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3D Printing for Medical Applications: Current State of the Art and Perspectives during the COVID-19 Crisis. SURGERIES 2021. [DOI: 10.3390/surgeries2030025] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
The coronavirus SARS-CoV-2 pandemic has affected over one hundred million people worldwide and has resulted in over two million deaths. In addition to the toll that coronavirus takes on the health of humans infected with the virus and the potential long term effects of infection, the repercussions of the pandemic on the economy as well as on the healthcare system have been enormous. The global supply of equipment necessary for dealing with the pandemic experienced extreme stress as healthcare systems around the world attempted to acquire personal protective equipment for their workers and medical devices for treating COVID-19. This review describes how 3D printing is currently being used in life saving surgeries such as heart and lung surgery and how 3D printing can address some of the worldwide shortage of personal protective equipment, by examining recent trends of the use of 3D printing and how these technologies can be applied during and after the pandemic. We review the use of 3D printed models for treating the long term effects of COVID-19. We then focus on methods for generating face shields and different types of respirators. We conclude with areas for future investigation and application of 3D printing technology.
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Ioscovich A, Guasch E, Brogly N, Shatalin D, Manrique-Muñoz S, Sánchez Royo ME, Zimro S, Ginosar Y, Lages N, Weinstein J, Berkenstadt H, Greenberger C, Lazutkin A, Izakson A, Ioscovich D, Orbach-Zinger S, Weiniger CF. Peripartum anesthetic management of women with SARS-CoV-2 infection in eight medical centers across three European countries: prospective cohort observation study. J Matern Fetal Neonatal Med 2021; 35:7756-7763. [PMID: 34107853 DOI: 10.1080/14767058.2021.1937105] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
OBJECTIVE Several reports of obstetric anesthesia management have been published since the onset of the COVID-19 pandemic. We aimed to collect high-quality broad and detailed data from different university medical centers in several European Society of Anesthesiologist countries. METHODS This prospective observational survey was performed in eight medical centers in Spain, Israel and Portugal from 1st April to 31st July 2020. Institutional review board approval was received at each participating center. Inclusion criteria: all women with a positive test for COVID-19. Retrieved data included maternal, delivery, anesthetic, postpartum details, and neonatal outcomes. Descriptive data are presented, and outcomes were compared for women with versus without respiratory signs and symptoms. RESULTS Women with respiratory symptoms (20/12.1%) had significantly higher mean (standard deviation) temperature (37.2 °C (0.8) versus 36.8 °C (0.6)), were older (34.1 (6.7) years versus 30.5 (6.6)) and had higher body mass index kg m-2 - (29.5 (7.5) versus 28.2 (5.1)). Women with respiratory symptoms delivered at a significantly earlier gestational age (50% < 37 weeks) with a 65% cesarean delivery rate (versus 22.1% in the group without respiratory symptoms) and 5-fold increased rate of emergency cesarean delivery, 30% performed under general anesthesia. A higher rate of intrauterine fetal death (3%) was observed than expected from the literature (0.2-0.3%) in developed countries. There was no evidence of viral vertical transmission. CONCLUSION Well-functioning neuraxial analgesia should be available to manage laboring women with respiratory symptoms, as there is a higher frequency of emergency cesarean delivery. We report a higher rate of undiagnosed parturient and intrauterine fetal death.
