Articles: pandemics.
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The COVID-19 pandemic will give rise to long-term changes in neurological care, which are not easily predictable. ⋯ The key informant survey identified the foreseeable changes in neurological care after the pandemic.
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J Laparoendosc Adv Surg Tech A · May 2020
Case ReportsSurgical Considerations for an Awake Tracheotomy During the COVID-19 Pandemic.
Background: The current global COVID-19 pandemic is caused by the novel coronavirus Severe Acute Respiratory Syndrome coronavirus 2 (SARS-CoV-2). Given that SARS-CoV-2 is highly transmissible, surgical societies have recommended that procedures with a high risk of aerosolization be avoided or delayed. ⋯ Care must be taken during aerosol-generating procedures to minimize viral transmission as much as possible. Preoperative testing for COVID-19, limited operating room personnel, adequate personal protective equipment, and surgical technique are factors to consider for high-risk procedures. Methods: This article presents the case of an awake tracheotomy performed for a transglottic mass causing airway obstruction. Results: With detailed planning and specific techniques, the amount of aerosolization was reduced, and the procedure was performed as safely as possible. Conclusion: This case provides a template for future aerosol-generating procedures during respiratory pandemics.
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Review
Perinatal aspects on the covid-19 pandemic: a practical resource for perinatal-neonatal specialists.
Little is known about the perinatal aspects of COVID-19. ⋯ As the pandemic continues, more data will be available that could lead to changes in current knowledge and recommendations.
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Recently, 6 percent of COVID-19 patients required prolonged mechanical ventilation due to severe respiratory failure. Early tracheostomy prevents the risk of postintubation upper airway stenosis. ⋯ Authors present their recommendations based on international experiences. Orv Hetil. 2020; 161(19): 767-770.
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The Covid-19 pandemic has highlighted connections between health and social structural phenomena that have long been recognized in bioethics but have never really been front and center-not just access to health care, but fundamental conditions of living that affect public health, from income inequality to political and environmental conditions. In March, as the pandemic spread globally, the field's traditional focus on health care and health policy, medical research, and biotechnology no longer seemed enough. The adequacy of bioethics seemed even less certain after the killing of George Floyd, whose homicide showed in an especially agonizing way how social institutions are in effect (and often intentionally) designed to make the lives of black people go poorly and end early. Whether bioethics needs to be expanded, redirected, and even reconceived is at the heart of the May-June 2020 issue of the Hastings Center Report, which is devoted to questions provoked by and lessons emerging during this pandemic.