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10.1002/hed.26239

http://scihub22266oqcxt.onion/10.1002/hed.26239
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suck abstract from ncbi


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pmid32358853      Head+Neck 2020 ; 42 (7): 1577-1582
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  • Endoscopic skull base and transoral surgery during COVID-19 pandemic: Minimizing droplet spread with negative-pressure otolaryngology viral isolation drape #MMPMID32358853
  • David AP; Jiam NT; Reither JM; Gurrola JG 2nd; Aghi MK; El-Sayed IH
  • Head Neck 2020[Jul]; 42 (7): 1577-1582 PMID32358853show ga
  • BACKGROUND: The coronavirus disease (COVID-19) pandemic has raised concern of transmission of infectious organisms through aerosols formation in endonasal and transoral surgery. METHODS: Retrospective review. We introduce the negative-pressure otolaryngology viral isolation drape (NOVID) system to reduce the risk of aerosol. NOVID consists of a plastic drape suspended above the patient's head and surgical field with a smoke evacuator suction placed inside the chamber. RESULTS: Four patients underwent endonasal (4) and endo-oral surgery (1). Fluorescein was applied to the surgical field. Black light examination of fluorescein-treated operative fields revealed minimal contamination distant to the surgical field. In two prolonged cases with high-speed drilling, droplets were identified under the barrier and on the tip of the smoke evacuator. Instruments and cottonoids appeared to be a greater contributor to field contamination. CONCLUSIONS: Negative-pressure aspiration of air under a chamber barrier, which appears to successfully keep aerosol and droplet contamination to a minimum.
  • |*Otorhinolaryngologic Surgical Procedures[MESH]
  • |*Surgical Drapes[MESH]
  • |Air Pollutants, Occupational/*analysis[MESH]
  • |Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*prevention & control/transmission[MESH]
  • |Fluorescein[MESH]
  • |Fluorescent Dyes[MESH]
  • |Humans[MESH]
  • |Infection Control/*methods[MESH]
  • |Infectious Disease Transmission, Patient-to-Professional/*prevention & control[MESH]
  • |Occupational Exposure/analysis/*prevention & control[MESH]
  • |Pandemics/*prevention & control[MESH]
  • |Pneumonia, Viral/*prevention & control/transmission[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2[MESH]


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