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Affiliation(s)
- Alexander Ioscovich
- Department of Anesthesiology, Perioperative Medicine and Pain Treatment, Shaare Zedek Medical Center, Faculty of Medicine, Hebrew University of Jerusalem, Israel
| | - Emilia Guasch
- Department of Anesthesia and Intensive Care, La Paz University Hospital, Madrid, Spain
| | - Nicolas Brogly
- Department of Anesthesia and Intensive Care, La Paz University Hospital, Madrid, Spain
| | - Daniel Shatalin
- Department of Anesthesiology, Perioperative Medicine and Pain Treatment, Shaare Zedek Medical Center, Faculty of Medicine, Hebrew University of Jerusalem, Israel
| | | | | | - Sabastine Zimro
- Hadassah Medical Center, Hebrew University, Jerusalem, Israel
| | - Yehuda Ginosar
- Hadassah Medical Center, Hebrew University, Jerusalem, Israel
| | - Neusa Lages
- Serviço de Anestesiologia, Centro Hospitalar Universitário do Porto, Porto, Portugal
| | - Jacob Weinstein
- The Sheba Medical Center, Tel Aviv University, Ramat Gan, Israel
| | - Haim Berkenstadt
- The Sheba Medical Center, Tel Aviv University, Ramat Gan, Israel
| | | | | | | | | | - Sharon Orbach-Zinger
- Beilinson Hospital, Petah Tikvah, Affiliated with Sackler Medical School, Tel Aviv University, Tel Aviv, Israel
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Duan X, Sun H, He Y, Yang J, Li X, Taparia K, Zheng B. Personal Protective Equipment in COVID-19: Impacts on Health Performance, Work-Related Injuries, and Measures for Prevention. J Occup Environ Med 2021; 63:221-225. [PMID: 33394877 PMCID: PMC7934332 DOI: 10.1097/jom.0000000000002123] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
OBJECTIVE To assess impact of personal protective equipment (PPE) on healthcare providers (HCPs) in caring for COVID-19 patients. METHODS A cross-sectional survey was conducted over 50 hospitals in China. Descriptive analyses and Chi-square tests were performed on the collected data. RESULTS All 104 frontline HCPs report negative impacts of PPE on their clinical performance, 97% of them experienced discomfort and injuries caused by wearing PPE for long hours. Frontline HCPs provided suggestions to alleviate the negative impacts and to enhance communication between healthcare staff and patients. Two hundred eighty two non-frontline HCPs also revealed similar problems; however, we recorded a few discrepancies between answers given by frontline and non-frontline HCPs. CONCLUSIONS Wearing PPE for long hours degrades health performance. Measures were suggested to improve the design of PPE for protecting HCPs and enhancing their services to COVID patients.
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Affiliation(s)
- Xiaoqin Duan
- Department of Rehabilitation Medicine (Dr Duan); Department of Emergency and Critical Care Medicine (Dr Sun); Grade 2019 in Clinical Medicine, Jilin University (Mr He); Department of Respiratory and Critical Care Medicine (Dr Yang), Jilin University Second Hospital, Changchun, China; Department of Mechanical Engineering (Dr Li); Faculty of Science (Ms Taparia); Department of Surgery (Dr Duan, Dr Zheng), University of Alberta, Edmonton, Canada
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Saxena S, Kumar CM. Anaesthetic management of patients with COVID-19: infection prevention and control measures in the operating theatre. Comment on Br J Anaesth 2020; 125: e239-e241. Br J Anaesth 2020; 125:e317-e318. [PMID: 32425207 PMCID: PMC7229933 DOI: 10.1016/j.bja.2020.05.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2020] [Accepted: 05/07/2020] [Indexed: 01/08/2023] Open
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Wong J. Intubation of the patient with a suspected or confirmed COVID-19 infection. TRENDS IN ANAESTHESIA AND CRITICAL CARE 2020; 33:25-26. [PMID: 38620274 PMCID: PMC7272143 DOI: 10.1016/j.tacc.2020.06.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2020] [Revised: 06/01/2020] [Accepted: 06/03/2020] [Indexed: 01/25/2023]
Abstract
We propose a set of recommendations from our clinical practice for intubation of the patient with a suspected or confirmed COVID-19 infection, with a goal to safely securing the airway while optimizing infection prevention practices to reduce the risk to healthcare personnel.
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Affiliation(s)
- Jolin Wong
- Division of Anaesthesiology, Singapore General Hospital (SGH), Singapore
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Britton CR, Hayman G, Macfarlane C, Alawattegama H, Ballecer J, Stroud N, Wallace A. COVID-19 preparedness and response at a large UK major trauma operating theatres department. J Perioper Pract 2020; 30:210-220. [PMID: 32639216 PMCID: PMC7433698 DOI: 10.1177/1750458920934406] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
This article aims to describe the early experience of a large major trauma operating theatres department in the East of England during the outbreak of the coronavirus disease 2019 (COVID-19) pandemic. To date and to our knowledge, a small amount of reports describing a surgical department’s response to this unprecedented pandemic have been published, but a well-documented account from within the United Kingdom (UK) has not yet been reported in the literature. We describe our preparation and response, including: operating theatres management during the COVID-19 pandemic, operational aspects and communication, leadership and support. The process review of measures presented covers approximately the two-month period between March and May 2020 and emphasises the fluidity of procedures needed. We discuss how significant challenges were overcome to secure implementation and reliable oversight. The visible presence of clinical leads well sighted on every aspect of the response guaranteed standardisation of procedures, while sustaining a vital feedback loop. Finally, we conclude that an effective response requires rapid analysis of the complex problem that is of providing care for patients intraoperatively during the COVID-19 pandemic, and that retrospective sense-making is essential to maintain adaptability.
