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HGNC Genes

SARS-CoV-2 proteins

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    Intraoperative Coagulopathy During Cesarean Section as an Unsuspected Initial Presentation of COVID-19 MESHD: A Case Report

    Authors: Kelly Elizabeth Trevino Kinsey; Eric Ganz; Susan Khalil; Lois Brustman

    doi:10.21203/rs.3.rs-36309/v1 Date: 2020-06-17 Source: ResearchSquare

    Background: The world’s understanding of COVID-19 MESHD continues to evolve as the scientific community discovers unique presentations of this disease. This case report depicts an unexpected intraoperative coagulopathy MESHD during cesarean section in an otherwise asymptomatic patient who was later found to have COVID-19 MESHD. This case suggests that there may be a higher risk for intrapartum bleeding MESHD in the pregnant, largely asymptomatic COVID-positive patient with more abnormal COVID laboratory values.Case: The case patient displayed D-Dimer elevations beyond what is typically observed among this hospital’s COVID-positive peripartum population and displayed significantly more oozing than expected intraoperatively, despite normal prothrombin time, international normalized ratio, fibrinogen HGNC, and platelets.Conclusion: There is little published evidence on the association between D-Dimer and coagulopathy MESHD among the pregnant population infected with SARS-CoV-2. This case report contributes to the growing body of evidence on the effects of COVID-19 MESHD in pregnancy. A clinical picture concerning for intraoperative coagulopathy MESHD may be associated with SARS-CoV-2 infection MESHD during cesarean sections, and abnormal COVID laboratory tests, particularly D-Dimer, may help identify the patients in which this presentation occurs.

    Development of an Extended Acute Care Surgery Service in Response to the Covid-19 MESHD Global Pandemic: Assessment of Clinical Patient Outcomes and Staff Psychological Well-being

    Authors: Sachin Mathur; Chung Fai Jeremy Ng; Fangju Koh; Mingzhe Cai; Gautham Palaniappan; Yun Le Linn; Huiling Linda Lim; Ramu Lakshman; Xiao Shuang Ling; Sock Teng Chin; Hiang Khoon Tan

    doi:10.21203/rs.3.rs-28816/v1 Date: 2020-05-14 Source: ResearchSquare

    BackgroundAs the COVID-19 pandemic MESHD COVID-19 pandemic MESHD sweeps across the world, healthcare departments must adapt to meet the challenges of service provision and staff/patient protection. Unlike elective surgery, Acute care surgery (ACS) workloads cannot be artificially reduced providing a unique challenge for administrators to balance healthcare resources between the COVID-19 MESHD surge and regular patient admissions. MethodsAn extended ACS (eACS) model of care is described with the aim of limiting COVID-19 MESHD healthcare worker and patient cross-infection MESHD as well as providing 24/7 management of emergency general surgical ( GS MESHD) and trauma MESHD patients. The eACS service comprised 5 independent teams covering a rolling 1:5 24-hr call. Attempts to completely separate eACS teams and patients from the elective side were made. The service was compared to the existing ACS service in terms of clinical and efficiency outcomes. Finally, a survey of staff attitudes towards these changes, concerns regarding COVID-19 MESHD and psychological well-being was assessed.ResultsThere were no staff/patient COVID-19 MESHD cross-infections MESHD. Compared to the ACS service, eACS patients had reduced overall length of stay (2-days), time spent in the Emergency Room (46 minutes) and time from surgery to discharge (2.4-hours). Mortality was decreased during this time. The eACS model of care saved financial resources and bed-days for the organisation. The changes were well received by team-members who also felt that their safety was prioritised.ConclusionIn healthcare systems affected by COVID-19 MESHD, an eACS model may assist in preserving psychological well-being for healthcare staff whilst providing 24/7 care for emergency GS MESHD and trauma MESHD patients.

The ZB MED preprint Viewer preVIEW includes all COVID-19 related preprints from medRxiv and bioRxiv, from ChemRxiv, from ResearchSquare, from arXiv and from Preprints.org and is updated on a daily basis (7am CET/CEST).
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MeSH Disease
HGNC Genes
SARS-CoV-2 Proteins


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