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Mato-Mañas D, López-Gómez P, Viera-Artiles J, García-Milán V, Morales-Angulo C, Ruíz-García I, Rabanal-Llevot JM, Fariñas-Álvarez MC, Rebollo-Rodrigo MH, Martín-Láez R. Endoscopic endonasal surgery during COVID-19 pandemic: Management guideline. Neurocirugia (Astur : Engl Ed) 2022; 33:130-134. [PMID: 34226169 PMCID: PMC8226040 DOI: 10.1016/j.neucie.2021.06.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/10/2020] [Accepted: 03/30/2021] [Indexed: 01/25/2023]
Abstract
Current SARS-CoV-2 coronavirus pandemic is challenging medical and surgical activities. Specifically, within neurosurgery, endoscopic endonasal approaches pose a high risk of contagion for healthcare personnel involved in it. Initially, the recommendation was to avoid such surgeries. However, the pandemic has dragged on and new solutions must be proposed to continue carrying out these approaches safely. Given the lack of established protocols, we propose the following one, which concisely establishes the measures to be taken in both urgent and scheduled surgery. In addition, a new protection-aspiration device (Maskpirator) is described.
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Affiliation(s)
- David Mato-Mañas
- Servicio de Neurocirugía, Hospital Universitario Marqués de Valdecilla, Santander, Spain
| | - Patricia López-Gómez
- Servicio de Neurocirugía, Hospital Universitario Marqués de Valdecilla, Santander, Spain,Corresponding author
| | - Jaime Viera-Artiles
- Servicio de Otorrinolaringología, Hospital Universitario Marqués de Valdecilla, Santander, Spain
| | - Víctor García-Milán
- Servicio de Neurocirugía, Hospital Universitario Marqués de Valdecilla, Santander, Spain
| | - Carmelo Morales-Angulo
- Servicio de Otorrinolaringología, Hospital Universitario Marqués de Valdecilla, Santander, Spain
| | - Isabel Ruíz-García
- Servicio de Anestesiología y Reanimación, Hospital Universitario Marqués de Valdecilla, Santander, Spain
| | - José Manuel Rabanal-Llevot
- Servicio de Anestesiología y Reanimación, Hospital Universitario Marqués de Valdecilla, Santander, Spain
| | | | | | - Rubén Martín-Láez
- Servicio de Neurocirugía, Hospital Universitario Marqués de Valdecilla, Santander, Spain
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Kiefl D, Eisenmann S, Michels G, Schmid M, Ludwig C, Pin M, Glöckner E, Petersen PF, Damjanovic D, Schellhaas S, Janssens U, Fandler M, Blaschke S, Geuting M, Müller T, Menzel J, Heinzmann A, Helm M, Dinse-Lambracht A, Bernhard M, Spethmann S, Stock KF, Clevert DA, Breitkreutz R. [German recommendations on lung and thoracic ultrasonography in patients with COVID-19]. Med Klin Intensivmed Notfmed 2020; 115:654-667. [PMID: 33044655 PMCID: PMC7548535 DOI: 10.1007/s00063-020-00740-w] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2020] [Accepted: 08/25/2020] [Indexed: 02/07/2023]
Abstract
Lung and chest ultrasound are further examination modalities in addition to computed tomography and laboratory diagnostics in patients with COVID-19. It extends the clinical-physical examination because it can examine lung surface sensitively. Lung surface pattern changes have been found in sonograms of patients with COVID-19 pneumonia and during the course of the disease. German specialist societies of clinical acute, emergency and intensive care medicine as well as imaging, which are concerned with the care of patients with SARS-CoV‑2 infection and COVID-19, have coordinated recommendations for lung and thorax sonography. This document has been created within a transparent process, led by the German Society of Interdisciplinary Emergency and Acute Medicine e. V. (DGINA), and worked out by an expert panel and delegates from the societies. Sources of the first 200 cases were summarized. Typical thorax sonographic findings are presented. International sources or standards that were available in PubMed until May 24, 2020 were included. Using case studies and multimedia content, the document is intended to not only support users but also demonstrate quality features and the potential of chest and lung sonography. The German Society for Ultrasound in Medicine (DEGUM) is carrying out a multicenter study (study coordination at the TU Munich).
