LitCovid-sentences  

PMC:7417187 / 6128-16350 JSONTXT 12 Projects

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Id Subject Object Predicate Lexical cue
T41 0-21 Sentence denotes Materials and methods
T42 22-207 Sentence denotes The patients participating are also part of an ongoing prospective study on spine injuries at the authors' institute for which institutional ethics committee approval has been obtained.
T43 208-332 Sentence denotes All patients admitted either for vertebral fracture or spinal cord compression from February 2020 to May 2020 were included.
T44 333-561 Sentence denotes The spine conditions included were spinal cord injury (SCI), epidural abscess, epidural hematoma, close reduction of cervical facet dislocation, cauda equine syndrome, surgical spine tumor with spinal cord compression (Table 1).
T45 562-596 Sentence denotes No COVID-19 patients were treated.
T46 597-772 Sentence denotes The neurological status was assessed using the American Spinal Injury Association (ASIA) impairment scale as it can be used for traumatic [5] as well as non-traumatic SCI [6].
T47 773-1134 Sentence denotes Thoracolumbar injury classification and severity score (TLICS) based on the morphology of the injury, the integrity of the posterior ligamentous complex, and neurological status of the patient was performed in which points are assigned for each category and the final total points suggest the possible treatment option for thoracolumbar vertebral fractures [7].
T48 1135-1177 Sentence denotes Table 1 Inclusion and exclusion criterias
T49 1178-1236 Sentence denotes A) Inclusion Criteria (Indications for emergency  surgery)
T50 1237-1284 Sentence denotes 1) Spinal Cord injury due to verbral fracture  
T51 1285-1304 Sentence denotes 2) Epidural Abscess
T52 1305-1326 Sentence denotes 3) Epidural Haematoma
T53 1327-1418 Sentence denotes 4) Surgical Spine tumour with Spinal Cord compression with progressive neurological deficit
T54 1419-1443 Sentence denotes 5) Cauda equina syndrome
T55 1444-1532 Sentence denotes 6) Infective pathology of spine (tubercular spondylodiscitis,bacterial spondylodiscitis)
T56 1533-1587 Sentence denotes B) Exclusion Criteria (Surgeries which can be delayed)
T57 1588-1644 Sentence denotes 1) Surgical lumbar disk herniation  with radiculopathy  
T58 1645-1667 Sentence denotes 2) Spondylolisthesis  
T59 1668-1704 Sentence denotes 3) Surgical cervical radiculopathy  
T60 1705-1735 Sentence denotes 4) Cervical myelopathy Methods
T61 1736-1830 Sentence denotes The detailed description of the steps which we took is mentioned below and briefly in Table 2.
T62 1831-1880 Sentence denotes Table 2 Brief description of precautionary steps
T63 1881-1885 Sentence denotes PPE:
T64 1886-1922 Sentence denotes Personal protective equipment; TOCC:
T65 1923-2127 Sentence denotes Travel to regions with a high prevalence of COVID-19, occupation with a high risk of COVID-19 infection, contact with people known to be infected with COVID-19, or proximity with a COVID-19 positive case.
T66 2128-2129 Sentence denotes  
T67 2130-2142 Sentence denotes Do’s Dont’s
T68 2143-2167 Sentence denotes 1.Preoperative period  
T69 2168-2269 Sentence denotes A) History, examination and screening Questinnare related to COVID 19 (Table 3) A) Entry to visitors
T70 2270-2332 Sentence denotes B) TOCC information (Table 3) B)  Allow unnecessary attendant
T71 2333-2448 Sentence denotes C) Explain the hospital’s protocol for COVID-19 Infection C) Overcrowing of patients in the ward and recovery room
T72 2449-2497 Sentence denotes D) Compulsory Mask for patient and attendant.  
T73 2498-2524 Sentence denotes 2.Intraoperative period  
T74 2525-2614 Sentence denotes A) Proper donning and doffing technique of prescribed PPE A)Avoid using High power tools
T75 2615-2756 Sentence denotes B) Limiting the number of people in the operating room   B) Unnecessary Crowd in  operation room especially during intubation and extubation
T76 2757-2843 Sentence denotes C) Reducing door opening in the operating room C) Cluttering of unnecessary equipment
T77 2844-2893 Sentence denotes D) Cautious use of electrocautery with suction  
T78 2894-2961 Sentence denotes E) Thorough cleaning of the operation room and all the equipment  
T79 2962-2964 Sentence denotes 3.
