Technical requirements for a safe performance of TAMIS during COVID-19 pandemic: the role of spinal anaesthesia and AirSeal®— a case report
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10316/101021 https://doi.org/10.21037/ales-20-103 |
Resumo: | Coronavirus disease 2019 (COVID-19) pandemic is challenging healthcare systems. Surgical care during the COVID-19 pandemic presents numerous challenges regarding not only patient and community safety, but also the safety of physicians and operating room (OR) staff. In the OR, general anaesthesia poses a risk of aerosolization during the intubation process. There is also concern about minimally invasive surgery due to aerosol formation. The SARS-CoV-2 virus was also identified in the faeces, so this is a possible pathway for transmission. This article presents the role of spinal anaesthesia (SA) and AirSeal® device in reducing the risk of COVID-19 contamination while performing transanal minimally invasive surgery (TAMIS). A 59-year-old patient, diagnosed with a T1 rectal adenocarcinoma, was submitted to TAMIS. The surgery was done during COVID-19 pandemic due to the risk of oncological progression with delayed treatment, under SA and using the AirSeal® system and adequate personnel protective equipment (PPE). Laparoscopic smoke evacuation systems with appropriate filters, like AirSeal®, minimize the aerosol formation and may reduce the risk associated with surgical smoke exposure. This case is unique because the patient was safely submitted to TAMIS using proper PPE and AirSeal® under SA, in order to minimize aerosol formation which is crucial during COVID-19 pandemic. |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Technical requirements for a safe performance of TAMIS during COVID-19 pandemic: the role of spinal anaesthesia and AirSeal®— a case reportSARS-CoV-2coronavirus disease 2019 (COVID-19)transanal minimally invasive surgery (TAMIS)spinal anaesthesiaAirSeal® systemcase repCoronavirus disease 2019 (COVID-19) pandemic is challenging healthcare systems. Surgical care during the COVID-19 pandemic presents numerous challenges regarding not only patient and community safety, but also the safety of physicians and operating room (OR) staff. In the OR, general anaesthesia poses a risk of aerosolization during the intubation process. There is also concern about minimally invasive surgery due to aerosol formation. The SARS-CoV-2 virus was also identified in the faeces, so this is a possible pathway for transmission. This article presents the role of spinal anaesthesia (SA) and AirSeal® device in reducing the risk of COVID-19 contamination while performing transanal minimally invasive surgery (TAMIS). A 59-year-old patient, diagnosed with a T1 rectal adenocarcinoma, was submitted to TAMIS. The surgery was done during COVID-19 pandemic due to the risk of oncological progression with delayed treatment, under SA and using the AirSeal® system and adequate personnel protective equipment (PPE). Laparoscopic smoke evacuation systems with appropriate filters, like AirSeal®, minimize the aerosol formation and may reduce the risk associated with surgical smoke exposure. This case is unique because the patient was safely submitted to TAMIS using proper PPE and AirSeal® under SA, in order to minimize aerosol formation which is crucial during COVID-19 pandemic.2021info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://hdl.handle.net/10316/101021http://hdl.handle.net/10316/101021https://doi.org/10.21037/ales-20-103eng25186973Amaral, Maria JoãoVaz, MarianaManso, AntónioRosete, ManuelGonçalves, NídiaSerôdio, MarcoTralhão, José Guilhermeinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-07-26T20:36:20ZPortal AgregadorONG |
dc.title.none.fl_str_mv |
Technical requirements for a safe performance of TAMIS during COVID-19 pandemic: the role of spinal anaesthesia and AirSeal®— a case report |
title |
Technical requirements for a safe performance of TAMIS during COVID-19 pandemic: the role of spinal anaesthesia and AirSeal®— a case report |
spellingShingle |
Technical requirements for a safe performance of TAMIS during COVID-19 pandemic: the role of spinal anaesthesia and AirSeal®— a case report Amaral, Maria João SARS-CoV-2 coronavirus disease 2019 (COVID-19) transanal minimally invasive surgery (TAMIS) spinal anaesthesia AirSeal® system case rep |
title_short |
Technical requirements for a safe performance of TAMIS during COVID-19 pandemic: the role of spinal anaesthesia and AirSeal®— a case report |
title_full |
Technical requirements for a safe performance of TAMIS during COVID-19 pandemic: the role of spinal anaesthesia and AirSeal®— a case report |
title_fullStr |
Technical requirements for a safe performance of TAMIS during COVID-19 pandemic: the role of spinal anaesthesia and AirSeal®— a case report |
title_full_unstemmed |
Technical requirements for a safe performance of TAMIS during COVID-19 pandemic: the role of spinal anaesthesia and AirSeal®— a case report |
title_sort |
Technical requirements for a safe performance of TAMIS during COVID-19 pandemic: the role of spinal anaesthesia and AirSeal®— a case report |
author |
Amaral, Maria João |
author_facet |
Amaral, Maria João Vaz, Mariana Manso, António Rosete, Manuel Gonçalves, Nídia Serôdio, Marco Tralhão, José Guilherme |
author_role |
author |
author2 |
Vaz, Mariana Manso, António Rosete, Manuel Gonçalves, Nídia Serôdio, Marco Tralhão, José Guilherme |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Amaral, Maria João Vaz, Mariana Manso, António Rosete, Manuel Gonçalves, Nídia Serôdio, Marco Tralhão, José Guilherme |
dc.subject.por.fl_str_mv |
SARS-CoV-2 coronavirus disease 2019 (COVID-19) transanal minimally invasive surgery (TAMIS) spinal anaesthesia AirSeal® system case rep |
topic |
SARS-CoV-2 coronavirus disease 2019 (COVID-19) transanal minimally invasive surgery (TAMIS) spinal anaesthesia AirSeal® system case rep |
description |
Coronavirus disease 2019 (COVID-19) pandemic is challenging healthcare systems. Surgical care during the COVID-19 pandemic presents numerous challenges regarding not only patient and community safety, but also the safety of physicians and operating room (OR) staff. In the OR, general anaesthesia poses a risk of aerosolization during the intubation process. There is also concern about minimally invasive surgery due to aerosol formation. The SARS-CoV-2 virus was also identified in the faeces, so this is a possible pathway for transmission. This article presents the role of spinal anaesthesia (SA) and AirSeal® device in reducing the risk of COVID-19 contamination while performing transanal minimally invasive surgery (TAMIS). A 59-year-old patient, diagnosed with a T1 rectal adenocarcinoma, was submitted to TAMIS. The surgery was done during COVID-19 pandemic due to the risk of oncological progression with delayed treatment, under SA and using the AirSeal® system and adequate personnel protective equipment (PPE). Laparoscopic smoke evacuation systems with appropriate filters, like AirSeal®, minimize the aerosol formation and may reduce the risk associated with surgical smoke exposure. This case is unique because the patient was safely submitted to TAMIS using proper PPE and AirSeal® under SA, in order to minimize aerosol formation which is crucial during COVID-19 pandemic. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10316/101021 http://hdl.handle.net/10316/101021 https://doi.org/10.21037/ales-20-103 |
url |
http://hdl.handle.net/10316/101021 https://doi.org/10.21037/ales-20-103 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
25186973 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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