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Approaches to the management of patients in oral and maxillofacial surgery during COVID-19 pandemic

Identifieur interne : 000644 ( Pmc/Checkpoint ); précédent : 000643; suivant : 000645

Approaches to the management of patients in oral and maxillofacial surgery during COVID-19 pandemic

Auteurs : Matthias Zimmermann ; Emeka Nkenke

Source :

RBID : PMC:7128256

Abstract

Oral and maxillofacial surgery is correlated with a high risk of SARS-CoV-2 transmission. Therefore, the aim of the review is to collect and discuss aspects of the management of patients in oral and maxillofacial surgery during the COVID-19 pandemic.

In order to save resources and to avoid unnecessary exposure to infected patients, there is the need to schedule interventions depending on their priority. During the peak of the pandemic, no elective surgery should be performed. Even urgent procedures might be postponed if there is a view to recovery of a COVID-19 patient within a few days. Emergency procedures do not allow any delay.

Specialties with overlap in therapies should have well defined arrangements among each other concerning the treatment spectra in order to avoid redundancy and loss of resources.

Inpatient and outpatient units have to be organized in such a way that the risk of cross-infection among patients is reduced to a minimum. Especially, testing of patients for SARS-CoV-2 is important to detect the infected patients at an early stage. When surgery is performed on COVID-19 patients, adequate personal protective equipment is crucial. There must be negative pressure in the operating room, and aerosol formation must be reduced to a minimum.

In order to address the COVID-19 challenge adequately, significant changes in the infrastructure of outpatient units, inpatient units, and operating rooms are needed. In addition, the demands concerning personal protective equipment increase significantly. The major aim is to protect patients as well as the medical staff from unnecessary infection, and to keep the healthcare system running effectively. Therefore, every effort should be taken to make the necessary investments.


Url:
DOI: 10.1016/j.jcms.2020.03.011
PubMed: 32303420
PubMed Central: 7128256


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PMC:7128256

Le document en format XML

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<p>Oral and maxillofacial surgery is correlated with a high risk of SARS-CoV-2 transmission. Therefore, the aim of the review is to collect and discuss aspects of the management of patients in oral and maxillofacial surgery during the COVID-19 pandemic.</p>
<p>In order to save resources and to avoid unnecessary exposure to infected patients, there is the need to schedule interventions depending on their priority. During the peak of the pandemic, no elective surgery should be performed. Even urgent procedures might be postponed if there is a view to recovery of a COVID-19 patient within a few days. Emergency procedures do not allow any delay.</p>
<p>Specialties with overlap in therapies should have well defined arrangements among each other concerning the treatment spectra in order to avoid redundancy and loss of resources.</p>
<p>Inpatient and outpatient units have to be organized in such a way that the risk of cross-infection among patients is reduced to a minimum. Especially, testing of patients for SARS-CoV-2 is important to detect the infected patients at an early stage. When surgery is performed on COVID-19 patients, adequate personal protective equipment is crucial. There must be negative pressure in the operating room, and aerosol formation must be reduced to a minimum.</p>
<p>In order to address the COVID-19 challenge adequately, significant changes in the infrastructure of outpatient units, inpatient units, and operating rooms are needed. In addition, the demands concerning personal protective equipment increase significantly. The major aim is to protect patients as well as the medical staff from unnecessary infection, and to keep the healthcare system running effectively. Therefore, every effort should be taken to make the necessary investments.</p>
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<article-id pub-id-type="pmc">7128256</article-id>
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<article-id pub-id-type="doi">10.1016/j.jcms.2020.03.011</article-id>
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<article-title>Approaches to the management of patients in oral and maxillofacial surgery during COVID-19 pandemic</article-title>
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<name>
<surname>Zimmermann</surname>
<given-names>Matthias</given-names>
</name>
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<contrib contrib-type="author" id="au2">
<name>
<surname>Nkenke</surname>
<given-names>Emeka</given-names>
</name>
<email>emeka@nkenke.de</email>
<xref rid="cor1" ref-type="corresp"></xref>
</contrib>
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<aff id="aff1">Department of Oral and Maxillofacial Surgery, Medical University of Vienna, Vienna, Austria</aff>
<author-notes>
<corresp id="cor1">
<label></label>
Corresponding author. Department of Oral and Maxillofacial Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria.
<email>emeka@nkenke.de</email>
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<month>4</month>
<year>2020</year>
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<month>4</month>
<year>2020</year>
</pub-date>
<history>
<date date-type="received">
<day>31</day>
<month>3</month>
<year>2020</year>
</date>
<date date-type="accepted">
<day>31</day>
<month>3</month>
<year>2020</year>
</date>
</history>
<permissions>
<copyright-statement>© 2020 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.</copyright-statement>
<copyright-year>2020</copyright-year>
<copyright-holder></copyright-holder>
<license>
<license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p>
</license>
</permissions>
<abstract id="abs0010">
<p>Oral and maxillofacial surgery is correlated with a high risk of SARS-CoV-2 transmission. Therefore, the aim of the review is to collect and discuss aspects of the management of patients in oral and maxillofacial surgery during the COVID-19 pandemic.</p>
<p>In order to save resources and to avoid unnecessary exposure to infected patients, there is the need to schedule interventions depending on their priority. During the peak of the pandemic, no elective surgery should be performed. Even urgent procedures might be postponed if there is a view to recovery of a COVID-19 patient within a few days. Emergency procedures do not allow any delay.</p>
<p>Specialties with overlap in therapies should have well defined arrangements among each other concerning the treatment spectra in order to avoid redundancy and loss of resources.</p>
<p>Inpatient and outpatient units have to be organized in such a way that the risk of cross-infection among patients is reduced to a minimum. Especially, testing of patients for SARS-CoV-2 is important to detect the infected patients at an early stage. When surgery is performed on COVID-19 patients, adequate personal protective equipment is crucial. There must be negative pressure in the operating room, and aerosol formation must be reduced to a minimum.</p>
<p>In order to address the COVID-19 challenge adequately, significant changes in the infrastructure of outpatient units, inpatient units, and operating rooms are needed. In addition, the demands concerning personal protective equipment increase significantly. The major aim is to protect patients as well as the medical staff from unnecessary infection, and to keep the healthcare system running effectively. Therefore, every effort should be taken to make the necessary investments.</p>
</abstract>
<kwd-group id="kwrds0010">
<title>Keywords</title>
<kwd>COVID-19</kwd>
<kwd>SARS-CoV-2</kwd>
<kwd>Pandemic</kwd>
<kwd>Oral and maxillofacial surgery</kwd>
<kwd>Personal protective equipment</kwd>
<kwd>Triage</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations>
<list></list>
<tree>
<noCountry>
<name sortKey="Nkenke, Emeka" sort="Nkenke, Emeka" uniqKey="Nkenke E" first="Emeka" last="Nkenke">Emeka Nkenke</name>
<name sortKey="Zimmermann, Matthias" sort="Zimmermann, Matthias" uniqKey="Zimmermann M" first="Matthias" last="Zimmermann">Matthias Zimmermann</name>
</noCountry>
</tree>
</affiliations>
</record>

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