ABSTRACT
BACKGROUND: The coronavirus epidemic originated in China, having its epicenter in Wuhan. This was the first place in the world to adopt social distancing measures to contain the disease on January 23rd, 2020. After the initial isolation, several countries started making diplomatic plans to evacuate and repatriate their citizens, with the permission of the Chinese authorities. Due to the high risk of exposure of the transported passengers, evacuations were conducted with preventive measures against contamination by biological agents.CASE REPORT: We report the air evacuation of 39 passengers from China to Brazil. Five passengers were transported to Poland and the remaining 34 went to Brazil, where they remained in quarantine for 14 d. The mission was triggered on February 4th, named "Operation Return to Brazil" (Operação Regresso à Pátria Amada Brasil), and conducted by military personnel of the Brazilian Air Force. The mission was accomplished in 6 days; the flight from Wuhan lasted 25 h 20 min; and, additionally, there were on-ground preparations.DISCUSSION: Only with adequate isolation and protective measures was it possible to air evacuate the potentially contaminated passengers in the initial phase of the pandemic. Specific protective equipment (Personal Protective Equipment - PPE) is mandatory for missions in which the properties of the potentially contagious biological agent are not fully known, as was the case. Due to the risk of contamination of passengers and the likely evolution of the transport into an aeromedical evacuation, protocols stating the minimum safety conditions for this kind of patient transport must be followed, with consideration for the patient as well as the crew.Gomes ED, Ronconi MABR, Santos MB, Júnior PP, Franco AZP, Haberland DF, Borges LL. Air evacuation of citizens during the COVID-19 epidemic. Aerosp Med Hum Perform 2022; 93(2):94-98.
Subject(s)
COVID-19 , Military Personnel , Brazil , China/epidemiology , Humans , SARS-CoV-2ABSTRACT
OBJETIVO: Avaliar a prevalência e o tipo de disestesia em torno da incisão utilizada para obtenção desse tendão na cirurgia de reconstrução do LCA. MÉTODOS: De uma população de 1.368 reconstruções do LCA com o terço central do tendão patelar, foram avaliados, por entrevista telefônica, 102 pacientes, totalizando 111 joelhos. RESULTADOS: O seguimento médio foi de 52 meses, variando entre 12 e 88 meses. A idade dos pacientes variou entre 16 e 58 anos, com média de 34,7 anos. Em 66 joelhos (59,46 por cento), houve algum grau de disestesia peri-incisional. Em 40,54 por cento dos joelhos, essa condição não foi encontrada. Em todos os casos de disestesia, o tipo encontrado foi o tipo II de Highet. CONCLUSÃO: A disestesia peri-incisional após a reconstrução do LCA com terço central do tendão patelar é muito prevalente, acometendo mais da metade dos casos nessa série.
OBJECTIVE: To evaluate the prevalence and type of dysesthesia around the incision used to obtain the patellar tendon for anterior cruciate ligament (ACL) reconstruction surgery. METHODS: Out of a population of 1368 ACL reconstructions using the central third of the patellar tendon, 102 patients (111 knees) were evaluated by means of telephone interview. RESULTS: The mean follow-up was 52 months (ranging from 12 to 88 months). The patients' ages ranged from 16 to 58 years (mean: 34.7 years). There was some degree of peri-incisional dysesthesia in 66 knees (59.46 percent). In 40.54 percent of the knees, this condition was not found. In all the cases of dysesthesia, the type encountered was Highet's type II. CONCLUSION: Peri-incisional dysesthesia following ACL reconstruction using the central third of the patellar tendon is highly prevalent. It affected more than half of the cases in this series.