About: Recommendations for Cutaneous and Aesthetic Surgeries during COVID-19 Pandemic

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An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Recommendations for Cutaneous and Aesthetic Surgeries during COVID-19 Pandemic
Creator	Shah, Swapnil Gupta, Somesh Arsiwala, Shehnaz Barua, Shyamanta Byalekere Chandrashekar, S. Devaraj, Dinesh Inamadar, Arun Khunger, Niti Mutalik, Sharad Mysore, Venkataram Rashi, Pangti Reddy, Raghunatha Salim, Thurakkal Sanjeev, Aurangabadkar Savitha, A. Sirur, Subodh Venkataram, Aniketh
source	Medline; PMC
abstract	BACKGROUND: Amid the coronavirus disease 2019 (COVID-19) pandemic, dermatologists must be prepared to restructure their practice of procedural dermatology and cutaneous aesthetic surgeries. The COVID-19 pandemic has presented several challenges and has ushered in several changes in practice such as teledermatology, with many physicians adopting virtual consultations and treatments. Performing procedures in the times of COVID-19 pandemic presents challenges such as risk of transmission to doctors and staff due to potential aerosolization, release of virus droplets during the procedures, and risk of virus transfer through the instruments both in the peri- and postoperative period. This can have several medical, administrative, and legal implications. OBJECTIVES: This document aimed to outline best practices that can be followed in this scenario to perform cutaneous surgeries and procedures to ensure safer skin surgery. RECOMMENDATIONS: Standard precautions include social distancing of at least 1 m, hand hygiene, appropriate use of personal protective equipment (PPE), safe injection practices, sterilization and disinfection of medical devices, environmental cleaning, and respiratory hygiene. It is generally advisable to see patients only by appointments. Each clinic should have a special area at entry for screening patients and providing sanitizers and masks. Procedures, which are of short duration, performed on nonfacial areas are considered as low risk and require donning surgical mask. Procedures involved with minimal invasiveness and bleeding, short duration procedures on the face such as injectables, chemical peels, and aerosol-generating procedures on nonfacial areas are considered moderate risk. These procedures need apron with head cover, N95 mask, face shield, double gloves, and smoke evacuator with high-efficiency particulate air (HEPA) or ultralow particulate air (ULPA) filter. Aerosol and plume-regenerating procedures (such as ablative lasers on the face), prolonged surgeries on head (such as hair transplantation), intraoral, and intranasal procedures are considered high risk. These procedures must be carried out with full body cover with surgical gown, head cover, N95 mask, face shield, double gloves, and smoke evacuator. Physicians should be aware of local epidemiological situation and adhere to the relevant guidelines issued by the relevant governmental agencies.
has issue date	2020-01-01(xsd:dateTime)
bibo:doi	10.4103/jcas.jcas_83_20
bibo:pmid	32792769
has license	cc-by-nc-sa
schema:url	https://doi.org/10.4103/jcas.jcas_83_20
resource representing a document's title	Recommendations for Cutaneous and Aesthetic Surgeries during COVID-19 Pandemic
has PubMed Central identifier	PMC7394118
has PubMed identifier	32792769
schema:publication	J Cutan Aesthet Surg
resource representing a document's body	covid:PMC7394118#body_text
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