Surgical cancer care in the COVID-19 era: front line views and consensus
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista do Colégio Brasileiro de Cirurgiões |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912020000100181 |
Resumo: | ABSTRACT Objective: to suggest a script for surgical oncology assistance in COVID-19 pandemic in Brazil. Method: a narrative review and a “brainstorming” consensus were carried out after discussion with more than 350 Brazilian specialists and renowned surgeons from Portugal, France, Italy and United States of America. Results: consensus on testing for COVID-19: 1- All patients to be operated should be tested between 24 and 48 before the procedure; 2- The team that has contact with sick or symptomatic patients should be tested; 3 - Chest tomography was suggested to investigate pulmonary changes. Consensus on protection of care teams: 1 - Use of surgical masks inside the hospitals. Use of N95 masks for all professionals in the operating room; 2 - Selection of cases for minimally invasive surgery and maximum pneumoperitoneal aspiration before removal of the surgical specimen; 2 - Optimization of the number of people in teams, with a minimum number of professionals, reducing their occupational exposure, the consumption of protective equipment and the circulation of people in the hospital environment; 3 - Isolation of contaminated patients. Priority consensus: 1- Construction of service priorities; 2 - Interdisciplinary discussion on minimally invasive or conventional pathways. Conclusion: the Brazilian Society of Surgical Oncology (BSSO) suggests a script for coping with oncological treatment, remembering that the impoundment in the assistance of these cases, can configure a new wave of overload in health systems. |
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Surgical cancer care in the COVID-19 era: front line views and consensusNeoplasmsPublic healthPandemicsCoronavirusABSTRACT Objective: to suggest a script for surgical oncology assistance in COVID-19 pandemic in Brazil. Method: a narrative review and a “brainstorming” consensus were carried out after discussion with more than 350 Brazilian specialists and renowned surgeons from Portugal, France, Italy and United States of America. Results: consensus on testing for COVID-19: 1- All patients to be operated should be tested between 24 and 48 before the procedure; 2- The team that has contact with sick or symptomatic patients should be tested; 3 - Chest tomography was suggested to investigate pulmonary changes. Consensus on protection of care teams: 1 - Use of surgical masks inside the hospitals. Use of N95 masks for all professionals in the operating room; 2 - Selection of cases for minimally invasive surgery and maximum pneumoperitoneal aspiration before removal of the surgical specimen; 2 - Optimization of the number of people in teams, with a minimum number of professionals, reducing their occupational exposure, the consumption of protective equipment and the circulation of people in the hospital environment; 3 - Isolation of contaminated patients. Priority consensus: 1- Construction of service priorities; 2 - Interdisciplinary discussion on minimally invasive or conventional pathways. Conclusion: the Brazilian Society of Surgical Oncology (BSSO) suggests a script for coping with oncological treatment, remembering that the impoundment in the assistance of these cases, can configure a new wave of overload in health systems.Colégio Brasileiro de Cirurgiões2020-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912020000100181Revista do Colégio Brasileiro de Cirurgiões v.47 2020reponame:Revista do Colégio Brasileiro de Cirurgiõesinstname:Colégio Brasileiro de Cirurgiões (CBC)instacron:CBC10.1590/0100-6991e-20202601info:eu-repo/semantics/openAccessPINHEIRO,RODRIGO NASCIMENTOCOIMBRA,FELIPE J.F.COSTA-JR,WILSON LUIZ DARIBEIRO,HEBER SALVADOR DE CASTRORIBEIRO,REITANWAINSTEIN,ALBERTO JULIUS ALVESLAPORTE,GUSTAVO ANDREAZZACOELHO-JR,MANOEL JESUS PINHEIROFERNANDES,PAULO HENRIQUE DE SOUSACORDEIRO,EDUARDO ZANELLASARMENTO,BRUNO JOSÉ QUEIROZGUIMARAES-FILHO,MARCO ANTONIO CANGHINONI,MARCIANOBAIOCCHI,GLAUCOOLIVEIRA,ALEXANDRE FERREIRAeng2020-06-30T00:00:00Zoai:scielo:S0100-69912020000100181Revistahttp://www.scielo.br/rcbcONGhttps://old.scielo.br/oai/scielo-oai.php||revistacbc@cbc.org.br1809-45460100-6991opendoar:2020-06-30T00:00Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)false |
dc.title.none.fl_str_mv |
Surgical cancer care in the COVID-19 era: front line views and consensus |
title |