T80 2965-2988 Sentence denotes Postoperative period  
T81 2989-3046 Sentence denotes A) Mask for patient A) Overcrowding in the recovery room
T82 3047-3124 Sentence denotes B) Social distancing in the recovery room B) Keeping patient for longer time
T83 3125-3217 Sentence denotes C)Cleaning of bed and it's surface after the transfer of patient C)Prolong stay in hospital
T84 3218-3353 Sentence denotes D) Immediate Postoperative round by  Senior resident, Chief surgeon should be telephonically informed D)Change in antibiotic protocols
T85 3354-3448 Sentence denotes E) Prescribed PPE by health care personnel  E) Interdepartmental  Transfer for rehabilitation
T86 3449-3546 Sentence denotes F)Wound inspection and dressing – wear an N95 mask F) A frequent follow-up visit to the hospital
T87 3547-3599 Sentence denotes G) Early rehabilitation and physiotherapy program  
T88 3600-3661 Sentence denotes H) Teleconsultation for follow up   Precautions at admission
T89 3662-3735 Sentence denotes At presentation, history was recorded and clinical examination performed.
T90 3736-3813 Sentence denotes The temperature and oxygen saturation at room air recorded for every patient.
T91 3814-4275 Sentence denotes All patients were screened with a series of questions related to COVID-19 symptoms (fever, cough, fatigue, anorexia, shortness of breath, sputum production, loss of taste and smell, sore throat, diarrhea, nasal congestion) as well as TOCC information (travel to regions with a high prevalence of COVID-19, occupation with a high risk of COVID-19 infection, contact with people known to be infected with COVID-19, or proximity with a COVID-19 positive case) [8].
T92 4276-4373 Sentence denotes Information was also obtained regarding the previous infection and test for SARS-CoV-2 (Table 3).
T93 4374-4442 Sentence denotes Table 3 Coronavirus disease 2019 (COVID-19) screening questionnaire
T94 4443-4454 Sentence denotes SARS-CoV-2:
T95 4455-4511 Sentence denotes Severe acute respiratory syndrome coronavirus 2; RT-PCR:
T96 4512-4559 Sentence denotes Reverse transcription-polymerase chain reaction
T97 4560-4573 Sentence denotes S.no      
T98 4574-4594 Sentence denotes 1 Temperature    
T99 4595-4625 Sentence denotes 2 Pulse Oximetry (Spo2)    
T100 4626-4649 Sentence denotes 3 Travel History    
T101 4650-4669 Sentence denotes 4 Occupation    
T102 4670-4715 Sentence denotes 5 Contact with COVID positive  Patient    
T103 4716-4770 Sentence denotes 6 Close proximity to COVID 19 Positive patients    
T104 4771-4830 Sentence denotes 7 Symptoms Yes/ NO If Yes, when was the onset of symptom
T105 4831-4845 Sentence denotes a Fever    
T106 4846-4860 Sentence denotes b Cough    
T107 4861-4877 Sentence denotes c Fatigue    
T108 4878-4895 Sentence denotes d Anorexia    
T109 4896-4924 Sentence denotes e Shortness of breath    
T110 4925-4951 Sentence denotes f Sputum production    
T111 4952-4984 Sentence denotes g Loss of taste and smell    
T112 4985-5005 Sentence denotes h Sore throat    
T113 5006-5023 Sentence denotes i Diarrhea    
T114 5024-5049 Sentence denotes j Nasal Congestion    
T115 5050-5099 Sentence denotes 8) Previous history of COVID -19 infection    
T116 5100-5272 Sentence denotes 9) Previous SARS- COV2 RT PCR test (Date)   Result – Positive/Negative In the case of history or examination suggestive of COVID 19, the patient was isolated and tested.
T117 5273-5354 Sentence denotes However, none of the emergency surgeries was delayed while awaiting test results.
T118 5355-5464 Sentence denotes The sample was sent and surgery was conducted by donning full prescribed personal protective equipment (PPE).
T119 5465-5489 Sentence denotes Preoperative precautions
T120 5490-5748 Sentence denotes Preoperatively, patients and attendants explained about the precautions and measures (hand hygiene, wearing a mask, social distancing, restrictions of family members, and visitors in hospital) recommended by hospital authorities because of COVID-19 pandemic.
T121 5749-5833 Sentence denotes The patients were provided with a surgical mask throughout the perioperative period.
T122 5834-5948 Sentence denotes The patient was transferred to an operation theatre only on-call from the operation theatre to avoid overcrowding.
T123 5949-6065 Sentence denotes The individual operating rooms have separate air-handling units with high-efficiency particulate air (HEPA) filters.
T124 6066-6102 Sentence denotes Precautions in the operation theatre
T125 6103-6231 Sentence denotes Intraoperatively, the anesthesia team consisted of a consultant, senior resident, junior resident, and an anesthesia technician.