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Affiliation(s)
- Daniel Kiefl
- Klinik für Interdisziplinäre Notfallmedizin, Sana Klinikum Offenbach GmbH, Starkenburgring 66, 63069, Offenbach am Main, Deutschland.
| | - Stephan Eisenmann
- Schwerpunkt Pneumologie, Universitätsklinikum Halle (Saale), Halle (Saale), Deutschland
| | - Guido Michels
- Klinik für Akut- und Notfallmedizin, St.-Antonius-Hospital gGmbH, Eschweiler, Deutschland
| | - Mathias Schmid
- Klinik für Gastroenterologie, Pneumologie, Internistische Akut- und Intensivmedizin, München Klinik Harlaching, München, Deutschland
| | - Corinna Ludwig
- Klinik für Thoraxchirurgie, Florence-Nightingale-Krankenhaus der Kaiserswerther Diakonie, Düsseldorf, Deutschland
| | - Martin Pin
- Zentrale interdisziplinäre Notaufnahme und Aufnahmebereich, Florence-Nightingale-Krankenhaus der Kaiserswerther Diakonie, Düsseldorf, Deutschland
| | - Erika Glöckner
- Klinik für Gastroenterologie, Endokrinologie und Zentrale Notaufnahme Nord, Klinikum Nürnberg Nord, Paracelsus Medizinische Privatuniversität, Nürnberg, Deutschland
| | | | - Domagoj Damjanovic
- Klinik für Herz- und Gefäßchirurgie, Universitäts-Herzzentrum Freiburg - Bad Krozingen, Freiburg, Deutschland
| | | | - Uwe Janssens
- Klinik für Innere Medizin und Internistische Intensivmedizin, St.-Antonius-Hospital gGmbH, Eschweiler, Deutschland
| | - Martin Fandler
- Interdisziplinäre Notaufnahme, Klinikum Bamberg, Bamberg, Deutschland
| | - Sabine Blaschke
- Interdisziplinäre Notaufnahme, Universitätsmedizin Göttingen, Göttingen, Deutschland
| | - Markus Geuting
- Abteilung Anästhesie, Vulpius Klinik, Bad Rappenau, Deutschland
| | - Thomas Müller
- Medizinische Klinik II, St. Josefs-Hospital Wiesbaden GmbH, Wiesbaden, Deutschland
| | - Joseph Menzel
- DEGUM Kursleiter Innere Medizin, Endosonographie, Medizinische Klinik II, Klinikum Ingolstadt, Ingolstadt, Deutschland
| | | | - Matthias Helm
- Abteilung X (Anästhesie), Bundeswehrkrankenhaus, Ulm, Deutschland
| | - Alexander Dinse-Lambracht
- Interdisziplinäres Notfallzentrum, Trägergesellschaft Kliniken Aurich-Emden-Norden, Aurich-Emden-Norden, Deutschland
| | - Michael Bernhard
- Zentrale Notaufnahme, Universitätsklinikum Düsseldorf, Düsseldorf, Deutschland
| | - Sebastian Spethmann
- Medizinische Klinik A, Kardiologie, Angiologie, Nephrologie, internistische Intensivmedizin, Medizinische Hochschule Brandenburg, Campus Ruppiner Kliniken, Neuruppin, Deutschland
| | - Konrad F Stock
- Nephrologisches Ultraschalllabor, TU München, München, Deutschland
| | - Dirk-André Clevert
- Klinik und Poliklinik für Radiologie, Interdisziplinäres Ultraschallzentrum, Universität München, Klinikum Großhadern, München, Deutschland
| | - Raoul Breitkreutz
- Fachbereich/Institut f. Gesundheit & Soziales (IfGS), FOM Hochschule für Ökonomie & Management, Franklinstr. 52, 60486, Frankfurt am Main, Deutschland.
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