Propuesta para formular una estrategia de contingencia en Ortopedia y Traumatología frente a la pandemia de COVID-19
Barra lateral del artículo
Publicado:
ago 3, 2020
Palabras clave:
Pandemia, COVID-19, estrategia de contingencia, Ortopedia y Traumatología
Contenido principal del artículo
Resumen
Objetivo: Describir el proceso para la formulación e implementación de una estrategia de contingencia de un servicio público de Ortopedia y Traumatología frente a la pandemia de COVID-19. Materiales y Métodos: Estudio descriptivo del proceso para la formulación e implementación de una estrategia de contingencia de la pandemia de COVID-19 en un Servicio de Ortopedia y Traumatología del sistema público de salud de la Ciudad Autónoma de Buenos Aires, entre el 12 de marzo y el 20 de abril de 2020, período en el cual fue declarada la emergencia sanitaria y el alerta amarilla en nuestro medio frente a la posibilidad inminente deun potencial aumento exponencial de casos de COVID-19. A cargo de un Comité de Pandemia de Ortopedia y Traumatología, el proceso fue dividido en tres instancias: planificación, implementación y control. Resultados: Basados en la normativa nacional, 17 artículos internacionales, 13 guías de sociedades científicas y 17 artículos de recomendaciones de la Organización Mundial de la Salud y los Centros para el Control y la Prevención de Enfermedades de los Estados Unidos. Definimos 7 áreas de trabajo: 1) Sala de internación, 2) Quirófano, 3) Consultorios externos, 4) Servicio de Urgencias, 5) Insumos, 6) Cuidado del personal de salud, 7) Docencia e investigación. Conclusión: Nuestro trabajo aporta una propuesta para el proceso de desarrollo de una estrategia de contingencia frente a la pandemia de COVID-19. Organizarse, capacitarse y protegerse como equipo son sus pilaresfundamentales.
Nivel de Evidencia: IV
Nivel de Evidencia: IV
Descargas
La descarga de datos todavía no está disponible.
Métricas
Cargando métricas ...
Detalles del artículo
Cómo citar
Ricciardi, G. A., Pérez, M. A., Scalambro, S., Ricciardi, G., Carrioli, G. G., Locaso, F., & Ricciardi, D. O. (2020). Propuesta para formular una estrategia de contingencia en Ortopedia y Traumatología frente a la pandemia de COVID-19. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 85(3), 283-294. https://doi.org/10.15417/issn.1852-7434.2020.85.3.1106
Número
Sección
Artículo Especial
Derechos de autor 2020 Revista de la Asociación Argentina de Ortopedia y Traumatología
La aceptación del manuscrito por parte de la revista implica la no presentación simultánea a otras revistas u órganos editoriales. La RAAOT se encuentra bajo la licencia Creative Commons 4.0. Atribución-NoComercial-CompartirIgual (http://creativecommons.org/licenses/by-nc-sa/4.0/deed.es). Se puede compartir, copiar, distribuir, alterar, transformar, generar una obra derivada, ejecutar y comunicar públicamente la obra, siempre que: a) se cite la autoría y la fuente original de su publicación (revista, editorial y URL de la obra); b) no se usen para fines comerciales; c) se mantengan los mismos términos de la licencia.
En caso de que el manuscrito sea aprobado para su próxima publicación, los autores conservan los derechos de autor y cederán a la revista los derechos de la publicación, edición, reproducción, distribución, exhibición y comunicación a nivel nacional e internacional en las diferentes bases de datos, repositorios y portales.
Se deja constancia que el referido artículo es inédito y que no está en espera de impresión en alguna otra publicación nacional o extranjera.
Por la presente, acepta/n las modificaciones que sean necesarias, sugeridas en la revisión por los pares (referato), para adaptar el trabajo al estilo y modalidad de publicación de la Revista.
Citas
1. World Health Organization Press Conference. WHO Director-General’s opening remarks at the media briefing
on COVID-19 - 11 March 2020. Disponible en: https://www.who.int/es/dg/speeches/detail/who-director-general-sopening-remarks-at-the-media-briefing-on-covid-19---11-march-2020. Consulta: 11 de marzo, 2020.
2. Tan WJ, Zhao X, Ma XJ, Wang W, Niu P, X W, et al. A novel coronavirus genome identified in a cluster of
pneumonia cases—Wuhan, China 2019–2020. China CDC Weekly 2020;2(4):61-2.
https://doi.org/10.46234/ccdcw2020.017
3. Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med 2020;382:727-33. https://doi.org/10.1056/NEJMoa2001017
4. Ministerio de Salud de la República Argentina. Nuevo Coronavirus (COVID19). Reporte Diario. Disponible en:
https://www.argentina.gob.ar/sites/default/files/5-03-2020-nuevo-coronavirus-covid-19-reporte-diario_1.pdf.
Consulta: 5 de marzo, 2020.
