Evolution of COVID-19 Guidelines for University of Washington Oral and Maxillofacial Surgery Patient Care

Kanvar Panesar; Thomas Dodson; John Lynch; Chloe Bryson-Cahn; Lisa Chew; Jasjit Dillon

doi:10.1016/j.joms.2020.04.034

Evolution of COVID-19 Guidelines for University of Washington Oral and Maxillofacial Surgery Patient Care

J Oral Maxillofac Surg. 2020 Jul;78(7):1136-1146. doi: 10.1016/j.joms.2020.04.034. Epub 2020 Apr 28.

Authors

Kanvar Panesar¹, Thomas Dodson², John Lynch³, Chloe Bryson-Cahn⁴, Lisa Chew⁵, Jasjit Dillon⁶

Affiliations

¹ Resident, Department of Oral and Maxillofacial Surgery, University of Washington, Seattle, WA.
² Professor and Chairman, Department of Oral and Maxillofacial Surgery, University of Washington School of Dentistry, Seattle, WA.
³ Medical Director, Infection Prevention and Control Program, Harborview Medical Center; Associate Medical Director, Harborview Medical Center; and Associate Professor, Division of Allergy and Infectious Diseases, University of Washington School of Medicine, Seattle, WA.
⁴ Associate Medical Director, Infection Prevention and Control, Harborview Medical Center; and Assistant Professor, Division of Allergy and Infectious Diseases, Department of Medicine, University of Washington School of Medicine, Seattle, WA.
⁵ Associate Medical Director, Ambulatory Care, Department of Medicine, Harborview Medical Center, Seattle, WA.
⁶ Clinical Associate Professor, Program Director, and Chief of Service, Harborview Medical Center and Department of Oral and Maxillofacial Surgery, University of Washington School of Dentistry, Seattle, WA. Electronic address: dillonj5@uw.edu.

Abstract

The emergence of coronavirus disease 2019 (COVID-19), caused by the SARS-CoV-2 (SC2) virus, in late December 2019 has placed an overwhelming strain on healthcare institutions nationwide. The modern healthcare system has never managed a pandemic of this magnitude, the ramifications of which will undoubtedly lead to lasting changes in policy and protocol development for viral testing guidelines, personal protective equipment (PPE), surgical scheduling, and residency education and training. The State of Washington had the first reported case and death related to COVID-19 in the United States. Oral and maxillofacial surgeons have a unique risk of exposure to SC2 and developing COVID-19 because of our proximity of working in and around the oropharynx and nasopharynx. The present report has summarized the evolution of COVID-19 guidelines in 4 key areas: 1) preoperative SC2 testing; 2) PPE stewardship; 3) surgical scheduling guidelines; and 4) resident education and training for oral and maxillofacial surgery at the University of Washington, Seattle, Washington.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Appointments and Schedules
Betacoronavirus
COVID-19
COVID-19 Testing
Clinical Laboratory Techniques
Coronavirus Infections* / diagnosis
Humans
Internship and Residency
Pandemics*
Patient Care / standards*
Personal Protective Equipment / standards
Pneumonia, Viral* / diagnosis
Practice Guidelines as Topic*
SARS-CoV-2
Surgery, Oral / organization & administration*
Washington