Personal protective equipment for surgeons during the COVID‐19 pandemic (search done in April 2020)

Added June 15, 2020

Citation: Jessop ZM, Dobbs TD, Ali SR, et al. Personal Protective Equipment (PPE) for Surgeons during COVID‐19 Pandemic: A Systematic Review of Availability, Usage, and Rationing. British Journal of Surgery. 2020 May 12.

What is this? A variety of types of personal protective equipment (PPE) are being used to try to protect healthcare workers, such as surgeons, from infection with COVID-19.

In this rapid review, the authors searched for articles about the use of PPE in surgical settings during the COVID-19 pandemic. They did their search in April 2020. They included 95 studies, covering sources of transmission (29 studies), types of PPE (8), specialty specific considerations (25), PPE shortages and rationing (23), ethics (7) and innovation (3).

What was found: At the time of this review, the included articles identified aerosol generating procedures, fumes released in surgery and contaminated body fluids as important sources of transmission of COVID-19.

At the time of this review, the included articles showed that full PPE is recommended in the performance of aerosol generating procedures during surgery, general surgery laparoscopy, endoscopy; similar procedures in gynaecology, paediatric surgery, urology, orthopaedics, head and neck cancer and neurosurgery; and procedures involving close face-to-face contact for maxillofacial, ENT and plastic surgery.

 

Disclaimer: This summary has been written by staff and volunteers of Evidence Aid in order to make the content of the original document accessible to decision makers who are searching for the available evidence on the coronavirus (COVID-19) but may not have the time, initially, to read the original report in full. This summary is not intended as a substitute for the medical advice of physicians, other health workers, professional associations, guideline developers, or national governments and international agencies. If readers of this summary think that the evidence that is presented within it is relevant to their decision-making they should refer to the content and details of the original article, and the advice and guidelines offered by other sources of expertise, before making decisions. Evidence Aid cannot be held responsible for any decisions made about the coronavirus (COVID-19) on the basis of this summary alone.

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