Manejo de pacientes de Ortopedia y Traumatología en el contexto de la contingencia por covid-19: revisión de conceptos actuales revisión de la literatura
DOI:
https://doi.org/10.1016/j.rccot.2020.05.001Palabras clave:
pacientes de traumatología, covid 19Resumen
El objetivo del presente estudio es presentar una revisión de la literatura disponible, que permita abordar de forma ordenada la evidencia actual con respecto a la organización de un servicio de cirugía ortopédica y traumatología durante la pandemia por covid-19, el manejo de los pacientes y las medidas de protección para el personal de salud involucrado. Se realizó una búsqueda de literatura en bases de datos (PUBMED y Scielo), instituciones gubernamentales de salud y sociedades científicas. Los autores seleccionaron los artículos que consideraron pertinentes para la presente revisión. Se plantean recomendaciones para los distintos escenarios de la práctica ortopédica: consulta externa, hospitalización, cirugía (electiva y de urgencias) y urgencias; así como recomendaciones específicas para algunas subespecialidades (cirugía de columna, cirugía de mano y ortopedia pediátrica).Descargas
Referencias bibliográficas
CORONAVIRUS (COVID 19) https://www-minsalud.gov.co/salud/publica/PET/Paginas/Covid-19copia.aspx. Accessed March 31, 2020.
Coronavirus COVID-19 (2019-nCoV). https://gisanddata.maps.arcgis.com/apps/opsdashboard/index.html#/bda7594740fd40299423467b48e9ecf6. Accessed March 31, 2020.
Coronavirus?» Specialty guides for patient management. https://www.england.nhs.uk/coronavirus/publication/specialtyguides/. Accessed March 31, 2020.
Consenso colombiano de atención, diagnóstico y manejo de la infección por SARS-COV-2/COVID 19 en establecimientos de atención de la salud. Recomendaciones basadas en consenso de expertos e informadas en la evidencia. Infectio. 2020;24(3):1-102. https://doi.org/10.22354/in.v24i3.851
Chang Liang Z, Wang W, Murphy D, Po Hui JH. Novel Coronavirus and Orthopaedic Surgery: Early Experiences from Singapore. J Bone Joint Surg Am. March 2020, https://doi.org/10.2106/JBJS.20.00236
sitecorejpjadwat@rcseng.ac.uk. COVID-19: Good Practice for Surgeons and Surgical Teams. Royal College of Surgeons. https://www.rcseng.ac.uk/standards-and-research/standards-and-guidance/good-practice-guides/coronavirus/. Accessed April 2, 2020.
Chow CB. Post-SARS infection control in the hospital and clinic. Paediatr Respir Rev. 2004;5:289-95, https://doi.org/10.1016/j.prrv.2004.07.006
Puro V, Nicastri E. SARS and the removal of personal protective equipment. CMAJ Can Med Assoc J J Assoc Medicale Can. 2004;170:930, https://doi.org/10.1503/cmaj.1031700
Procedimiento de Postura EPP COVID 19. https://www.youtube.com/watch?v=bpTCGqkEx1s&feature=emb title. Accessed April 3, 2020.
Vaccaro AR, Getz CL, Cohen BE, Cole BJ, Donnally CJI. Practice Management During the COVID-19 Pandemic. JAAOS - J Am Acad Orthop Surg. 2020, https://doi.org/10.5435/JAAOS-D-20-00379. Publish Ahead of Print.
Normatividad Nuevo - Decreto 538 de 2020.pdf. https://www.minsalud.gov.co/NormatividadNuevo/Forms/DispForm.aspx?ID=5982. Accessed April 26, 2020.
Normatividad Nuevo - Resolución No. 2654 del 2019.pdf. https://www.minsalud.gov.co/NormatividadNuevo/Forms/DispForm.aspx?ID=5754. Accessed April 26, 2020.
SECOT. https://www.secot.es/covid19-profesionales. Accessed April 7, 2020.
BOA. BOAST - Management of patients with urgent orthopaedic conditions and trauma during the coronavirus pandemic. https://www.boa.ac.uk/resources/covid-19-boasts-combined.html. Accessed March 31, 2020.
Wong J, Goh QY, Tan Z, 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 Anaesth J Can Anesth. March 2020, https://doi.org/10.1007/s12630-020-01620-9
Zheng MH, Boni L, Fingerhut A. Minimally Invasive Surgery and the Novel Coronavirus Outbreak: Lessons Learned in China and Italy. Ann Surg. March 2020, https://doi.org/10.1097/SLA.0000000000003924
Ministerio de salud y protección social. Plan de acción para la prestación de servicios de salud durante las etapas de contención y mitigación de la pandemia por SARS-CoV-2 (COVID-19). Documentos Técnicos covid-19. https://www.minsalud.gov.co/salud/publica/PET/Paginas/Documentos-tecnicos-covid-19.aspx. Accessed April 26, 2020.
