Consideraciones perioperatorias para cirugía otológica en época de COVID-19
Barra lateral del artículo
Contenido principal del artículo
Resumen
La cirugía electiva en otología se ha visto afectada por la pandemia del COVID 19. No sabemos cuánto tiempo pasará hasta que veamos un descenso en el número de casos nuevos y podamos volver al ejercicio médico que conocíamos. Mientras tanto, debemos adaptarnos rápidamente a la nueva forma de funcionamiento de los servicios quirúrgicos en otología, siguiendo los protocolos que están surgiendo para la reactivación gradual y segura de esta clase de actividad.
El objetivo de este artículo es realizar una revisión narrativa de la literatura sobre las nuevas recomendaciones para la reactivación de los servicios quirúrgicos otológicos durante esta pandemia, estableciendo pautas seguras para cirugía de oído y para el seguimientos de los pacientes en el postoperatorio. Una de las metas más importantes es brindar una guía sobre la forma de comportarse dentro del ambiente de los quirófanos, sus cambios operacionales, el correcto uso de elementos de protección personal y dar a conocer métodos que busquen disminuir la exposición del equipo quirúrgico a la aerosolización, en los que describimos una técnica novedosa de vestido del microscopio con doble extensión
Descargas
Detalles del artículo
Este artículo es publicado por la Revista Acta de Otorrinolaringología & Cirugía de Cabeza y Cuello.
Este es un artículo de acceso abierto, distribuido bajo los términos de la LicenciaCreativeCommons Atribución-CompartirIgual 4.0 Internacional.( http://creativecommons.org/licenses/by-sa/4.0/), que permite el uso no comercial, distribución y reproducción en cualquier medio, siempre que la obra original sea debidamente citada.
eISSN: 2539-0856
ISSN: 0120-8411
Citas
Al-jabir A, Kerwan A, Nicola M, Alsafi Z, Khan M, Neill NO,
et al. Impact of the coronavirus (COVID-19) pandemic on
surgical practice - Part 2 (surgical prioritisation). Int J Surg
[Internet]. 2020;2. Available from: https://doi.org/10.1016/j.
ijsu.2020.05.002
Rea P, Lloyd S, Jenkins D. Guidance for undertaking otological
procedures during COVID-19 pandemic. Br Soc Otol [Internet].
;6–8. Available from: https://www.entuk.org/guidanceundertaking-
otological-procedures-during-covid-19-pandemic
Kozin AED, Remenschneider AK, Blevins NH, Jan TA, Quesnel
AM, Chari DA, et al. American Neurotology Society Position
Statement on Management of Otologic and Neurotologic
Patients During the COVID-19 Pandemic. :1–34.
P AJB, Prieto R, Torregrosa L, Álvarez C, Hernández JD,
González LG, et al. Volver a empezar : cirugía electiva durante
la pandemia del SARS-CoV2 . Recomendaciones desde la
Asociación. Rev Colomb Cirugía. 2020;302–21.
CDC. Appendix B. Air [Internet]. Guidelines for Environmental
Infection Control in Health-Care Facilities (2003). 2003.
Available from: https://www.cdc.gov/infectioncontrol/guidelines/
environmental/appendix/air.html
Tao KX, Zhang BX, Zhang P, Zhu P, Wang GB, Chen XP.
Recommendations for general surgery clinical practice in 2019
coronavirus disease situation. Zhonghua Wai Ke Za Zhi. 2020
Mar;58(3):170–7.
Coccolini F, Perrone G, Chiarugi M, Di Marzo F, Ansaloni L,
Scandroglio I, et al. Surgery in COVID-19 patients: Operational
directives. World J Emerg Surg. 2020;15(1):1–7.
Thamboo A, Lea J, Sommer DD, Sowerby L, Abdalkhani
A, Diamond C, et al. Clinical evidence based review and
recommendations of aerosol generating medical procedures in
otolaryngology - head and neck surgery during the COVID-19
pandemic. J Otolaryngol Head Neck Surg [Internet].
