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10.1007/s00268-020-05648-2

http://scihub22266oqcxt.onion/10.1007/s00268-020-05648-2
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32564140!7305697!32564140
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suck abstract from ncbi


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pmid32564140      World+J+Surg 2020 ; 44 (9): 2842-2847
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  • Impact of Personal Protective Equipment on Surgical Performance During the COVID-19 Pandemic #MMPMID32564140
  • Yanez Benitez C; Guemes A; Aranda J; Ribeiro M; Ottolino P; Di Saverio S; Alexandrino H; Ponchietti L; Blas JL; Ramos JP; Rangelova E; Munoz M; Yanez C Sr
  • World J Surg 2020[Sep]; 44 (9): 2842-2847 PMID32564140show ga
  • BACKGROUND: The Severe Acute Respiratory Syndrome Coronavirus 2 pandemic has exposed surgeons to hazardous working conditions, imposing the need for personal protective equipment (PPE) use during surgery. The use of such equipment may affect their non-technical skills, augment fatigue, and affect performance. This study aimed to assess the surgeons' perceptions of the impact of wearing PPE during emergency surgery throughout the pandemic. METHODS: An international cooperation group conducted an anonymous online survey among surgeons from over 30 countries, to assess perceptions about the impact of PPE use on non-technical skills, overall comfort, decision making, and surgical performance during emergency surgery on COVID-19 patients. RESULTS: Responses to the survey (134) were received from surgeons based on 26 countries. The vast majority (72%) were males. More than half of the respondents (54%) felt that their surgical performance was hampered with PPE. Visual impairment was reported by 63%, whereas 54% had communication impediments. Less than half (48%) felt protected with the use of PPE, and the same proportion perceived that the use of such equipment influenced their decision making. Decreased overall comfort was cited by 66%, and 82% experienced increased surgical fatigue. CONCLUSIONS: Surgeons perceived impediment for both visibility and communication, and other non-technical skills while using PPE on emergency surgery in COVID-19 patients. Their perceived lack of protection and comfort and increased fatigue may have inhibited their optimal surgical performance. More attention should be placed in the design of more user-friendly equipment, given the possibility of a second wave of the pandemic.
  • |*Attitude of Health Personnel[MESH]
  • |*Personal Protective Equipment[MESH]
  • |*Surgeons[MESH]
  • |*Work Performance[MESH]
  • |Adult[MESH]
  • |Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |Clinical Decision-Making[MESH]
  • |Coronavirus Infections/epidemiology/*prevention & control[MESH]
  • |Fatigue/etiology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics/*prevention & control[MESH]
  • |Pneumonia, Viral/epidemiology/*prevention & control[MESH]
  • |SARS-CoV-2[MESH]


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