在2019冠状病毒病大流行中进行喉气管支气管手术:临床实践中高度产生气溶胶的事件

S. Swain, I. Behera
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引用次数: 4

摘要

当前的新型冠状病毒病2019 (COVID-19)是由严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)引起的。新冠肺炎给外科专科,特别是耳鼻喉科和头颈部专科带来了重大挑战,这些专科处理的是喉部、气管和支气管等上呼吸道。传统的气道手术,如微喉手术、气管造口术和支气管镜检查,通常是由耳鼻喉科医生管理的高度产生气溶胶的手术。喉、气管、支气管气道病毒密度高,有望在新冠肺炎大流行中排除更多的感染传播。这就是为什么在这场可怕的大流行中,耳鼻喉科医生更容易受到伤害。外科医生在喉气管支气管检查或手术过程中有很高的感染风险。手术干预应采取适当的预防措施,以限制病毒的传播。对新冠肺炎疑似病例或阳性病例的有效管理需要仔细考虑外科医生和相关团队成员的安全,以确保对患者的最佳护理。这篇综述文章将概述限制病毒传播到耳鼻喉科医生/外科医生的常用方法,并在咽喉气管支气管气道管理期间协助医护人员处理COVID-19感染。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Performing Laryngotracheobronchial Procedure in Coronavirus Disease 2019 Pandemic: A highly Aerosol Generating Event in Clinical Practice
The current novel coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).COVID-19 is presenting a significant challenges to the surgical specialties specifically otolaryngologists and head and neck specialties those are dealing with upper airway such as larynx, trachea, and bronchus. The traditional airway procedure like microlaryngeal surgery, tracheostomy, and bronchoscopy are highly aerosol generating surgery often managed by otolaryngologists. The laryngotracheobronchial airway has a high viral density and so it is expected to expel more transmission of the infections in COVID-19 pandemic. This is why the otolaryngologists or laryngologists are more vulnerable medical professional in this dreaded pandemic. Surgeons have high risk for getting the infections during examinations or surgical procedure on the laryngotracheobronchial airway. The surgical interventions should adopt adequate precautions to limit the viral dissemination. Effective management of the suspicious or positive cases of COVID-19 required careful consideration for the safety of the surgeons and associated team members for ensuring the best possible care of the patients. This review article will provide an overview of common methods to limit the viral transmission to the otolaryngologists/surgeons and assisting health care staffs from COVID-19 infections during management of the laryngotracheobronchial airway.
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