T126 6232-6626 Sentence denotes All preparation for general anesthesia was performed by the anesthesia team before shifting the patient to the operation table, during intubation either the consultant or the senior resident intubated the patient donning the prescribed PPE which consisted of Association for the Advancement of Medical Instrumentation (AAMI) level III gown, hood, N95 mask, face shield, boot covers, and gloves.
T127 6627-6725 Sentence denotes The junior resident or the anesthesia technician was available to assist during the procedure [8].
T128 6726-6893 Sentence denotes During intubation and extubation, the surgical team was outside the operating room to limit the number of persons inside and minimize the risk of disease transmission.
T129 6894-6984 Sentence denotes After intubation, the patient was handed over to the surgical team after about 20 minutes.
T130 6985-7085 Sentence denotes The surgical team consisted of the chief surgeon, senior resident, junior resident, and scrub nurse.
T131 7086-7219 Sentence denotes The entire surgical team was on hydroxychloroquine (HCQ) prophylaxis as advised by the Indian council of medical research (ICMR) [9].
T132 7220-7443 Sentence denotes The entire surgical team wore the prescribed PPE - N95 mask, hood with a face shield that wraps around the face and has an extension that can be placed inside the gown, AAMI level III gown, boot cover, and gloves [8,10,11].
T133 7444-7587 Sentence denotes The surgical knife was used for dissection and electrocautery was minimally used with suction wherever required to minimize aerosol generation.
T134 7588-7722 Sentence denotes Kerrison rongeur, nibblers, and osteotomes were used in place of burr or harmonic scalpel which decreased the aerosol generation [12].
T135 7723-7814 Sentence denotes Wound closure was done over the drain with staplers and the occlusive dressing was applied.
T136 7815-7994 Sentence denotes During extubation, theatre personnel was limited to the anesthesia team and the patient was allowed to recover in the operating room to minimize the shifting to the recovery room.
T137 7995-8108 Sentence denotes In case there was any other emergency case waiting for surgery the patient was shifted to the recovery room [13].
T138 8109-8320 Sentence denotes For the cases performed under local anesthesia like a transpedicular biopsy, the team inside the operating room was limited to surgeon, scrub nurse, and radiology technician to operate a C-arm image intensifier.
T139 8321-8383 Sentence denotes After the procedure, the patient directly shifted to the ward.
T140 8384-8607 Sentence denotes As per institutional policy, following the procedure. the surfaces of all equipment in the operating room (including computers, lead gowns, case carts, operation chair, and so on) were thoroughly wiped down after each case.
T141 8608-8673 Sentence denotes The surgeon and the surgical team changed scrubs after each case.
T142 8674-8740 Sentence denotes Respirators (N95) were not discarded after each use unless soiled.
T143 8741-8779 Sentence denotes A new respirator is required each day.
T144 8780-8874 Sentence denotes As per institutional policy, the N95 masks were reused up to five times unless visibly soiled.
T145 8875-8907 Sentence denotes Precautions in the recovery room
T146 8908-9017 Sentence denotes In the recovery room, patients were separated from each other by a minimum distance of two meters (six-feet).
T147 9018-9176 Sentence denotes Personnel taking care of the patient wore an N-95 mask as the patient is under the effect of general anesthesia, might not have control over cough and sneeze.
T148 9177-9279 Sentence denotes However, the patient’s stay in the recovery area was minimized while maintaining perioperative safety.
T149 9280-9364 Sentence denotes Patients were made to wear a triple-layer surgical mask in the postoperative period.
T150 9365-9431 Sentence denotes Over-crowding and non-essential personnel traffic were restricted.
T151 9432-9461 Sentence denotes Post-operative care protocols
T152 9462-9565 Sentence denotes Postoperative rounds were done by the senior resident and informed to the chief surgeon telephonically.
T153 9566-9701 Sentence denotes The surgical wound was inspected by the resident wearing an N95 mask on the third postoperative day and the drain, if any, was removed.
T154 9702-9888 Sentence denotes The patient was usually discharged on the same day if the wound was healthy after teaching physiotherapy and other precautions to the patient and attendant to minimize the hospital-stay.
T155 9889-9994 Sentence denotes For procedures that were performed under local anesthesia, the patients were discharged the next morning.
T156 9995-10053 Sentence denotes Suture removal was advised to be done at a local hospital.
T157 10054-10222 Sentence denotes Institute telemedicine number and the resident’s contact number was provided to the patient to consult in case of any surgery-related problem and to schedule follow up.