5. Ministerio de Salud de la República Argentina. Nuevo Coronavirus (COVID19). Reporte Diario. Disponible en:
https://www.argentina.gob.ar/sites/default/files/12-03-20-nuevo-coronavirus-covid-19_reporte-diario_0.pdf.
Consulta: 12 de marzo, 2020.
6. Decreto 260/2020. Emergencia Sanitaria - Coronavirus (COVID-19). Boletín Oficial de la República Argentina.
DECNU-2020-260-APN-PTE. 12/03/2020. Disponible en: https://www.boletinoficial.gob.ar/suplementos/2020031201NS.pdf. Consulta: 12 de marzo, 2020.
7. Ministerio de Salud de la República Argentina. Plan Operativo de preparación y respuesta al COVID-19. Disponible
en: https://www.argentina.gob.ar/salud/coronavirus-COVID-19/plan-operativo. Consulta: 12 de marzo, 2020.
8. Gobierno de la Ciudad Autónoma de Buenos Aires. Directivas Centro de Operaciones de Emergencia COVID19.
ME-2020-09911443 GCABA-DGHOS. 18/03/2020. Disponible en:
https://eaaf.org/wp-content/uploads/covid19-PDFs/Argentina/IF-2020-10223708-GCABA-DGHOSP.pdf.
Consulta: 19 de marzo, 2020.
9. Gobierno de la Ciudad Autónoma de Buenos Aires. Proyecto de resolución. EE-2020-18074310-APN-DNCH#MS
Prórroga Promoción. Poder Ejecutivo Nacional. República Argentina. Ciudad de Buenos Aires. 19/03/20.
10. Gobierno de la Ciudad Autónoma de Buenos Aires. DECAD-2020-371-APN-JGM - Licencia excepcional.
Coronavirus (COVID-19). BO. Suplemento 12/03/2020. Disponible en:
https://www.boletinoficial.gob.ar/suplementos/2020031201NS.pdf. Consulta: 16 de marzo, 2020.
11. Ministerio de Salud de la República Argentina. Contratación por emergencia COVID19 N° 2/20. EX-2020-
21915903--APN-SSGA#MS. Poder Ejecutivo Nacional. 03/04/2020. Disponible en:
https://www.argentina.gob.ar/salud/contratacion-por-emergencia-covid-19. Consulta: 4 de abril, 2020.
12. Gobierno de la Ciudad Autónoma de Buenos Aires. ME-2020-11683110-GCABA-DGHOS. Reasignación de
funciones y redistribución del personal COVID-19. 16/04/2020. Disponible en:
http://www.hdurandinfo.com/. Consulta: 17 de abril, 2020.
13. Liang ZC, Wang W, Murphy D, Hui JHP. Novel coronavirus and orthopaedic surgery: early experiences from
Singapore. J Bone Joint Surg Am 2020;e000236. https://doi.org/10.2106/JBJS.20.00236
14. Rodriguez-Pinto R, Sousa R, Oliveira A. Preparing to perform trauma and orthopaedic surgery on patients with COVID-19. J Bone Joint Surg Am 2020;e20.00454. https://doi.org/10.2106/JBJS.20.00454
15. NHS England and NHS Improvement. Clinical guide for the management of trauma and orthopaedic patients
during the coronavirus pandemic. Disponible en: https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/03/C0274-Specialty-guide-Orthopaedic-trauma-v2-14-April.pdf. Consulta: 14 de abril, 2020.
16. Vaccaro AR, Getz CL, Cohen BE, Cole BJ, Donnally CJ 3rd. Practice management during the COVID-19
pandemic. J Am Acad Orthop Surg 2020;28(11):464-70. https://doi.org/10.5435/JAAOS-D-20-00379
17. British Orthopaedic Association. Management of patients with urgent orthopaedic conditions and trauma during the coronavirus pandemic. Disponible en: https://www.boa.ac.uk/resources/covid-19-boasts-combined.htm.
Consulta: 13 de abril, 2020.
18. SECOT. Recomendaciones Generales de la Sociedad Española de Cirugía Ortopédica y Traumatología frente al COVID-19. Disponible en: https://www.secot.es/media/docs/covid19/RecomendacionesSECOTGeneralesDeCOTFrenteAlCovid19.pdf.
Consulta: 13 de abril, 2020.
19. COVID-19 Guidelines for Triage of Orthopaedic Patients. American College of Surgeons. Disponible en:
https://www.facs.org/covid-19/clinical-guidance/elective-case/orthopaedics. Consulta: 4 de abril, 2020.
20. Guidance for surgeons working during the COVID-19 pandemic from the Surgical Royal Colleges of the United Kingdom and Ireland. Disponible en: https://www.rcseng.ac.uk/coronavirus/joint-guidance-for-surgeons-v1/.Consulta: 20 de marzo, 2020.
