Perioperative COVID‑19 Defense

Perioperative management during coronavirus disease (COVID‑19) outbreak is an interesting issue.[1] The perioperative COVID‑19 defense is an important topic in clinical anesthesiology.[2] Dexter et al. mentioned many interesting recommendations for the management of the patients in the operation room.[2] Here, we would like to share ideas on a forgotten point. Although several recommendations are raised regarding patients, there are few specific concerns on the medical practitioners. Self‑protection is a basic consideration. Nevertheless, it should not be forgotten that the medial personnel might also be the disease spreader of disease in the operation room. The operation is a small abdominal surgery in a provincial hospital. The spreader is a patient who also presented fever but gave no risk history. Since the patient disguises the history of risk contact, the disease transmission occurred, and the physician‑developed illness 3 days after contact by contact with respiratory spillage of the first spreader.