Surgical cancer care in the COVID-19 era: front line views and consensus |
spellingShingle |
Surgical cancer care in the COVID-19 era: front line views and consensus PINHEIRO,RODRIGO NASCIMENTO Neoplasms Public health Pandemics Coronavirus |
title_short |
Surgical cancer care in the COVID-19 era: front line views and consensus |
title_full |
Surgical cancer care in the COVID-19 era: front line views and consensus |
title_fullStr |
Surgical cancer care in the COVID-19 era: front line views and consensus |
title_full_unstemmed |
Surgical cancer care in the COVID-19 era: front line views and consensus |
title_sort |
Surgical cancer care in the COVID-19 era: front line views and consensus |
author |
PINHEIRO,RODRIGO NASCIMENTO |
author_facet |
PINHEIRO,RODRIGO NASCIMENTO COIMBRA,FELIPE J.F. COSTA-JR,WILSON LUIZ DA RIBEIRO,HEBER SALVADOR DE CASTRO RIBEIRO,REITAN WAINSTEIN,ALBERTO JULIUS ALVES LAPORTE,GUSTAVO ANDREAZZA COELHO-JR,MANOEL JESUS PINHEIRO FERNANDES,PAULO HENRIQUE DE SOUSA CORDEIRO,EDUARDO ZANELLA SARMENTO,BRUNO JOSÉ QUEIROZ GUIMARAES-FILHO,MARCO ANTONIO C ANGHINONI,MARCIANO BAIOCCHI,GLAUCO OLIVEIRA,ALEXANDRE FERREIRA |
author_role |
author |
author2 |
COIMBRA,FELIPE J.F. COSTA-JR,WILSON LUIZ DA RIBEIRO,HEBER SALVADOR DE CASTRO RIBEIRO,REITAN WAINSTEIN,ALBERTO JULIUS ALVES LAPORTE,GUSTAVO ANDREAZZA COELHO-JR,MANOEL JESUS PINHEIRO FERNANDES,PAULO HENRIQUE DE SOUSA CORDEIRO,EDUARDO ZANELLA SARMENTO,BRUNO JOSÉ QUEIROZ GUIMARAES-FILHO,MARCO ANTONIO C ANGHINONI,MARCIANO BAIOCCHI,GLAUCO OLIVEIRA,ALEXANDRE FERREIRA |
author2_role |
author author author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
PINHEIRO,RODRIGO NASCIMENTO COIMBRA,FELIPE J.F. COSTA-JR,WILSON LUIZ DA RIBEIRO,HEBER SALVADOR DE CASTRO RIBEIRO,REITAN WAINSTEIN,ALBERTO JULIUS ALVES LAPORTE,GUSTAVO ANDREAZZA COELHO-JR,MANOEL JESUS PINHEIRO FERNANDES,PAULO HENRIQUE DE SOUSA CORDEIRO,EDUARDO ZANELLA SARMENTO,BRUNO JOSÉ QUEIROZ GUIMARAES-FILHO,MARCO ANTONIO C ANGHINONI,MARCIANO BAIOCCHI,GLAUCO OLIVEIRA,ALEXANDRE FERREIRA |
dc.subject.por.fl_str_mv |
Neoplasms Public health Pandemics Coronavirus |
topic |
Neoplasms Public health Pandemics Coronavirus |
description |
ABSTRACT Objective: to suggest a script for surgical oncology assistance in COVID-19 pandemic in Brazil. Method: a narrative review and a “brainstorming” consensus were carried out after discussion with more than 350 Brazilian specialists and renowned surgeons from Portugal, France, Italy and United States of America. Results: consensus on testing for COVID-19: 1- All patients to be operated should be tested between 24 and 48 before the procedure; 2- The team that has contact with sick or symptomatic patients should be tested; 3 - Chest tomography was suggested to investigate pulmonary changes. Consensus on protection of care teams: 1 - Use of surgical masks inside the hospitals. Use of N95 masks for all professionals in the operating room; 2 - Selection of cases for minimally invasive surgery and maximum pneumoperitoneal aspiration before removal of the surgical specimen; 2 - Optimization of the number of people in teams, with a minimum number of professionals, reducing their occupational exposure, the consumption of protective equipment and the circulation of people in the hospital environment; 3 - Isolation of contaminated patients. Priority consensus: 1- Construction of service priorities; 2 - Interdisciplinary discussion on minimally invasive or conventional pathways. Conclusion: the Brazilian Society of Surgical Oncology (BSSO) suggests a script for coping with oncological treatment, remembering that the impoundment in the assistance of these cases, can configure a new wave of overload in health systems. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912020000100181 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912020000100181 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0100-6991e-20202601 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
dc.source.none.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões v.47 2020 reponame:Revista do Colégio Brasileiro de Cirurgiões instname:Colégio Brasileiro de Cirurgiões (CBC) instacron:CBC |
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Colégio Brasileiro de Cirurgiões (CBC) |
instacron_str |
CBC |
institution |
CBC |
reponame_str |
Revista do Colégio Brasileiro de Cirurgiões |
collection |
Revista do Colégio Brasileiro de Cirurgiões |
repository.name.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC) |
repository.mail.fl_str_mv |
||revistacbc@cbc.org.br |
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