21. Massey PA, McClary K, Zhang AS, Savoie FH, Barton RS. Orthopaedic surgical selection and inpatient paradigms during the coronavirus COVID-19 pandemic. J Am Acad Orthop Surg 2020;28(11):436-50.
https://doi.org/10.5435/JAAOS-D-20-00360
22. Prada C, Chang Y, Poolman R, Johal H, Bhandari M. Best Practices for Surgeons -COVID-19 Evidence-Based
Scoping Review. A unifying report of global recommendations. Disponible en: https://aaot.org.ar/wp-content/
uploads/2020/04/OE-Best-Practices-for-Surgeons-COVID-19-Evidence-Based-Scoping-Review.pdf_compressed1.pdf. Consulta: 4 de abril 2020.
23. Tang PF, Hou ZY, Wu XB, Zhang CQ, Wang JW, Xing X, et al. Expert consensus on management principles of
orthopedic emergency in the epidemic of Corona Virus Disease 2019. Chin Med J 2020;133(9):1096-8.
https://doi.org/10.1097/CM9.0000000000000810
24. Decreto 297/2020. Aislamiento Social Preventivo y Obligatorio. Boletín Oficial de la República Argentina.
DECNU-2020-297-APN-PTE - Disposiciones. 19/03/2020. Disponible en:
https://www.boletinoficial.gob.ar/detalleAviso/primera/227042/20200320. Consulta: 20 de marzo, 2020.
25. Gobierno de la Ciudad Autónoma de Buenos Aires. Áreas programáticas de la Salud. 2016. Disponible en:
https://www.estadisticaciudad.gob.ar/eyc/wp-content/uploads/2016/08/SA071602.pdf. Consulta: 20 de marzo, 2020.
26. Center for Disease Control and Prevention (CDC). Steps Healthcare Facilities Can Take Now to Prepare for
COVID-19. Disponible en: https://www.cdc.gov/coronavirus/2019-ncov/hcp/steps-to-prepare.html.
Consulta: 20 de marzo, 2020.
27. Parisien RL, Shin M, Constant M, Saltzman BM, Li X, Levine WN, et al. Telehealth utilization in response to the
novel coronavirus (COVID-19) pandemic in orthopaedic surgery. J Am Acad Orthop Surg 2020.
https://doi.org/10.5435/JAAOS-D-20-00339
28. Dunham AM, Rieder TN, Humbyrd CJ. A bioethical perspective for navigating moral dilemmas amidst the
COVID-19 pandemic. J Am Acad Orthop Surg 2020;28(11):471-6. https://doi.org/10.5435/JAAOS-D-20-00371
29. Greenland JR, Michelow MD, Wang L, London MJ. COVID-19 Infection implications for perioperative and critical care physicians. Anesthesiology 2020;132(6):1346-61. https://doi.org/10.1097/ALN.0000000000003303
30. Zheng MH, Boni L, Fingerhut A. Minimally invasive surgery and the novel coronavirus outbreak: lessons learned in China and Italy. Ann Surg 2020. https://doi.org/10.1097/SLA.0000000000003924
31. Kogan M, Klein SE, Hannon CP, Nolte MT. Orthopaedic education during the COVID-19 pandemic. J Am Acad
Orthop Surg 2020;28(11):e456-e464. https://doi.org/10.5435/JAAOS-D-20-00292
32. Awad ME, Rumley JC, Vazquez JA, Devine JG. Peri-operative considerations in urgent surgical care of suspected and confirmed COVID-19 orthopedic patients: operating rooms protocols and recommendations in the current COVID-19 pandemic. J Am Acad Orthop Surg 2020;28(11):451-63. https://doi.org/10.5435/JAAOS-D-20-00227
33. Dexter F, Parra MC, Brown JR, Loftus RW. Perioperative COVID-19 defense: an evidence-based approach for
optimization of infection control and operating room management. Anesth Analg 2020.
https://doi.org/10.1213/ANE.0000000000004829
34. Wong J, Goh QY, Tan Z, Lie SA, Tay YC, Ng SY, et al. Preparing for a COVID-19 pandemic: a review of operating
room outbreak response measures in a large tertiary hospital in Singapore. Can J Anesth/J Can Anesth 2020;67:
732-45. https://doi.org/10.1007/s12630-020-01620-9
35. Vannabouathong C, Devji T, Ekhtiari S, Chang Y, Phillips SA, Zhu M, et al. Novel coronavirus COVID-19: current
evidence and evolving strategies. J Bone Joint Surg Am 2020. https://doi.org/10.2106/JBJS.20.00396
36. Ti LK, Ang LS, Foong TW, Ng BSW. What we do when a COVID-19 patient needs an operation: operating room
preparation and guidance. Can J Anaesth 2020;67(6):756-8. https://doi.org/10.1007/s12630-020-01617-4
37. Brindle M, Gawande A. Managing COVID-19 in surgical systems. Ann Surg 2020.
https://doi.org/10.1097/SLA.0000000000003923
38. Guy DK, Bosco JA, Savoie FH. AAOS Guidelines on Elective Surgery during the COVID-19 Pandemic:
March 31. COVID-19: Member Resource Center. Disponible en:
https://www.aaos.org/globalassets/about/covid-19/aaos-guidelines-on-electivesurge.pdf. Consulta: 3 de abril, 2020.
