(6):2262-2268. doi: 10.1111/ajt.16550. Epub 2021 Mar 6.