ABSTRACT
The wide and fast spread of COVID-19 around the world has led to a dramatic increase in the need for protection products both for carers and for populations. Surgical team protection includes a systematic screening of patients, wearing protection devices by all the operating staff, and adequate management of aerosols. The risk of aerosol dispersal is particularly high during laparoscopic and robotic surgeries due to the interaction between circulating CO2 and surgical smoke that may contain small viral particles. To decrease the risk of virus transmission, many recommendations have been implemented including the use of integrated insufflation devices comprising smoke evacuation and filtration mode. Such devices are lacking in many centers around the world and to overcome this urgent unmet need, we designed a cost-effective filtrating suction as a more readily available alternative.
Subject(s)
Betacoronavirus , Coronavirus Infections/epidemiology , Laparoscopy/methods , Pneumonia, Viral/epidemiology , Robotic Surgical Procedures/methods , Smoke , Aerosols , COVID-19 , Cost-Benefit Analysis , Disease Transmission, Infectious , Equipment Design , Humans , Hydroxyethylrutoside , Laparoscopy/economics , Pandemics , Robotic Surgical Procedures/economics , SARS-CoV-2 , Suction/economics , Suction/methodsABSTRACT
The novel coronavirus, COVID-19, has quickly become a worldwide threat to health, travel, and commerce. This overview analyzes the best information from the early research, including epidemiologic and demographic features from SARS-CoV-1 and MERS-CoV viruses; lessons learned from the experience of an emergency physician in Northern Italy, where the outbreak has devastated the healthcare system; evidence on transmission and prevention through safe use of PPE; evidence and advice on SARS-CoV-2 testing and co-infection; management options; airway management options; steps for rapid sequence intubation in the ED and managing disaster ventilation; and information on managing pediatric and pregnant patients.