39. American Academy of Orthopaedic Surgeons. Clinical considerations during COVID19. Disponible en:
https://www.aaos.org/globalassets/about/covid-19/aaos-clinical-considerations-during-covid-19.pdf.
Consulta: 12 de abril, 2020.
40. NHS England and NHS Improvement. Redeploying your secondary care medical workforce safely. Disponible en: https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/03/Redeploying-your-secondary-caremedical-workforce-safely_26-March.pdf. Consulta: 26 de marzo, 2020.
41. CMS’s recommendations for adult elective surgery and procedures. Disponible en: https://www.aaos.org/about/covid-19-information-for-our-members/aaos-guidelines-for-elective-surgery/. Consulta: 26 de marzo, 2020.
42. Documentos de posicionamiento y recomendaciones de la AEC en relación con la cirugía y COVID-19. Disponible en: https://www.aecirujanos.es/Documentos-de-posicionamiento-y-recomendaciones-de-la-AEC-en-relacion-con-lacirugia-y-COVID19_es_1_152.html. Consulta: 26 de marzo, 2020.
43. Guidelines on Delaying Cancer Surgery during COVID-19. Disponible en:
https://www.medscape.com/viewarticle/927568_print. Consulta: 26 de marzo, 2020.
44. NHS England and NHS Improvement. Clinical guide for the perioperative care of people with fragility fractures during the Coronavirus pandemic. Disponible en: https://www.boa.ac.uk/uploads/assets/3e2ef4d7-6788-4fcd-8a17196fca00f63e/NHSE-Fragility-Fractures-and-Coronavirus-VBOA10-24032020docx.pdf. Consulta: 23 de marzo, 2020.
45. American College of Surgeons. COVID-19: Recommendations for Management of Elective Surgical Procedures. Disponible en: https://www.facs.org/-/media/files/covid19/recommendations_for_management_of_elective_surgical_procedures.ashx. Consulta: 23 de marzo, 2020.
46. World Health Organization. Critical preparedness, readiness and response actions for COVID-19. Interim guidance, 22 March 2020. Disponible en: https://www.who.int/publications-detail/critical-preparedness-readiness-and-response-actions-for-covid-19. Consulta: 26 de marzo, 2020.
47. World Health Organization. Rational use of personal protective equipment for coronavirus disease (COVID-19): interim guidance, 27 February 2020. Disponible en: https://apps.who.int/iris/handle/10665/331215. Consulta: 12 de marzo, 2020.
48. World Health Organization. Rational use of personal protective equipment for coronavirus disease (“COVID-19)” and considerations during severe shortages: interim guidance, 6 April 2020. Disponible en: https://www.who.int/publications-detail/rational-use-of-personal-protective-equipment-for-coronavirus-disease-(covid-19)-andconsiderations-during-severe-shortages. Consulta: 12 de abril, 2020.
49. World Health Organization. Infection prevention and control during health care when novel coronavirus (nCoV) infection is suspected: interim guidance, 19 March 2020. Disponible en: https://www.who.int/publications-detail/infection-prevention-and-control-during-health-care-when-novel-coronavirus-(ncov)-infection-is-suspected-20200125.
Consulta: 20 de marzo, 2020.
50. World Health Organization. Health workers exposure risk assessment and management in the context of COVID-19 virus: interim guidance, 4 March 2020. Disponible en: https://apps.who.int/iris/handle/10665/331340. Consulta: 20 de marzo, 2020.
51. Centers for Disease Control and Prevention (CDC). Use Personal Protective Equipment (PPE). Disponible en:
https://www.cdc.gov/coronavirus/2019-ncov/hcp/using-ppe.html. Consulta: 3 de abril, 2020.
52. Centers for Disease Control and Prevention (CDC). Outpatient and Ambulatory Care Settings: Responding to
Community Transmission of COVID-19 in the United States. Disponible en:
https://www.cdc.gov/coronavirus/2019-ncov/hcp/ambulatory-care-settings.html. Consulta: 7 de abril, 2020.
53. Centers for Disease Control and Prevention (CDC). Healthcare Infection Prevention and Control FAQs for
COVID-19. Operational Considerations for the Identification of Healthcare Workers and Inpatients with Suspected COVID-19 in non-US Healthcare Settings. Disponible en:
https://www.cdc.gov/coronavirus/2019-ncov/hcp/non-us-settings/guidance-identify-hcw-patients.html.
Consulta: 6 de abril, 2020.
