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Perspectives in surgical and anaesthetic management of lung cancer in the era of coronavirus disease 2019 (COVID-19).
Fiorelli, Silvia; Massullo, Domenico; Ibrahim, Mohsen; Piccioni, Federico; Andreetti, Claudio; Vanni, Camilla; Rocco, Monica; Rendina, Erino Angelo; Menna, Cecilia.
  • Fiorelli S; Anesthesia and Intensive Care Medicine, Department of Clinical and Surgical Translational Medicine, Sant' Andrea Hospital, Sapienza University of Rome, Rome, Italy.
  • Massullo D; Anesthesia and Intensive Care Medicine, Department of Clinical and Surgical Translational Medicine, Sant' Andrea Hospital, Sapienza University of Rome, Rome, Italy.
  • Ibrahim M; Thoracic Surgery, Department of Clinical and Surgical Translational Medicine, Sant' Andrea Hospital, Sapienza University of Rome, Rome, Italy.
  • Piccioni F; Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
  • Andreetti C; Thoracic Surgery, Department of Clinical and Surgical Translational Medicine, Sant' Andrea Hospital, Sapienza University of Rome, Rome, Italy.
  • Vanni C; Thoracic Surgery, Department of Clinical and Surgical Translational Medicine, Sant' Andrea Hospital, Sapienza University of Rome, Rome, Italy.
  • Rocco M; Anesthesia and Intensive Care Medicine, Department of Clinical and Surgical Translational Medicine, Sant' Andrea Hospital, Sapienza University of Rome, Rome, Italy.
  • Rendina EA; Thoracic Surgery, Department of Clinical and Surgical Translational Medicine, Sant' Andrea Hospital, Sapienza University of Rome, Rome, Italy.
  • Menna C; Thoracic Surgery, Department of Clinical and Surgical Translational Medicine, Sant' Andrea Hospital, Sapienza University of Rome, Rome, Italy.
Eur J Cardiothorac Surg ; 58(4): 676-681, 2020 Oct 01.
Article in English | MEDLINE | ID: covidwho-732032
ABSTRACT
Early in 2020, coronavirus disease 2019 (COVID-19) quickly spread globally, giving rise to a pandemic. In this critical scenario, patients with lung cancer need to continue to receive optimal care and at the same be shielded from infection with the potentially severe acute respiratory syndrome coronavirus 2. Upgrades to the prevention and control of infection have become paramount in order to lower the risk of hospital contagion. Aerosol-generating procedures such as endotracheal intubation or endoscopic procedures may expose health care workers to a high risk of infection. Moreover, thoracic anaesthesia usually requires highly complex airway management procedures because of the need for one-lung isolation and one-lung ventilation. Therefore, in the current pandemic, providing a fast-track algorithm for scientifically standardized diagnostic criteria and treatment recommendations for patients with lung cancer is urgent. Suggestions for improving existing contagion control guidelines are needed, even in the case of non-symptomatic patients who possibly are responsible for virus spread. A COVID-19-specific intraoperative management strategy designed to reduce risk of infection in both health care workers and patients is also required.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonectomy / Pneumonia, Viral / Cross Infection / Infection Control / Coronavirus Infections / Pandemics / Betacoronavirus / Anesthesia / Lung Neoplasms Type of study: Diagnostic study / Observational study / Prognostic study / Randomized controlled trials Limits: Humans Country/Region as subject: Europa Language: English Journal: Eur J Cardiothorac Surg Journal subject: Cardiology Year: 2020 Document Type: Article Affiliation country: Ejcts

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonectomy / Pneumonia, Viral / Cross Infection / Infection Control / Coronavirus Infections / Pandemics / Betacoronavirus / Anesthesia / Lung Neoplasms Type of study: Diagnostic study / Observational study / Prognostic study / Randomized controlled trials Limits: Humans Country/Region as subject: Europa Language: English Journal: Eur J Cardiothorac Surg Journal subject: Cardiology Year: 2020 Document Type: Article Affiliation country: Ejcts