Experiences in Management of a Severe Trauma Patient Suspected as Coronavirus Disease-2019 Infection/Patient under Investigation (COVID-19/PUI) Scheduled for Angioembolization Outside Operating Room Setting
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Published:
Aug 3, 2020
Keywords:
Coronavirus disease-2019 (COVID-19), Patient under investigation (PUI), Personal protective equipment (PPE), Radio intervention (RI), Trauma
Main Article Content
Abstract
Only emergency cases are allowed during COVID-19
outbreak in our hospital. This case report described a
37-year-old man with blunt abdominal injury and
hemorrhagic shock. The patient was resuscitated and
immediately scheduled for angioembolization under
general anesthesia regardless of COVID-19 result.
Personal protective equipment was used during patient
transfer and throughout the procedure. Although the
procedure was uneventful, drawbacks included lack of
negative pressure room, unfamiliarity with the equipment
and lack of patient’s coverage during transfer. In
conclusion, management of the COVID-19 suspected case
required multidisciplinary team cooperation for safety of
the patient and healthcare team.
Article Details
Section
Case reports
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MedRxiv 2020. doi.org/10.1101/2020.02.10.20021675
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Emerg Med 2020; 8:e31.
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Tahmasbi H. COVID-19 Pneumonia in Asymptomatic Trauma
Patients: Report of 8 Cases. Arch Acad Emerg Med 2020;8:e46.
4. Li Y and Xi L. Coronavirus disease 2019 (COVID-19): ole of
Chest CT in diagnosis and management. Am J Roentgenol
2020;214:1-7.
5. ASA’s Committee on occupational health offers recommendations
to effectively and safely care for and transport
patients with known or suspected COVID-19 infection:
American Society of Anesthesiologists [Internet]. 2020 [cited
May 19]. Available from: https://www.asahq.org/about-asa/
governance-and-committees/asa-commiees/committee-onoccupational-
health/coronavirus
6. Wax RS and Christian MD. Practical recommendations for
critical care and anesthesiology teams caring for novel
coronavirus (2019-nCoV) patients. Can J Anaesth 2020;67:
568-76.
7. Chen X, Liu Y, Gong Y, Guo X, Zuo M. Perioperative
management of patients infected with the novel Coronavirus
: recommendation from the Joint Task Force of the Chinese
Society of Anesthesiology and the Chinese Association of
Anesthesiologists. Anesthesiology 2020;132:1307–16.
8. Cleaning and disinfection of environmental surfaces in the
context of COVID-19; Interim guidance: World Health
Organization [Internet]. 2020 [cited May 19]. Available from:
https://www.who.int/publications-detail/cleaning-and-disinfection-
of-environmental-surfaces-inthe-context-of-covid-19
9. Risk communication and community engagement (RCCE)
action plan guidance COVID-19 preparedness and
response; Geneva: World Health Organization [Internet].
2020 [cited May 19]. Available from: https://www.who.int/
publications-detail/risk-communication-and-communityengagement-(
rcce)-action-plan-guidance
10. Ellis R, Hay-David AGC, Brennan PA. Operating during the
COVID-19 pandemic: How to reduce medical error. Br J Oral
Maxillofac Surg 2020. doi.org/10.1016/j.bjoms.2020.04.002
11. Raksamani K. Teaching non-technical skills in anesthesiology.
Thai J Anesthesiol 2015; 41:47-52.
12. Raksamani K, Jirativanont T. Situation awareness in
anesthesia. Thai J Anesthesiol 2019; 45:171-5.
13. แนวทางปฏิบัติ การป้องกันและควบคุมการแพร่กระจายเชื้อ
COVID-19 ในการระงับความรู้สึก ภาควิชาวิสัญญี คณะ
แพทยศาสตร์ ศิริราชพยาบาล [Internet]. 27 มีนาคม 2563 [cited
May 24]. Available from: https://www.si.mahidol.ac.th/Th/
department/anesthesiology/anesthesia/form/CPG_การป้องกัน
และควบคุมการแพร่กระจายเชื้อ%20COVID-19%20ในงาน
บริการวิสัญญี%20edit%2027-3-2020.pdf
14. Sequence for putting on personal protective equipment
(PPE): Centers for Disease Control and Prevention (CDC)
[Internet]. 2020 [cited May 24]. Available from: https://
wilburnmedicalusa.com/blog/cdcs-sequence-for-putting-onpersonal-
protective-equipment-ppe/