54. Centers for Disease Control and Prevention (CDC). Interim Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed Coronavirus Disease 2019 (COVID-19) in Healthcare Settings. Disponible en: https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html. Consulta: 12 de abril, 2020.
55. Centers for Disease Control and Prevention (CDC). Interim U.S. Guidance for Risk Assessment and Public Health Management of Healthcare Personnel with Potential Exposure in a Healthcare Setting to Patients with Coronavirus Disease 2019 (COVID-19). Disponible en: https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-risk-assesment-hcp.html. Consulta: 12 de abril, 2020.
56. Centers for Disease Control and Prevention (CDC). Strategies for Optimizing the Supply of N95 Respirators during the COVID-19 Response. Disponible en: https://www.cdc.gov/coronavirus/2019-ncov/hcp/respirators-strategy/index.html. Consulta: 12 de abril, 2020.
57. Centers for Disease Control and Prevention (CDC). Steps Healthcare Facilities Can Take Now to Prepare for
COVID-19. Disponible en: https://www.cdc.gov/coronavirus/2019-ncov/hcp/steps-to-prepare.html. Consulta: 20 de marzo, 2020.
58. Centers for Disease Control and Prevention (CDC). Strategies for Optimizing the Supply of Eye Protection.
Disponible en: https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/eye-protection.html. Consulta: 17 de marzo, 2020.
59. Centers for Disease Control and Prevention (CDC). Strategies for Optimizing the Supply of Facemasks. Disponible en: https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/face-masks.html. Consulta: 17 de marzo, 2020.
60. Centers for Disease Control and Prevention (CDC). Strategies for Optimizing the Supply of Isolation Gowns.
Disponible en: https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/isolation-gowns.html. Consulta: 17 de marzo, 2020.
61. Centers for Disease Control and Prevention (CDC). Strategies to Mitigate Healthcare Personnel Stang Shortages. Disponible en: https://www.cdc.gov/coronavirus/2019-ncov/hcp/mitigating-staff-shortages.html. Consulta: 13 de abril, 2020.
on COVID-19 - 11 March 2020. Disponible en: https://www.who.int/es/dg/speeches/detail/who-director-general-sopening-remarks-at-the-media-briefing-on-covid-19---11-march-2020. Consulta: 11 de marzo, 2020.
2. Tan WJ, Zhao X, Ma XJ, Wang W, Niu P, X W, et al. A novel coronavirus genome identified in a cluster of
pneumonia cases—Wuhan, China 2019–2020. China CDC Weekly 2020;2(4):61-2.
https://doi.org/10.46234/ccdcw2020.017
3. Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med 2020;382:727-33. https://doi.org/10.1056/NEJMoa2001017
4. Ministerio de Salud de la República Argentina. Nuevo Coronavirus (COVID19). Reporte Diario. Disponible en:
https://www.argentina.gob.ar/sites/default/files/5-03-2020-nuevo-coronavirus-covid-19-reporte-diario_1.pdf.
Consulta: 5 de marzo, 2020.
5. Ministerio de Salud de la República Argentina. Nuevo Coronavirus (COVID19). Reporte Diario. Disponible en:
https://www.argentina.gob.ar/sites/default/files/12-03-20-nuevo-coronavirus-covid-19_reporte-diario_0.pdf.
Consulta: 12 de marzo, 2020.
6. Decreto 260/2020. Emergencia Sanitaria - Coronavirus (COVID-19). Boletín Oficial de la República Argentina.
DECNU-2020-260-APN-PTE. 12/03/2020. Disponible en: https://www.boletinoficial.gob.ar/suplementos/2020031201NS.pdf. Consulta: 12 de marzo, 2020.
7. Ministerio de Salud de la República Argentina. Plan Operativo de preparación y respuesta al COVID-19. Disponible
en: https://www.argentina.gob.ar/salud/coronavirus-COVID-19/plan-operativo. Consulta: 12 de marzo, 2020.
8. Gobierno de la Ciudad Autónoma de Buenos Aires. Directivas Centro de Operaciones de Emergencia COVID19.
ME-2020-09911443 GCABA-DGHOS. 18/03/2020. Disponible en:
https://eaaf.org/wp-content/uploads/covid19-PDFs/Argentina/IF-2020-10223708-GCABA-DGHOSP.pdf.
Consulta: 19 de marzo, 2020.
9. Gobierno de la Ciudad Autónoma de Buenos Aires. Proyecto de resolución. EE-2020-18074310-APN-DNCH#MS
Prórroga Promoción. Poder Ejecutivo Nacional. República Argentina. Ciudad de Buenos Aires. 19/03/20.
10. Gobierno de la Ciudad Autónoma de Buenos Aires. DECAD-2020-371-APN-JGM - Licencia excepcional.
Coronavirus (COVID-19). BO. Suplemento 12/03/2020. Disponible en:
https://www.boletinoficial.gob.ar/suplementos/2020031201NS.pdf. Consulta: 16 de marzo, 2020.