Lockey SD. What's Important: What Is Our Role in the COVID-19 Pandemic? JBJS. 2020;Latest Articles. doi:10.2106/JBJS.20.00444. https://doi.org/10.2106/JBJS.20.00444
DePhillipo NN, Larson CM, O'Neill OR, LaPrade RF. Guidelines for Ambulatory Surgery Centers for the Care of Surgically Necessary/Time-Sensitive Orthopaedic Cases during the COVID-19 Pandemic: J Bone Jt Surg. April 2020;1, https://doi.org/10.2106/JBJS.20.00489
Lei S, Jiang F, Su W, et al. Clinical characteristics and outcomes of patients undergoing surgeries during the incubation period of COVID-19 infection. EClinicalMedicine. 2020, https://doi.org/10.1016/j.eclinm.2020.100331, 0(0).
National Health Commission of China. [The State Council's joint prevention and control mechanism for pneumonia epidemic in response to new coronavirus infection (5th edition). http://www.nhc.gov.cn/jkj/s3578/202002/dc7f3a7326e249c0bad0155960094b0b.shtml. Accessed April 13,2020.
Mi B, Chen L, Xiong Y, Xue H, Zhou W, Liu G. Characteristics and Early Prognosis of COVID-19 Infection in Fracture Patients. J Bone Joint Surg Am. April 2020, https://doi.org/10.2106/JBJS.20.00390
Why Surgeons Don't Want to Operate Right Now. Bloomberg.com. https://www.bloomberg.com/opinion/articles/2020-03-24/the-coronavirus-crisis-is-putting-surgeons-at-risk-too.Published March 24, 2020. Accessed April 2, 2020.
Nogler M, Lass-Flörl C, Wimmer C, Mayr E, Bach C, Ogon M. Contamination during removal of cement in revision hip arthroplasty. A cadaver study using ultrasound and high-speed cutters. J Bone Joint Surg Br. 2003;85:436-9,https://doi.org/10.1302/0301-620X.85B3.12451
Harrel SK, Molinari J. Aerosols and splatter in dentistry: a brief review of the literature and infection control implications. J Am Dent Assoc. 1939 2004;135:429-37, https://doi.org/10.14219/jada.archive.2004.0207
Jewett DL, Heinsohn P, Bennett C, Rosen A, Neuilly C. Blood- containing aerosols generated by surgical techniques: a possible infectious hazard. Am Ind Hyg Assoc J. 1992;53:228-31, https://doi.org/10.1080/15298669291359564
Ding Y, He L, Zhang Q, et al. Organ distribution of severe acute respiratory syndrome (SARS) associated coronavirus (SARS-CoV) in SARS patients: implications for pathogenesis and virus transmission pathways. J Pathol. 2004;203:622-30, https://doi.org/10.1002/path.1560
Wang W, Xu Y, Gao R, et al. Detection of SARS-CoV-2 in Different Types of Clinical Specimens. JAMA. March 2020, https://doi.org/10.1001/jama.2020.3786
Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The Lancet. 2020;395(10223):497-506, https://doi.org/10.1016/S0140-6736(20)30183-5
Chang L, Yan Y, Wang L. Coronavirus Disease 2019: Coronaviruses and Blood Safety. Transfus Med Rev. February. 2020, https://doi.org/10.1016/j.tmrv.2020.02.003
Young BE, Ong SWX, Kalimuddin S, et al. Epidemiologic Features and Clinical Course of Patients Infected With SARS-CoV-2 in Singapore. JAMA. March 2020, https://doi.org/10.1001/jama.2020.3204
Risk assessment: Outbreak of acute respiratory syndrome associated with a novel coronavirus, Wuhan, China; first update. European Centre for Disease Prevention and Control. https://www.ecdc.europa.eu/en/publications-data/risk-assessment-outbreak-acute-respiratory-syndrome-associated-novel-coronavirus. Published January 22, 2020. Accessed April 27, 2020.
AABB's Coronavirus Resources. http://www.aabb.org/advocacy/regulatorygovernment/Pages/AABB-Coronavirus-Resources.aspx. Accessed April 27, 2020.
