One-hundred years after the 1918-19 H1N1 flu pandemic and 10 years after the 2009 H1N1 flu pandemic, another respiratory virus has now inserted itself into the human population. Severe acute respiratory syndrome coron...One-hundred years after the 1918-19 H1N1 flu pandemic and 10 years after the 2009 H1N1 flu pandemic, another respiratory virus has now inserted itself into the human population. Severe acute respiratory syndrome coronavirus has become a critical challenge to global health with immense economic and social disruption. In this article we review salient aspects of the coronavirus disease2019(COVID-19) outbreak that are relevant to surgical practice. The emphasis is on considerations during the pre-operative and post-operative periods as well as the utility and limitations of COVID-19 testing. The focus of the media during this pandemic is centered on predictive epidemiologic curves and models. While epidemiologists and infectious disease physicians are at the forefront in the fight against COVID-19, this pandemic is also a "stress test" to evaluate the capacity and resilience of our surgical community in dealing with the challenges imposed to our health system and society. As recently pointed out by Dr. Anthony Fauci,the virus decides the timelines in the models. However, the models can also change based on our decisions and behavior. It is our role as surgeons, to make every effort to bend the curves against the virus’ will.展开更多
Severe acute respiratory syndrome coronavirus has become a critical challenge to global health.Since the arrival of coronavirus disease 2019 in the United States,several government agencies and professional societies ...Severe acute respiratory syndrome coronavirus has become a critical challenge to global health.Since the arrival of coronavirus disease 2019 in the United States,several government agencies and professional societies have issued guidelines to healthcare systems and medical providers.Endoscopy is a substantial portion of the practice of many general surgeons in the United States.With upper endoscopy,manipulation of the upper aerodigestive tract can turn the droplets to an aerosolized form and increase the likelihood of transmission and therefore is considered a high-risk procedure.In this article we review some aspects of the coronavirus disease 2019 outbreak that are relevant to practice of surgical endoscopy.The emphasis of this communication is on the mode of transmission,previous experiences during other coronavirus outbreaks and society guidelines.We then highlight the changes that we have made to our practice to incorporate these factors to improve the safety of patients,health care providers,and community as a whole.展开更多
文摘One-hundred years after the 1918-19 H1N1 flu pandemic and 10 years after the 2009 H1N1 flu pandemic, another respiratory virus has now inserted itself into the human population. Severe acute respiratory syndrome coronavirus has become a critical challenge to global health with immense economic and social disruption. In this article we review salient aspects of the coronavirus disease2019(COVID-19) outbreak that are relevant to surgical practice. The emphasis is on considerations during the pre-operative and post-operative periods as well as the utility and limitations of COVID-19 testing. The focus of the media during this pandemic is centered on predictive epidemiologic curves and models. While epidemiologists and infectious disease physicians are at the forefront in the fight against COVID-19, this pandemic is also a "stress test" to evaluate the capacity and resilience of our surgical community in dealing with the challenges imposed to our health system and society. As recently pointed out by Dr. Anthony Fauci,the virus decides the timelines in the models. However, the models can also change based on our decisions and behavior. It is our role as surgeons, to make every effort to bend the curves against the virus’ will.
文摘Severe acute respiratory syndrome coronavirus has become a critical challenge to global health.Since the arrival of coronavirus disease 2019 in the United States,several government agencies and professional societies have issued guidelines to healthcare systems and medical providers.Endoscopy is a substantial portion of the practice of many general surgeons in the United States.With upper endoscopy,manipulation of the upper aerodigestive tract can turn the droplets to an aerosolized form and increase the likelihood of transmission and therefore is considered a high-risk procedure.In this article we review some aspects of the coronavirus disease 2019 outbreak that are relevant to practice of surgical endoscopy.The emphasis of this communication is on the mode of transmission,previous experiences during other coronavirus outbreaks and society guidelines.We then highlight the changes that we have made to our practice to incorporate these factors to improve the safety of patients,health care providers,and community as a whole.