11. Ministerio de Salud de la República Argentina. Contratación por emergencia COVID19 N° 2/20. EX-2020-
21915903--APN-SSGA#MS. Poder Ejecutivo Nacional. 03/04/2020. Disponible en:
https://www.argentina.gob.ar/salud/contratacion-por-emergencia-covid-19. Consulta: 4 de abril, 2020.
12. Gobierno de la Ciudad Autónoma de Buenos Aires. ME-2020-11683110-GCABA-DGHOS. Reasignación de
funciones y redistribución del personal COVID-19. 16/04/2020. Disponible en:
http://www.hdurandinfo.com/. Consulta: 17 de abril, 2020.
13. Liang ZC, Wang W, Murphy D, Hui JHP. Novel coronavirus and orthopaedic surgery: early experiences from
Singapore. J Bone Joint Surg Am 2020;e000236. https://doi.org/10.2106/JBJS.20.00236
14. Rodriguez-Pinto R, Sousa R, Oliveira A. Preparing to perform trauma and orthopaedic surgery on patients with COVID-19. J Bone Joint Surg Am 2020;e20.00454. https://doi.org/10.2106/JBJS.20.00454
15. NHS England and NHS Improvement. Clinical guide for the management of trauma and orthopaedic patients
during the coronavirus pandemic. Disponible en: https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/03/C0274-Specialty-guide-Orthopaedic-trauma-v2-14-April.pdf. Consulta: 14 de abril, 2020.
16. Vaccaro AR, Getz CL, Cohen BE, Cole BJ, Donnally CJ 3rd. Practice management during the COVID-19
pandemic. J Am Acad Orthop Surg 2020;28(11):464-70. https://doi.org/10.5435/JAAOS-D-20-00379
17. British Orthopaedic Association. Management of patients with urgent orthopaedic conditions and trauma during the coronavirus pandemic. Disponible en: https://www.boa.ac.uk/resources/covid-19-boasts-combined.htm.
Consulta: 13 de abril, 2020.
18. SECOT. Recomendaciones Generales de la Sociedad Española de Cirugía Ortopédica y Traumatología frente al COVID-19. Disponible en: https://www.secot.es/media/docs/covid19/RecomendacionesSECOTGeneralesDeCOTFrenteAlCovid19.pdf.
Consulta: 13 de abril, 2020.
19. COVID-19 Guidelines for Triage of Orthopaedic Patients. American College of Surgeons. Disponible en:
https://www.facs.org/covid-19/clinical-guidance/elective-case/orthopaedics. Consulta: 4 de abril, 2020.
20. Guidance for surgeons working during the COVID-19 pandemic from the Surgical Royal Colleges of the United Kingdom and Ireland. Disponible en: https://www.rcseng.ac.uk/coronavirus/joint-guidance-for-surgeons-v1/.Consulta: 20 de marzo, 2020.
21. Massey PA, McClary K, Zhang AS, Savoie FH, Barton RS. Orthopaedic surgical selection and inpatient paradigms during the coronavirus COVID-19 pandemic. J Am Acad Orthop Surg 2020;28(11):436-50.
https://doi.org/10.5435/JAAOS-D-20-00360
22. Prada C, Chang Y, Poolman R, Johal H, Bhandari M. Best Practices for Surgeons -COVID-19 Evidence-Based
Scoping Review. A unifying report of global recommendations. Disponible en: https://aaot.org.ar/wp-content/
uploads/2020/04/OE-Best-Practices-for-Surgeons-COVID-19-Evidence-Based-Scoping-Review.pdf_compressed1.pdf. Consulta: 4 de abril 2020.
23. Tang PF, Hou ZY, Wu XB, Zhang CQ, Wang JW, Xing X, et al. Expert consensus on management principles of
orthopedic emergency in the epidemic of Corona Virus Disease 2019. Chin Med J 2020;133(9):1096-8.
https://doi.org/10.1097/CM9.0000000000000810
24. Decreto 297/2020. Aislamiento Social Preventivo y Obligatorio. Boletín Oficial de la República Argentina.
DECNU-2020-297-APN-PTE - Disposiciones. 19/03/2020. Disponible en:
https://www.boletinoficial.gob.ar/detalleAviso/primera/227042/20200320. Consulta: 20 de marzo, 2020.
25. Gobierno de la Ciudad Autónoma de Buenos Aires. Áreas programáticas de la Salud. 2016. Disponible en:
https://www.estadisticaciudad.gob.ar/eyc/wp-content/uploads/2016/08/SA071602.pdf. Consulta: 20 de marzo, 2020.
26. Center for Disease Control and Prevention (CDC). Steps Healthcare Facilities Can Take Now to Prepare for
COVID-19. Disponible en: https://www.cdc.gov/coronavirus/2019-ncov/hcp/steps-to-prepare.html.
Consulta: 20 de marzo, 2020.
