지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
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Background: Surgeries performed for patients with coronavirus disease 2019 (COVID-19) place the medical staff at very high risk of infection. We suggest recommendations for appropriate operation preparation, anesthetic management, and infection control for COVID-19 patients in operating rooms. Current Concepts: Surgeries must be performed in an airborne infection isolation room, such as a negative-pressure operating room. It is recommended that scheduled surgeries for COVID-19 patients be postponed to an acceptable extent, with the exception of emergency cases. Moreover, the number of medical staff participating in the surgery should be minimized. Medical staffs should practice proper hand hygiene and wear an appropriate level of personal protective equipment depending on the infection risk. While performing surgery and inducing anesthesia in COVID-19 patients, endotracheal intubation should be performed by trained anesthesiologists with a video laryngoscope, preferably using high-efficiency viral filters, which can prevent contamination in the anesthesia machine. Use of disposable equipment or COVID-19 patient-specific devices is recommended to prevent the spread of infection, but instruments that require sharing among multiple patients must be thoroughly cleaned and disinfected before their use for the next patient. Discussion and Conclusion: Medical staff performing surgeries for COVID-19 patients are at very high risk of infection. Therefore, the use of appropriate personal protective equipment, high-efficiency viral filters in breathing circuits during anesthesia, and disinfection of contaminated equipment after the operation are mandatory.
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참고문헌 (5)
참고문헌 신청
김진용 / 2015 / Middle East Respiratory Syndrome Infection Control and Prevention Guideline for Healthcare Facilities / Infection and Chemotherapy 47(4):278~302
Lee Seong Su / 2020 / Emergency exploratory laparotomy in a COVID-19 patient - A case report - / Anesthesia and Pain Medicine 15(4):498~504
Sehulster L / 2003 / Guidelines for environmental infection control in health-care facilities. Recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee(HICPAC) / MMWR Recomm Rep 52(RR-10):1~42
김현주 / 2020 / Recommendations for anesthesia in patients suspected of COVID-19 Coronavirus infection / Korean Journal of Anesthesiology 73(2):89~91
Jensen PA / 2005 / Guidelines for preventing the transmission of Mycobacterium tuberculosis in health-care settings, 2005 / MMWR Recomm Rep 54(RR-17):1~141
Lee Seong Su / 2020 / Emergency exploratory laparotomy in a COVID-19 patient - A case report - / Anesthesia and Pain Medicine 15(4):498~504
Sehulster L / 2003 / Guidelines for environmental infection control in health-care facilities. Recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee(HICPAC) / MMWR Recomm Rep 52(RR-10):1~42
김현주 / 2020 / Recommendations for anesthesia in patients suspected of COVID-19 Coronavirus infection / Korean Journal of Anesthesiology 73(2):89~91
Jensen PA / 2005 / Guidelines for preventing the transmission of Mycobacterium tuberculosis in health-care settings, 2005 / MMWR Recomm Rep 54(RR-17):1~141
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