Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/1677-5449.200044
Jornal Vascular Brasileiro
Review Article

Recomendações de uso de equipamentos de proteção individual (EPIs) em procedimentos cirúrgicos durante a pandemia de SARS-Cov

Recommendations for use of personal protective equipment (PPE) in surgical procedures during the SARS-Cov pandemic

Ana Alyra Garcia Carvalho; Ana Laura e Silva Aidar; Brena Costa dos Santos; Danielle Akemi Bergara Kuramoto; Mariana Raffo Pereda; Rebeca Mangabeira Correia; Luis Carlos Uta Nakano; Jorge Eduardo Amorim

Downloads: 0
Views: 38

Resumo

Resumo: Desde a classificação da doença por coronavírus 2019 (COVID-19) como pandemia pela Organização Mundial de Saúde (OMS), muitas medidas foram propostas com o intuito de diminuir os riscos e a chance de contaminação pelo novo coronavírus. Nesse contexto, o uso de equipamentos de proteção individual (EPIs) é de suma importância, especialmente em ambientes hospitalares e em situações que envolvem o cuidado em saúde, visto que o grau de exposição é notadamente maior no subgrupo de profissionais de saúde. Este artigo tem como objetivo propor um roteiro de uso de EPIs para procedimentos cirúrgicos. As recomendações sugeridas são estruturadas com base nas diretrizes do Ministério da Saúde e da OMS, e cinco roteiros de uso de EPIs foram sugeridos para os procedimentos mais comumente realizados: passagem de acesso venoso central; passagem de cateteres que necessitem de escopia; cirurgias abertas; angiografia diagnóstica e terapêutica; e curativos.

Palavras-chave

equipamentos de proteção individual, procedimentos cirúrgicos, coronavirus, COVID, SARS-Cov

Abstract

Since the Coronavirus Disease 2019 was classified as a pandemic by the World Health Organization in 2019, many measures have been proposed to reduce the risks and the chances of contamination by the new coronavirus. In this context, wearing personal protective equipment is very important, especially in hospital environments and situations involving healthcare, since the degree of exposure is notably higher among the subgroup of healthcare professionals. The aim of this article is to propose a roadmap for the sequence of personal protective equipment use for surgical procedures during the coronavirus pandemic. The recommendations were based on Brazil’s public health policy and World Health Organization guidelines. Five roadmaps for PPE sequences are presented for the most commonly performed procedures: fitting central venous catheters; fitting catheters requiring radioscopy; open surgeries; diagnostic and therapeutic angiography, and dressings.

Keywords

personal protective equipment; surgical procedures; coronavirus; COVID; SARS-Cov

References

1 World Health Organization – WHO [site na Internet]. Novel coronavirus. 2019 [atualizado 2020 abr 7; citado 2020 abr 8]. https://www.who.int/emergencies/diseases/novel-coronavirus-2019

2 Brasil. Ministério da Saúde [site na Internet]. Atualização da avaliação de risco. 2020 [atualizado 2020 abr 7; citado 2020 abr 8]. https://www.saude.gov.br/images/pdf/2020/April/06/2020-04-06-BE7-Boletim-Especial-do-COE-Atualizacao-da-Avaliacao-de-Risco.pdf

3 World Health Organization – WHO [site na Internet]. Coronavirus situation reports. 2020 [atualizado 2020 abr 7; citado 2020 abr 8]. https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200408-sitrep-79-covid-19.pdf?sfvrsn=4796b143_4

4 World Health Organization – WHO [site na Internet]. Global surveillance for human infection with novel coronavirus. 2020 [atualizado 2020 abr 7; citado 2020 abr 8]. https://www.who.int/publications-detail/global-surveillance-for-human-infection-with-novel-coronavirus-(2019-ncov)

5 Brasil. Ministério da Saúde [site na Internet]. Protocolo de manejo. 2020 [atualizado 2020 abr 7; citado 2020 abr 8]. https://www.saude.gov.br/images/pdf/2020/marco/20/20200318-ProtocoloManejo-ver002.pdf

6 Agência Nacional de Vigilância Sanitária – ANVISA [site na Internet]. Nota técnica GVIMS – GGTES – ANVISA. 2020 [atualizado 2020 mar 31; citado 2020 abr 8]. http://portal.anvisa.gov.br/documents/33852/271858/Nota+T%C3%A9cnica+n+04-2020+GVIMS-GGTES-ANVISA/ab598660-3de4-4f14-8e6f-b9341c196b28.

7 Rothe C, Schunk M, Sothmann P, et al. Transmission of 2019-nCoV Infection from an Asymptomatic Contact in Germany. N Engl J Med. 2020;382(10):970-1. http://dx.doi.org/10.1056/NEJMc2001468. PMid:32003551.

8 Zheng MH, Boni L, Fingerhut A. Minimally invasive surgery and the novel coronavirus outbreak: lessons learned in China and Italy. Ann Surg. 2020;272(1):e5-6. http://dx.doi.org/10.1097/SLA.0000000000003924. PMid:32221118.

9 Ferioli M, Cisternino C, Leo V, Pisani L, Palange P, Nava S. Protecting healthcare workers from SARS-CoV-2 infection: practical indications. Eur Respir Rev. 2020;29(155):200068. http://dx.doi.org/10.1183/16000617.0068-2020. PMid:32248146.

10 World Health Organization – WHO [site na Internet]. Prevention and control during health care when novel coronavirus infection is suspected. 2020 [atualizado 2020 abr 7; citado 2020 abr 8]. https://www.who.int/publications-detail/infection-prevention-and-control-during-health-care-when-novel-coronavirus-(ncov)-infection-is-suspected-20200125

11 World Health Organization – WHO [site na Internet]. Prevention and control for health care workers caring for patients with suspected or confirmed 2019-nCoV. 2020 [atualizado 2020 abr 7; citado 2020 abr 8]. https://www.who.int/news-room/q-a-detail/q-a-on-infection-prevention-and-control-for-health-care-workers-caring-for-patients-with-suspected-or-confirmed-2019-ncov

12 Wax RS, Christian MD, Can J. Practical recommendations for critical care and anesthesiology teams caring for novel coronavirus (2019-nCoV) patients. Can J Anaesth. 2020;12(5):568. http://dx.doi.org/10.1007/s12630-020-01591-x. PMid:32052373.

13 Cunha AG, Peixoto TL, Gomes LC, Bastos VD, Cavalcanti TP, Gusmão-Cunha AM. Como preparar o centro cirúrgico para pacientes COVID-19. Rev Col Bras Cir. 2020;47:e20202575. http://dx.doi.org/10.1590/0100-6991e-20202575. PMid:32578697.
 


Submitted date:
05/30/2020

Accepted date:
09/18/2020

60c9e998a9539534e67e4622 jvb Articles

J Vasc Bras

Share this page
Page Sections