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10.1016/j.amjoto.2020.102634

http://scihub22266oqcxt.onion/10.1016/j.amjoto.2020.102634
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suck abstract from ncbi


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pmid32707426      Am+J+Otolaryngol 2020 ; 41 (6): 102634
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  • Improving protection from bioaerosol exposure during postoperative patient interaction in the COVID-19 era, a quality improvement study #MMPMID32707426
  • Ko-Keeney EH; Saran MS; McLaughlin K; Lipman S
  • Am J Otolaryngol 2020[Nov]; 41 (6): 102634 PMID32707426show ga
  • PURPOSE: During patient transport from operating room to post-operative recovery area, anesthesia staff are at increased risk of particle aerosolization from patients despite wearing face shields. Current single-use face shields do not provide anesthesia staff from adequate protection from bioaerosolized particles expired during a patient's cough, particularly during transfer from the operating room to the post-anesthesia recovery unit. In this study, we compare the efficacy of single-use face shield currently available at our institution to a newly designed face shield that provides better protection while still maintaining cost-effectiveness and the ease-of-use of a disposable device. MATERIALS AND METHODS: A patient actor, simulated movements from a patient post-procedure, during transport from operating room to postoperative recovery area. Patterns of exposure of bioaerosolized particles produced from a cough between different face shields was evaluated using fluorescein dye. MAIN RESULTS: More extensive coverage of the lower face, as provided by the Enhanced Protection Face Shield, offers improved droplet protection from bioaerosolized particles emitted from a cough. CONCLUSIONS: Transfer from the operating room to the post-operative recovery unit is a hands-on process and involves managing multiple aspects of patient care physically. Current single-use face shields are convenient and cost-effective, but do not provide adequate protection from droplet aerosolization by patients during transfer. Other masks that provide adequate coverage are costly and are not designed to be single-use. A single-use disposable face shield that offers improved coverage of the lower face provides improved protection for anesthesia staff while maintaining cost-effectiveness, ease-of-use, and infection control.
  • |*Masks[MESH]
  • |Aerosols/*analysis[MESH]
  • |Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*prevention & control/*transmission[MESH]
  • |Cough[MESH]
  • |Equipment Design[MESH]
  • |Humans[MESH]
  • |Infection Control[MESH]
  • |Infectious Disease Transmission, Patient-to-Professional/*prevention & control[MESH]
  • |Inhalation Exposure/prevention & control[MESH]
  • |Occupational Exposure/prevention & control[MESH]
  • |Pandemics/*prevention & control[MESH]
  • |Pneumonia, Viral/*prevention & control/*transmission[MESH]
  • |Postoperative Period[MESH]
  • |Quality Improvement[MESH]


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