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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 ä-/-ä 2020 ; 3
(5
): 293-8
Nephropedia Template TP
gab.com Text
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English Wikipedia
Prise en charge des patients en radiologie interventionnelle oncologique en
période de pandémie au SARS-CoV-2
#MMPMIDC7225696
Fohlen A
; Sautière JB
; Gakuba C
; Pelage JP
ä-/-ä 2020[Oct]; 3
(5
): 293-8
PMIDC7225696
show ga
INTRODUCTION: Interventional oncology should remain a priority among
interventional radiology procedures during the severe acute respiratory syndrome
coronavirus-2 (SARS-CoV-2) global pandemic. It should be adapted to anesthetic
resources and hospital beds capacity. Oncology patients not affected by
coronavirus disease 2019 (COVID-19) should be treated in a safe environment to
reduce the risk of exposure. TAKE-HOME POINTS: Diagnostic and interventional
radiology in oncology should remain a priority consideration during the
SARS-CoV-2 global pandemic. Health status, comorbidities and risk of being
severely affected by COVID-19 should be taken into consideration for post
postponement of elective procedures or patient referral to a hospital not
specialized in the fight against COVID-19. The different steps of the oncology
clinical pathway including pluridisciplinary tumor board, pre and
post-interventional office visits, pre and post-procedural imaging and
interventional radiology procedures should be reorganized in order to provide
appropriate services (hygiene practices and physical barriers) to reduce the risk
of transmission of COVID-19 to patients et healthcare personnel. Phone calls to
patients planned to be admitted the following days should be organized to ensure
these patients do not present any symptoms suggestive of COVID-19. Telemedicine
or phone calls should replace office visits unless an ultrasound examination is
scheduled for the pre-intervention evaluation. If CT examination is necessary for
the oncological evaluation, pulmonary lesions compatible with COVID-19 may be
accidentally diagnosed. Careful attention should be paid to the indications and
types of drugs used for general anesthesia in patients with COVID-19 because of
medication shortage and to prevent cross-contamination of patients and medical
staff. Locoregional anesthesia should be favored. Minimally-invasive
interventional oncology procedures should be favored as an alternative to surgery
to spare medical resources and medications in accordance with the recommendations
of national oncological societies. Institutional healthcare policies and
protocols must be organized with identification of dedicated COVID-19
transportation and care sections. CONCLUSION: Oncological procedures should be
prioritized during the COVID-19 pandemic. Protective measures must be in place
throughout the hospital and the radiology department to reduce the risks of
exposure of the patients and the staff. Interventional radiology procedures
offered as alternative treatments to surgery may optimize medical resources,
anesthetic drugs and critical care unit beds.