;49(1):28. Available from: http://www.ncbi.nlm.nih.gov/
pubmed/32375884%0Ahttp://www.pubmedcentral.nih.gov/
articlerender.fcgi?artid=PMC7202463
Saavedra CH, Acevedo CA, Solórzano CA, Medina DC, Vergara
EP, Gabriel R. Consenso colombiano de atención, diagnóstico
y manejo de la infección por SARS-COV-2/COVID-19 en
establecimientos de atención de la salud. Infect Rev la Asoc
Colomb Infectología. 2020;24(3).
Ti LK, Ang LS, Foong TW, Ng BSW. What we do when
a COVID-19 patient needs an operation: operating room
preparation and guidance. Can J Anesth [Internet]. 2020;19–21.
Available from: https://doi.org/10.1007/s12630-020-01617-4
Wong J, Goh QY, Tan Z, Lie SA, Tay YC, Ng SY, et al.
Preparing for a COVID-19 pandemic: a review of operating
room outbreak response measures in a large tertiary hospital
in Singapore. Can J Anesth [Internet]. 2020; Available from:
https://doi.org/10.1007/s12630-020-01620-9
Verbeek JH, Rajamaki B, Ijaz S, Sauni R, Toomey E, Blackwood
B, et al. Personal protective equipment for preventing highly
infectious diseases due to exposure to contaminated body fluids
in healthcare staff. Cochrane Database Syst Rev [Internet].
Apr 15 [cited 2020 May 13];(4). Available from: http://
doi.wiley.com/10.1002/14651858.CD011621.pub4
Givi B, Schiff BA, Chinn SB, Clayburgh D, Iyer NG, Jalisi S,
et al. Safety Recommendations for Evaluation and Surgery of
the Head and Neck during the COVID-19 Pandemic. JAMA
Otolaryngol - Head Neck Surg. 2020;1:1–6.
Hirschmann MT, Hart A, Henckel J, Sadoghi P, Seil R,
Mouton C. COVID-19 coronavirus: recommended personal
protective equipment for the orthopaedic and trauma
surgeon. Knee Surg Sports Traumatol Arthrosc [Internet].
;(0123456789). Available from: http://www.ncbi.nlm.nih.
gov/pubmed/32342138%0Ahttp://www.pubmedcentral.nih.
gov/articlerender.fcgi?artid=PMC7184806
Panuganti, B. A., Pang, J., Califano, J., & Chan JYK. Procedural
Precautions and Personal Protective Equipment during Head
and Neck Instrumentation in the COVID-19 Era. Head Neck.
;8.
Saadi RA, Bann D V., Patel VA, Goldenberg D, May J, Isildak
H. A Commentary on Safety Precautions for Otologic Surgery
during the COVID-19 Pandemic. Otolaryngol - Head Neck
Surg (United States). 2020;1–3.
Chang L, Yan Y, Wang L. Coronavirus Disease 2019:
Coronaviruses and Blood Safety. Transfus Med Rev.
;(January):19–21.
Carron JD, Buck LS, Harbarger CF, Eby TL. A Simple
Technique for Droplet Control During Mastoid Surgery. JAMA
Otolaryngol Neck Surg [Internet]. 2020 Apr 28; Available
from: https://doi.org/10.1001/jamaoto.2020.1064
Chen JX, Workman AD, Chari DA, Jung DH, Kozin E, Lee
DJ, et al. Demonstration and mitigation of aerosol and particle
dispersion during mastoidectomy relevant to the COVID-19
era. Otol Neurotol [Internet]. 2020;0. Available from: http://
www.ncbi.nlm.nih.gov/pubmed/32384377
Bertroche JT, Pipkorn P, Zolkind P, Buchman CA, Zevallos JP.
Negative-Pressure Aerosol Cover for COVID-19 Tracheostomy.
