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10.1016/j.anl.2020.05.022

http://scihub22266oqcxt.onion/10.1016/j.anl.2020.05.022
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32540054!7275141!32540054
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suck abstract from ncbi


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pmid32540054      Auris+Nasus+Larynx 2020 ; 47 (4): 544-558
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  • Review of practical recommendations for otolaryngologists and head and neck surgeons during the COVID-19 pandemic #MMPMID32540054
  • Krajewska Wojciechowska J; Krajewski W; Zub K; Zatonski T
  • Auris Nasus Larynx 2020[Aug]; 47 (4): 544-558 PMID32540054show ga
  • INTRODUCTION: Otolaryngologists are at very high risk of COVID-19 infection while performing examination or surgery. Strict guidelines for these specialists have not already been provided, while currently available recommendations could presumably change in course of COVID-19 pandemic as the new data increases. OBJECTIVES: This study aimed to synthesize evidence concerning otolaryngology during COVID-19 pandemic. It presents a review of currently existing guidelines and recommendations concerning otolaryngological procedures and surgeries during COVID-19 pandemic, and provides a collective summary of all crucial information for otolaryngologists. It summarizes data concerning COVID-19 transmission, diagnosis, and clinical presentation highlighting the information significant for otolaryngologists. METHODS: The Medline and Web of Science databases were searched without time limit using terms ''COVID-19", "SARS-CoV-2" in conjunction with "head and neck surgery", "otorhinolaryngological manifestations". RESULTS: Patients in stable condition should be consulted using telemedicine options. Only emergency consultations and procedures should be performed during COVID-19 pandemic. Mucosa-involving otolaryngologic procedures are considered high risk procedures and should be performed using enhanced PPE (N95 respirator and full face shield or powered air-purifying respirator, disposable gloves, surgical cap, gown, shoe covers). Urgent surgeries for which there is not enough time for SARS-CoV-2 screening are also considered high risk procedures. These operations should be performed in a negative pressure operating room with high-efficiency particulate air filtration. Less urgent cases should be tested for COVID-19 twice, 48 h preoperatively in 24 h interval. CONCLUSIONS: This review serves as a collection of current recommendations for otolaryngologists for how to deal with their patients during COVID-19 pandemic.
  • |*Personal Protective Equipment[MESH]
  • |*Practice Guidelines as Topic[MESH]
  • |*Telemedicine[MESH]
  • |Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*prevention & control/transmission[MESH]
  • |Humans[MESH]
  • |Infectious Disease Transmission, Patient-to-Professional/*prevention & control[MESH]
  • |Otolaryngologists[MESH]
  • |Otolaryngology[MESH]
  • |Otorhinolaryngologic Surgical Procedures/*methods[MESH]
  • |Pandemics/*prevention & control[MESH]
  • |Pneumonia, Viral/*prevention & control/transmission[MESH]


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