Tang JW, Li Y, Eames I, Chan PKS, Ridgway GL. Factors involved in the aerosol transmission of infection and control of ventilation in healthcare premises. J Hosp Infect. 2006;64:100-14, https://doi.org/10.1016/j.jhin.2006.05.022
Tellier R, Li Y, Cowling BJ, Tang JW. Recognition of aerosol transmission of infectious agents: a commentary. BMC Infect Dis. 2019;19:101, https://doi.org/10.1186/s12879-019-3707-y
Capizzi PJ, Clay RP, Battey MJ. Microbiologic activity in laser resurfacing plume and debris. Lasers Surg Med. 1998;23:172-4, https://doi.org/bpwzd9
Hensman C, Baty D, Willis RG, Cuschieri A. Chemical composition of smoke produced by high-frequency electrosurgery in a closed gaseous environment. An in vitro study. Surg Endosc. 1998;12:1017-9, https://doi.org/10.1007/s004649900771
Johnson GK, Robinson WS. Human immunodeficiency virus-1 (HIV-1) in the vapors of surgical power instruments. J Med Virol. 1991;33:47-50, https://doi.org/10.1002/jmv.1890330110
Bree K, Barnhill S, Rundell W. The Dangers of Electrosurgical Smoke to Operating Room Personnel: A Review. Workplace Health Saf. 2017;65:517-26, https://doi.org/10.1177/2165079917691063
Limchantra IV, Fong Y, Melstrom KA. Surgical Smoke Exposure in Operating Room Personnel: A Review. JAMA Surg. August 2019, https://doi.org/10.1001/jamasurg.2019.2515
Okoshi K, Kobayashi K, Kinoshita K, Tomizawa Y, Hasegawa S, Sakai Y. Health risks associated with exposure to surgical smoke for surgeons and operation room personnel. Surg Today. 2015;45:957-65, https://doi.org/10.1007/s00595-014-1085-z
Khazaei M, Asgari R, Zarei E, Moharramzad Y, Haghighatkhah H, Sanei Taheri M. Incidentally Diagnosed COVID-19 Infection in Trauma Patients; a Clinical Experience. Arch Acad Emerg Med. 2020;8:e31.
Li Y, Xia L. Coronavirus Disease 2019 (COVID-19): Role of Chest CT in Diagnosis and Management. AJR Am J Roentgenol. March 2020:1-7, https://doi.org/10.2214/AJR.20.22954
Non-Emergent, Elective Medical Services, and Treatment Recommendations.:2.
March 13 O, 2020. COVID-19: Recommendations for Management of Elective Surgical Procedures. American College of Surgeons. https://www.facs.org/covid-19/clinical-guidance/elective-surgery. Accessed April 15, 2020.
March 24 O, 2020. COVID-19 Guidelines for Triage of Orthopaedic Patients. American College of Surgeons. https://www.facs.org/covid-19/clinical-guidance/elective-case/orthopaedics. Accessed April 15, 2020.
Documento conjunto SBC, SBN, SBOT referente a prioridades terapêuticas em cirurgia de coluna durante o período de crise relacionado ao COVID-19 - Sociedade Brasileira de Coluna. http://portalsbc.org/documento-conjunto-sbc-sbn-sbot-referente-a-prioridades-terapeuticas-em-cirurgia-decoluna-durante-o-periodo-de-crise-relacionado-ao-covid-19/. Accessed April 15, 2020.
Lee Ting Soh T, Loong Ho SW, Quan Yap WM, Yoong-Leong Oh J. Spine Surgery and COVID-19: Challenges and Strategies from the Front Lines. J Bone Jt Surg. April 2020;1, https://doi.org/10.2106/JBJS.20.00503
Ducournau F, Arianni M, Awwad S, et al. COVID-19: Initial experience of an international group of hand surgeons. Hand Surg Rehabil. April 2020, https://doi.org/10.1016/j.hansur.2020.04.001
Qiu H, Wu J, Hong L, Luo Y, Song Q, Chen D. Clinical and epidemiological features of 36 children with coronavirus disease 2019 (COVID-19) in Zhejiang, China: an observational cohort study. Lancet Infect Dis. 2020;0(0.), https://doi.org/10.1016/S1473-3099(20)30198-5
Coronavirus?» Specialty guides. https://www.england.nhs.uk/coronavirus/secondary-care/other-resources/specialty-guides/. Accessed April 17, 2020.
Fracture COVID GUIDELINES for CMC UTSW Final.pdf. Dropbox. https://www.dropbox.com/s/rnseg7ktxwq8swk/Fracture%20COVID%20GUIDELINES%20for%20CMC%20UTSW%20Final.pdf?dl=0. Accessed April 17, 2020.
Managing DDH During COVID-19 Pandemic | Pediatric Orthopaedic Society of North America (POSNA). https://posna.org/Blogs/POSNA-COVID-19-Updates/April-2020/Managing-DDH-During-COVID-19-Pandemic. Accessed April 17, 2020.
Suggestions for Managing DDH in a Resource-Limited Environment During the COVID-19 Pandemic. Int Hip Dysplasia Inst. April 2020. https://hipdysplasia.org/news/latest-news/suggestions-for-managing-ddh-in-a-resource-limited-environment-during-the-covid-19-pandemic/. Accessed April 17, 2020.
Resources for the COVID 19 Pandemic. BSCOS. http://www.bscos.org.uk/covid19/resources.php. Accessed April 17, 2020.
