Perioperative Management Strategies for the COVID-19 Pandemic at a Facility in China.

The spread of coronavirus disease 2019 posed a public health crisis beginning in January 2020, affecting hospitals and health care personnel worldwide and disrupting perioperative services. Organization leaders at Xijing Hospital, Xi'an, China, developed a mitigation system for the OR that involved creating a pandemic response team to identify and implement appropriate infection control practices to prevent virus transmission. The leaders addressed managing the daily surgery schedule through patient screening and a focus on the urgency and volume of procedures. They required increased use of personal protective equipment and more stringent cleaning and disinfection protocols and ensured that the physical and mental health of staff members were monitored and prioritized. This article describes how leaders implemented these enhanced processes to protect personnel from infection as they continued to provide patient care. It also describes how high-risk procedures involving patients with confirmed or suspected infections were managed and discusses lessons learned.

The Innovation for Smart Patient Screening Platform via IoT System

COVID-19 pandemic has a huge impact and can cause problems all the time. Therefore, patients who need to be treated at the hospital are required to undergo an initial at the outpatient department (OPD), and this screening must not come into contact with the staff, nurses or doctors to prevent spreading germs to each other. Based on this, this research is to develop the innovation for smart patient screening platforms via the Internet of Things (IoT). The action research instrument was divided into four functions and automated patient screening such as systolic blood pressure (SBP), diastolic blood pressure (DBP), pulse oximeter digital fingertip (SPO2), temperature and scall between weight and high for patients. The conclusion is that for evaluating the functionality of the tool and patients, a total of 30 patients will use a questionnaire that has passed the standard of ISONORM 9241/110. This research method makes it possible to send real-time data through the mobile phone with IoT line applications and confidence in the use of more than 99.83% and also does not cause infection disease with each other, as well as convenient and easy to use in hospital for screening patients. © 2022 Seventh Sense Research Group®

The efficacy of a protective protocol for oral and maxillofacial surgery procedures in a COVID-19 pandemic area-results from 1471 patients.

OBJECTIVE: To examine the effectiveness of an empiric protection protocol during oral surgical treatments in a COVID-19 pandemic area and to evaluate the potential effect of postponed dental procedures on the frequency of facial infections during a lockdown period. METHODS: We performed a retrospective analysis of a case series of a broad-spectrum of oral surgeries in a COVID-19 pandemic area. Data collection included patient age, type of procedure performed, and COVID-19 status of staff and patients. Data were analyzed using descriptive statistics. RESULTS: Between February 21 and April 23, 2020, 1471 patients were treated in the outpatient clinic (n=1404) and under general anesthesia (n=67). All procedures were carried out under a strict empiric protective protocol that included patient screening, personal protective equipment allocation protocol, frequent staff testing, and patient testing before general anesthesia. Treatments included emergency and urgent elective procedures. Only one staff member was confirmed positive for COVID-19 during routine weekly testing, and an independent epidemiologic investigation suggested he was likely infected outside of hospital facilities. CONCLUSIONS: Our empiric protective protocol was found to be effective in preventing staff cross-infection with COVID-19 in an oral and maxillofacial surgery setting. CLINICAL RELEVANCE: To the best of our knowledge, this is the first report that provides data regarding oral surgical activity in a COVID-19 pandemic area. Our suggested protective protocol may assist oral surgeons in continuing dental services in a safe manner.

Fever and Other Clinical Indicators May Fail to Detect COVID-19-Infected Individuals.

ARTICLE TITLE AND BIBLIOGRAPHIC INFORMATION: Estimation of the asymptomatic ratio of novel coronavirus infections (COVID-19). Nishiura H, Kobayashi T, Miyama T, et al.Int J Infect Dis 2020;94:154-155. https://doi.org/10.1016/j.ijid.2020.03.020. SOURCE OF FUNDING: Self-funded. TYPE OF STUDY/DESIGN: Cross-sectional population study.