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Affiliation(s)
- Carolina R Britton
- Cambridge University Hospitals NHS Foundation Trust, Addenbrooke's Hospital, Perioperative Care Services, Cambridge, UK
| | - Gareth Hayman
- Cambridge University Hospitals NHS Foundation Trust, Addenbrooke's Hospital, Perioperative Care Services, Cambridge, UK
| | - Claudia Macfarlane
- Cambridge University Hospitals NHS Foundation Trust, Addenbrooke's Hospital, Perioperative Care Services, Cambridge, UK
| | - Hemantha Alawattegama
- Cambridge University Hospitals NHS Foundation Trust, Addenbrooke's Hospital, Perioperative Care Services, Cambridge, UK
| | - Jasper Ballecer
- Cambridge University Hospitals NHS Foundation Trust, Addenbrooke's Hospital, Perioperative Care Services, Cambridge, UK
| | - Nicola Stroud
- Cambridge University Hospitals NHS Foundation Trust, Addenbrooke's Hospital, Perioperative Care Services, Cambridge, UK
| | - Alexander Wallace
- Cambridge University Hospitals NHS Foundation Trust, Addenbrooke's Hospital, Perioperative Care Services, Cambridge, UK
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Manjandavida FP, Honavar SG, Kim U, Singh U, Menon V, Das S, Kaliki S, Palanivelu MS, Khetan V, Shah PK, Rishi P, Mulay K, Gandhi A, Vadhiraja BM, Reddy VA, Bhat S, Rao V. Ocular oncology practice guidelines during COVID-19 pandemic-An expert consensus. Indian J Ophthalmol 2020; 68:1281-1291. [PMID: 32587152 PMCID: PMC7574098 DOI: 10.4103/ijo.ijo_1669_20] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023] Open
Abstract
The outbreak of rapidly spreading COVID-19 pandemic in December 2019 has witnessed a major transformation in the health care system worldwide. This has led to the re-organization of the specialty services for the effective utilization of available resources and ensuring the safety of patients and healthcare workers. Suspension of oncology services will have major implications on cancer care due to delayed diagnosis and treatment leading to irreversible adverse consequences. Therefore various oncology organizations have called for a continuation of cancer care during this crisis with diligence. The COVID-19 pandemic has forced the clinicians to transform the components of care from screening to outpatient care and primary management. The purpose of this article is to establish guidelines and recommendations for ocular oncology in the management of ocular tumors set by a multidisciplinary team of experts including ocular, medical and radiation oncologists, and pathologists. As the pandemic is evolving fast, it will require constant updates and reformation of health strategies and guidelines for safe and quality health care.
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Affiliation(s)
- Fairooz P Manjandavida
- From Ocular Oncology and Oculoplasty Services, Horus Specialty Eye Care, Bangalore, India
| | - Santosh G Honavar
- Ocular Oncology and Oculoplasty Services, Center For Sight, Hyderabad, India
| | - Usha Kim
- Oculoplasty and Ocular Oncology Service, Aravind Eye Care, Madurai, India
| | - Usha Singh
- Advanced Eye Center, Medical Institute- PGIMER, Chandigarh, India
| | - Vikas Menon
- Ocular Oncology and Oculoplasty Services, Center For Sight, Delhi, India
| | - Sima Das
- Ocular Oncology and Oculoplasty Services, Dr. Shroff's Charity Eye Hospital, Delhi, India
| | - Swathi Kaliki
- Operation Eyesight Universal Institute for Eye Cancer, LV Prasad Eye Institute, Hyderabad, India
| | | | - Vikas Khetan
- Vitreoretina and Ocular Oncology Services, Sankara Nethralaya, Chennai, India
| | - Parag K Shah
- Department of Pediatric Retina and Ocular Oncology, Aravind Eye Hospital, Coimbatore, India
| | - Pukhraj Rishi
- Vitreoretina and Ocular Oncology Services, Sankara Nethralaya, Chennai, India
| | - Kaustubh Mulay
- National Reporting Center for Ophthalmic Pathology, Center For Sight, Hyderabad, India
| | - Arpan Gandhi
- Ocular Pathology Services, Dr. Shroff's Charity Eye Hospital, Delhi, India
| | - B M Vadhiraja
- Department of Radiation Oncology, Manipal Hospitals, Bangalore, India
| | - Vijay Anand Reddy
- Medical and Radiation Oncology, Apollo Cancer Institute, Hyderabad, India
| | - Sunil Bhat
- Pediatric Hematology-Oncology and BMT, Narayana Health City, Bangalore, India
| | - Vasudha Rao
- Pediatric Oncology, Cytecare Cancer Hospitals, Bangalore, India
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