27. Parisien RL, Shin M, Constant M, Saltzman BM, Li X, Levine WN, et al. Telehealth utilization in response to the
novel coronavirus (COVID-19) pandemic in orthopaedic surgery. J Am Acad Orthop Surg 2020.
https://doi.org/10.5435/JAAOS-D-20-00339
28. Dunham AM, Rieder TN, Humbyrd CJ. A bioethical perspective for navigating moral dilemmas amidst the
COVID-19 pandemic. J Am Acad Orthop Surg 2020;28(11):471-6. https://doi.org/10.5435/JAAOS-D-20-00371
29. Greenland JR, Michelow MD, Wang L, London MJ. COVID-19 Infection implications for perioperative and critical care physicians. Anesthesiology 2020;132(6):1346-61. https://doi.org/10.1097/ALN.0000000000003303
30. Zheng MH, Boni L, Fingerhut A. Minimally invasive surgery and the novel coronavirus outbreak: lessons learned in China and Italy. Ann Surg 2020. https://doi.org/10.1097/SLA.0000000000003924
31. Kogan M, Klein SE, Hannon CP, Nolte MT. Orthopaedic education during the COVID-19 pandemic. J Am Acad
Orthop Surg 2020;28(11):e456-e464. https://doi.org/10.5435/JAAOS-D-20-00292
32. Awad ME, Rumley JC, Vazquez JA, Devine JG. Peri-operative considerations in urgent surgical care of suspected and confirmed COVID-19 orthopedic patients: operating rooms protocols and recommendations in the current COVID-19 pandemic. J Am Acad Orthop Surg 2020;28(11):451-63. https://doi.org/10.5435/JAAOS-D-20-00227
33. Dexter F, Parra MC, Brown JR, Loftus RW. Perioperative COVID-19 defense: an evidence-based approach for
optimization of infection control and operating room management. Anesth Analg 2020.
https://doi.org/10.1213/ANE.0000000000004829
34. Wong J, Goh QY, Tan Z, Lie SA, Tay YC, Ng SY, et al. Preparing for a COVID-19 pandemic: a review of operating
room outbreak response measures in a large tertiary hospital in Singapore. Can J Anesth/J Can Anesth 2020;67:
732-45. https://doi.org/10.1007/s12630-020-01620-9
35. Vannabouathong C, Devji T, Ekhtiari S, Chang Y, Phillips SA, Zhu M, et al. Novel coronavirus COVID-19: current
evidence and evolving strategies. J Bone Joint Surg Am 2020. https://doi.org/10.2106/JBJS.20.00396
36. Ti LK, Ang LS, Foong TW, Ng BSW. What we do when a COVID-19 patient needs an operation: operating room
preparation and guidance. Can J Anaesth 2020;67(6):756-8. https://doi.org/10.1007/s12630-020-01617-4
37. Brindle M, Gawande A. Managing COVID-19 in surgical systems. Ann Surg 2020.
https://doi.org/10.1097/SLA.0000000000003923
38. Guy DK, Bosco JA, Savoie FH. AAOS Guidelines on Elective Surgery during the COVID-19 Pandemic:
March 31. COVID-19: Member Resource Center. Disponible en:
https://www.aaos.org/globalassets/about/covid-19/aaos-guidelines-on-electivesurge.pdf. Consulta: 3 de abril, 2020.
39. American Academy of Orthopaedic Surgeons. Clinical considerations during COVID19. Disponible en:
https://www.aaos.org/globalassets/about/covid-19/aaos-clinical-considerations-during-covid-19.pdf.
Consulta: 12 de abril, 2020.
40. NHS England and NHS Improvement. Redeploying your secondary care medical workforce safely. Disponible en: https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/03/Redeploying-your-secondary-caremedical-workforce-safely_26-March.pdf. Consulta: 26 de marzo, 2020.
41. CMS’s recommendations for adult elective surgery and procedures. Disponible en: https://www.aaos.org/about/covid-19-information-for-our-members/aaos-guidelines-for-elective-surgery/. Consulta: 26 de marzo, 2020.
42. Documentos de posicionamiento y recomendaciones de la AEC en relación con la cirugía y COVID-19. Disponible en: https://www.aecirujanos.es/Documentos-de-posicionamiento-y-recomendaciones-de-la-AEC-en-relacion-con-lacirugia-y-COVID19_es_1_152.html. Consulta: 26 de marzo, 2020.
43. Guidelines on Delaying Cancer Surgery during COVID-19. Disponible en:
https://www.medscape.com/viewarticle/927568_print. Consulta: 26 de marzo, 2020.
44. NHS England and NHS Improvement. Clinical guide for the perioperative care of people with fragility fractures during the Coronavirus pandemic. Disponible en: https://www.boa.ac.uk/uploads/assets/3e2ef4d7-6788-4fcd-8a17196fca00f63e/NHSE-Fragility-Fractures-and-Coronavirus-VBOA10-24032020docx.pdf. Consulta: 23 de marzo, 2020.
