Abstract

Safety measures in the procedure preparation stage A study conducted in China with 72,314 patients with COVID-19 (44,672 laboratory-confirmed cases, 16,186 suspected cases, and 10,567 clinically diagnosed cases) has reported fever, cough, dyspnea, myalgia, fatigue and diarrhea as the most common symptoms. Other signs and symptoms have been reported, such as sore throat, chest pain, mental confusion, and lethargy. The authors have highlighted that COVID-19 had a benign course in 80% of the cases, and that many patients, although asymptomatic, [...]

Highlights

  • The COVID-19 pandemic, caused by the betacoronavirus severe acute respiratory syndrome (SARS)-CoV-2, has rapidly spread worldwide from the city of Wuhan, China

  • Unlike other epidemics caused by respiratory viruses, COVID-19 affects the heart, because most confirmed cases and deaths involve individuals with hypertension, heart failure, arrhythmias and coronary artery disease, and because the disease is associated with a higher number of cardiac complications, such as myocardial injury, cardiogenic shock, Takotsubo syndrome, pulmonary embolism, myocarditis and arrhythmia.[2]

  • Apart from inflammation, endothelial activation, oxidation of low-density lipoproteins, platelet activation and tissue factor expression caused by respiratory virus epidemics, such as severe acute respiratory syndrome (SARS) and Middle-East respiratory syndrome (MERS), poor COVID-19 prognosis is compounded by the deleterious effect of the association of treatment drugs that can cause malignant arrhythmias in patients with heart disease.[3]

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Summary

Safety measures in the procedure preparation stage

A study conducted in China with 72,314 patients with COVID-19 (44,672 laboratory-confirmed cases, 16,186 suspected cases, and 10,567 clinically diagnosed cases) has reported fever, cough, dyspnea, myalgia, fatigue and diarrhea as the most common symptoms. Particular attention should be given to avoid simultaneous exposure of healthcare professionals sharing the same skill set to prevent simultaneous contamination, especially in teaching institutions where the staff usually act together.[4] In addition, it is worth emphasizing the importance of reducing as much as possible the circulation in the procedure room to ensure the minimum safety threshold established in CCL procedural protocols.[4]. In patients with suspected or confirmed COVID-19 who need orotracheal intubation, this intervention should be performed before arrival to the CCL; in addition, intubation should be considered as early as possible in borderline patients to avoid the need for an urgent procedure and to minimize the contamination of the staff.[4]

Safety measures concerning the procedures
Safety and protective measures for healthcare workers
After the procedure
Chemical and biological hazards
Findings
Author contributions
Full Text
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