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10.1177/0194599820933169

http://scihub22266oqcxt.onion/10.1177/0194599820933169
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32484728!ä!32484728

suck abstract from ncbi


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pmid32484728      Otolaryngol+Head+Neck+Surg 2020 ; 163 (4): 676-681
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  • Rhinologic Practice Special Considerations During COVID-19: Visit Planning, Personal Protective Equipment, Testing, and Environmental Controls #MMPMID32484728
  • Howard BE; Lal D
  • Otolaryngol Head Neck Surg 2020[Oct]; 163 (4): 676-681 PMID32484728show ga
  • As rhinologists return to practice amid SARS-CoV-2, special considerations are warranted given the unique features of their subspecialty. Rhinologist manipulation of nasal tissue, proximity, and frequent aerosol-generating procedures (AGPs) create high risk for infection transmission. There are 4 areas of special consideration to mitigate risk: (1) previsit planning for risk stratification/mitigation, (2) appropriate personal protective equipment, (3) preprocedural testing, and (4) environmental controls. During previsit planning, risk factors of the patient and procedures are considered. High-risk AGPs are identified by duration, proximity, manipulation of high-viral load tissue, and use of powered instrumentation. Appropriate personal protective equipment includes selection of respiratory and eye protection. COVID-19 testing can screen for asymptomatic carriers prior to high-risk procedures; however, alternative testing methods are required in rhinologic patients not eligible for nasopharyngeal testing due to nasal obstruction or skull base defects. Last, AGPs in rhinologic practices require considerations of room air handling and environmental controls.
  • |*Betacoronavirus[MESH]
  • |*Pandemics[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*epidemiology/transmission[MESH]
  • |Delivery of Health Care/*organization & administration[MESH]
  • |Disease Transmission, Infectious/*prevention & control[MESH]
  • |Humans[MESH]
  • |Otolaryngology/*organization & administration[MESH]
  • |Personal Protective Equipment/*supply & distribution[MESH]
  • |Pneumonia, Viral/*epidemiology/transmission[MESH]


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