JAMA Otolaryngol Neck Surg [Internet]. 2020 Apr 28;
Available from: https://doi.org/10.1001/jamaoto.2020.1081
Parhar HS, Tasche K, Brody RM, Weinstein GS, O’Malley BW,
Shanti RM, et al. Topical preparations to reduce SARS-CoV2
aerosolization in head and neck mucosal surgery . Head Neck.
;(April):7–9.
Fan JKM, Chan FSY, Chu KM. Surgical smoke. Asian J Surg
[Internet]. 2009;32(4):253–7. Available from: http://dx.doi.
Acta de Otorrinolaringología & Cirugía de Cabeza y Cuello. 2020; 48(1): 79-92 Doi: 10.37076/acorl.v48i1.520(2): 92-99 87
org/10.1016/S1015-9584(09)60403-6
Brüske I, Preissler G, Jauch K-W, Pitz M, Nowak D, Peters
A, et al. Surgical smoke and ultrafine particles. J Occup Med
Toxicol. 2009;3:31.
Benson SM, Novak DA, Ogg MJ. Proper Use of Surgical
N95 Respirators and Surgical Masks in the OR. AORN J.
;97(4):457–70.
Workman AD, Welling DB, Carter BS, Curry WT, Holbrook EH,
Gray ST, et al. Endonasal instrumentation and aerosolization
risk in the era of COVID-19: simulation, literature review,
and proposed mitigation strategies. Int Forum Allergy Rhinol.
;
Mowbray N, Ansell J, Warren N, Wall P, Torkington J. Is
surgical smoke harmful to theater staff? a systematic review.
Surg Endosc. 2013;27(9):3100–7.
SAGES. The Technique and Justification for Minimally
Invasive [Internet]. 2020. Available from: https://www.sages.
org/resour%0Aces-smoke-gas-evacuation-during-openlaparoscopic-
endos%0Acopic-procedures
Khan I, Mohamad S, Ansari S, Iyer A. Are head bandages
really required after middle-ear surgery? A systematic review. J
Laryngol Otol. 2015;129(8):740–3.
Brat GA, Facs MPH, Hersey SP, Chhabra K, Gupta A, Mph
JS, et al. Protecting Surgical Teams During the COVID-19
Outbreak: A Narrative Review and Clinical Considerations.
Ann Surg [Internet]. Available from: https://journals.lww.com/
annalsofsurgery/Documents/COVID Surgery_VF.pdf
Montoya MP, Chitilian H V. Extubation barrier drape to
minimise droplet spread. Br J Anaesth. 2020;(January).
Asenjo JF. Safer intubation and extubation of patients with
COVID-19. Can J Anesth Can d’anesthésie [Internet]. 2020;
Available from: https://doi.org/10.1007/s12630-020-01666-9
Matava CT, Yu J, Denning S. Clear plastic drapes may be
effective at limiting aerosolization and droplet spray during
extubation: implications for COVID-19. Can J Anesth
[Internet]. 2020;1–3. Available from: https://doi.org/10.1007/
s12630-020-01649-w
Yong PSA, Chen X. Reducing droplet spread during airway
manipulation : lessons from the COVID-19 pandemic in
Singapore. Br J Anaesth. 2020;(January).
Dexter F, Parra MC, Brown JR, Loftus RW. Perioperative
COVID-19 Defense: An Evidence-Based Approach for
Optimization of Infection Control and Operating Room
Management. Anesth Analg. 2020;XXX(Xxx):1–6.
Armellino D. Minimizing Sources of Airborne, Aerosolized,
and Contact Contaminants in the OR Environment. AORN J
[Internet]. 2017;106(6):494–501. Available from: https://doi.
org/10.1016/j.aorn.2017.09.012
Gunter RL, Chouinard S, Fernandes-taylor S, Jason T, Clarkson
S, Bennett K, et al. Current Use of Telemedicine for Post-
Discharge Surgical Care: A Systematic Review. J Am Coll
Surg. 2016;222(5):915–27.
Liu Z, Zhang Y, Wang X, Zhang D, Diao D, Chandramohan
K, et al. Recommendations for Surgery During the Novel