Special article
Precautions for Operating Room Team Members During the COVID-19 Pandemic

https://doi.org/10.1016/j.jamcollsurg.2020.03.030Get rights and content

Background

The novel coronavirus SARS-CoV-2 (COVID-19) can infect healthcare workers. We developed an institutional algorithm to protect operating room team members during the COVID-19 pandemic and rationally conserve personal protective equipment (PPE).

Study Design

An interventional platform (operating room, interventional suite, and endoscopy) PPE taskforce was convened by the hospital and medical school leadership and tasked with developing a common algorithm for PPE use, to be used throughout the interventional platform. In conjunction with our infectious disease experts, we developed our guidelines based on potential patterns of spread, risk of exposure, and conservation of PPE.

Results

A decision tree algorithm describing our institutional guidelines for precautions for operating room team members was created. This algorithm is based on urgency of operation, anticipated viral burden at the surgical site, opportunity for a procedure to aerosolize virus, and likelihood a patient could be infected based on symptoms and testing.

Conclusions

Despite COVID-19 being a new threat, we have shown that by developing an easy-to-follow decision tree algorithm for the interventional platform teams, we can ensure optimal health care worker safety.

Abbreviations and Acronyms

AGP
aerosol-generating procedure
CAPR
controlled air purifying respirators
COVID-19
novel coronavirus 2019
PPE
personal protective equipment
PUI
patient under investigation
RT-PCR
reverse transcription-polymerase chain reaction
SARS
severe acute respiratory syndrome

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Disclosure Information: Nothing to disclose.

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