PMC:7164859 / 7639-11846 JSONTXT 11 Projects

Annnotations TAB TSV DIC JSON TextAE

Id Subject Object Predicate Lexical cue
T69 0-21 Sentence denotes Means to protect HCPs
T70 22-368 Sentence denotes Means to protect HCPs must be implemented whenever the laparoscopy is performed in a patent infected with SARS-CoV-2, or in the context of the Covid-19 epidemic in a patient with fever or a recent cough, or who has spent time in the last two weeks in a location where the epidemic is active, or who has been in contact with infected persons [17].
T71 369-515 Sentence denotes Some authors even advocate extending testing for SARS-CoV-2 to all patients awaiting surgery whether or not they have Covid-19 symptoms [8], [18].
T72 516-658 Sentence denotes Measures must include personal protection equipment (PPE) for HCPs, laparoscopy equipment, surgical technique and operating room organisation.
T73 660-698 Sentence denotes Personal protection equipment for HCPs
T74 699-970 Sentence denotes The surgery team (surgeon, assistant, scrub nurse or circulating nurse) seem to be less exposed than the anaesthesia team (anaesthetist and anaesthetist's nurse), who are in direct contact with the patient's upper airways, which are the main source of contamination [19].
T75 971-1024 Sentence denotes PPE is only one component of the protection measures.
T76 1025-1138 Sentence denotes It must be used by every member of the HCP team according to the World Health Organisation (WHO) guidelines [20].
T77 1139-1277 Sentence denotes PPE includes long-sleeved fluid protection gowns, lined gloves, goggles (or visors, especially for the anaesthesia teams) [19], and masks.
T78 1278-1411 Sentence denotes Conventional surgical masks do not provide sufficient protection in an operating room with a risk of aerosols rich in viral droplets.
T79 1412-1539 Sentence denotes The N95 respirator masks regulated by the US National Institute for Occupational Safety and Health (NIOSH) are not EC-approved.
T80 1540-1732 Sentence denotes The FFP2 and FFP3 filtering facepiece masks are more efficient as regards the filtration of aerosols (of saline solution or paraffin oils), with an efficiency of 94% for FFP2 and 99% for FFP3.
T81 1733-1798 Sentence denotes FFP2 masks meet the filter efficiency criteria of the NIOSH [21].
T82 1799-1884 Sentence denotes To be effective, these masks must, however, be used correctly and be properly fitted.
T83 1886-1930 Sentence denotes Laparoscopy equipment and surgical technique
T84 1931-2094 Sentence denotes The risk of contamination of HCPs is highest during the insertion of trocars, extraction of the excised tissues and removal of trocars at the end of the operation.
T85 2095-2141 Sentence denotes Technical measures are summarised in Table 1 .
T86 2142-2220 Sentence denotes Table 1 Technical measures for preventing contamination of HCPs by SARS-CoV-2.
T87 2221-2281 Sentence denotes Prefer the “closed” technique for obtaining pneumoperitoneum
T88 2282-2368 Sentence denotes Reduce the pneumoperitoneum pressure as much as possible (without compromising safety)
T89 2369-2429 Sentence denotes Reduce the power of electrosurgery and ultrasonic dissection
T90 2430-2486 Sentence denotes Systematically use laparoscopic smoke aspiration systems
T91 2487-2522 Sentence denotes Systematically use particle filters
T92 2523-2556 Sentence denotes Prefer intracorporeal anastomosis
T93 2557-2627 Sentence denotes Extract excised tissue after complete emptying of the pneumoperitoneum
T94 2628-2695 Sentence denotes Fully aspirate the pneumoperitoneum before removing the last trocar
T95 2696-2893 Sentence denotes As the virus can be present in the digestive tract [22], intracorporeal anastomosis (particularly in colorectal surgery) is to be preferred because it reduces the risk of contamination of the HCPs.
T96 2894-3042 Sentence denotes Lastly, there is no data in the literature suggesting that laparoscopy should be systematically replaced by laparotomy during the Covid-19 epidemic.
T97 3044-3067 Sentence denotes Organisational measures
T98 3068-3199 Sentence denotes The first measure is to raise awareness among HCPs of the risk of contamination and train them in implementing prevention measures.
T99 3200-3416 Sentence denotes We need not dwell on the now well-known general sanitising measures: frequent hand-washing, permanent wearing of masks, and frequent washing of furniture and floors according to the general rules of hospital hygiene.
T100 3417-3477 Sentence denotes The main organisational measures are summarised in Table 2 .
T101 3478-3588 Sentence denotes These measures are to be implemented jointly with the hygiene and administration departments of each hospital.
T102 3589-3672 Sentence denotes Table 2 Organisational measures for preventing contamination of HCPs by SRAS-CoV-2.
T103 3673-3706 Sentence denotes Train HCPs in protection measures
T104 3707-3830 Sentence denotes Set up separate circuits for patients with Covid-19 or suspected of having Covid-19 and for certainly non-Covid-19 patients
T105 3831-3878 Sentence denotes Have as few HCPs as possible in operating rooms
T106 3879-3932 Sentence denotes Avoid movement or changing of HCPs during laparoscopy
T107 3933-3961 Sentence denotes Ventilate the operating room
T108 3962-4017 Sentence denotes Manage waste appropriately during and after laparoscopy
T109 4018-4117 Sentence denotes Encourage the surgical team to leave the operating room during the intubation and extubation phases
T110 4118-4207 Sentence denotes Take general hygiene measures (hand-washing, cleaning of furniture and instruments, etc.)