45. American College of Surgeons. COVID-19: Recommendations for Management of Elective Surgical Procedures. Disponible en: https://www.facs.org/-/media/files/covid19/recommendations_for_management_of_elective_surgical_procedures.ashx. Consulta: 23 de marzo, 2020.
46. World Health Organization. Critical preparedness, readiness and response actions for COVID-19. Interim guidance, 22 March 2020. Disponible en: https://www.who.int/publications-detail/critical-preparedness-readiness-and-response-actions-for-covid-19. Consulta: 26 de marzo, 2020.
47. World Health Organization. Rational use of personal protective equipment for coronavirus disease (COVID-19): interim guidance, 27 February 2020. Disponible en: https://apps.who.int/iris/handle/10665/331215. Consulta: 12 de marzo, 2020.
48. World Health Organization. Rational use of personal protective equipment for coronavirus disease (“COVID-19)” and considerations during severe shortages: interim guidance, 6 April 2020. Disponible en: https://www.who.int/publications-detail/rational-use-of-personal-protective-equipment-for-coronavirus-disease-(covid-19)-andconsiderations-during-severe-shortages. Consulta: 12 de abril, 2020.
49. World Health Organization. Infection prevention and control during health care when novel coronavirus (nCoV) infection is suspected: interim guidance, 19 March 2020. Disponible en: https://www.who.int/publications-detail/infection-prevention-and-control-during-health-care-when-novel-coronavirus-(ncov)-infection-is-suspected-20200125.
Consulta: 20 de marzo, 2020.
50. World Health Organization. Health workers exposure risk assessment and management in the context of COVID-19 virus: interim guidance, 4 March 2020. Disponible en: https://apps.who.int/iris/handle/10665/331340. Consulta: 20 de marzo, 2020.
51. Centers for Disease Control and Prevention (CDC). Use Personal Protective Equipment (PPE). Disponible en:
https://www.cdc.gov/coronavirus/2019-ncov/hcp/using-ppe.html. Consulta: 3 de abril, 2020.
52. Centers for Disease Control and Prevention (CDC). Outpatient and Ambulatory Care Settings: Responding to
Community Transmission of COVID-19 in the United States. Disponible en:
https://www.cdc.gov/coronavirus/2019-ncov/hcp/ambulatory-care-settings.html. Consulta: 7 de abril, 2020.
53. Centers for Disease Control and Prevention (CDC). Healthcare Infection Prevention and Control FAQs for
COVID-19. Operational Considerations for the Identification of Healthcare Workers and Inpatients with Suspected COVID-19 in non-US Healthcare Settings. Disponible en:
https://www.cdc.gov/coronavirus/2019-ncov/hcp/non-us-settings/guidance-identify-hcw-patients.html.
Consulta: 6 de abril, 2020.
54. Centers for Disease Control and Prevention (CDC). Interim Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed Coronavirus Disease 2019 (COVID-19) in Healthcare Settings. Disponible en: https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html. Consulta: 12 de abril, 2020.
55. Centers for Disease Control and Prevention (CDC). Interim U.S. Guidance for Risk Assessment and Public Health Management of Healthcare Personnel with Potential Exposure in a Healthcare Setting to Patients with Coronavirus Disease 2019 (COVID-19). Disponible en: https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-risk-assesment-hcp.html. Consulta: 12 de abril, 2020.
56. Centers for Disease Control and Prevention (CDC). Strategies for Optimizing the Supply of N95 Respirators during the COVID-19 Response. Disponible en: https://www.cdc.gov/coronavirus/2019-ncov/hcp/respirators-strategy/index.html. Consulta: 12 de abril, 2020.
57. Centers for Disease Control and Prevention (CDC). Steps Healthcare Facilities Can Take Now to Prepare for
COVID-19. Disponible en: https://www.cdc.gov/coronavirus/2019-ncov/hcp/steps-to-prepare.html. Consulta: 20 de marzo, 2020.
58. Centers for Disease Control and Prevention (CDC). Strategies for Optimizing the Supply of Eye Protection.
Disponible en: https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/eye-protection.html. Consulta: 17 de marzo, 2020.
59. Centers for Disease Control and Prevention (CDC). Strategies for Optimizing the Supply of Facemasks. Disponible en: https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/face-masks.html. Consulta: 17 de marzo, 2020.
60. Centers for Disease Control and Prevention (CDC). Strategies for Optimizing the Supply of Isolation Gowns.
Disponible en: https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/isolation-gowns.html. Consulta: 17 de marzo, 2020.
61. Centers for Disease Control and Prevention (CDC). Strategies to Mitigate Healthcare Personnel Stang Shortages. Disponible en: https://www.cdc.gov/coronavirus/2019-ncov/hcp/mitigating-staff-shortages.html. Consulta: 13 de abril, 2020.