Novel method of intraoperative sign language to minimize cross infection of COVID-19 in trauma operating rooms

Abstract

Introduction and Purpose: COVID-19 pandemic has changed the field of traumatology world-wide. Exposure by inhalation of droplets from an infected person is the main route of spread. Numerous studies has shown aerosols are generated not only by coughing and sneezing but also by speaking, talking loudly and whisper. Lot of talking is involved during trauma surgery during handling instruments. Mask wearing especially N95 can force us to use louder speech. Here we introduce a new universal sign language for orthopaedic instruments and maneuvers inside the operating rooms in order to reduce the speech involved so that inter personnel spread can be minimized. Materials and Methods: We have charted a universal hand gestures for most commonly used orthopaedic instruments and maneuvers commonly involved in a fracture fixation surgery. These gestures are taught to all doctors and staffs involved in fracture surgery. The staffs are motivated to use gestures instead of speaking. Each instruments when needed is indicated by a specific gesture. For quick reference a simplified chart showing the gestures can be pasted inside operating room walls. Conclusion: Operating a COVID positive patient during his infectious period is inevitable since trauma surgeries cannot be delayed unlike elective surgeries. Avoiding excessive talking during the procedure and using sign languages inside operating rooms can minimize viral load from operating personnel and therefore can safeguard medical professionals.