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10.1017/S0022215120001607

http://scihub22266oqcxt.onion/10.1017/S0022215120001607
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32718359!7411442!32718359
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suck abstract from ncbi

pmid32718359      J+Laryngol+Otol 2020 ; 134 (8): 739-743
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  • The challenge of performing mastoidectomy using the operating microscope with coronavirus disease 2019 personal protective equipment (PPE) #MMPMID32718359
  • Clamp PJ; Broomfield SJ
  • J Laryngol Otol 2020[Aug]; 134 (8): 739-743 PMID32718359show ga
  • OBJECTIVE: Mastoidectomy is considered an aerosol-generating procedure. This study examined the effect of wearing personal protective equipment on the view achieved using the operating microscope. METHODS: ENT surgeons assessed the area of a calibrated target visible through an operating microscope whilst wearing a range of personal protective equipment, with prescription glasses when required. The distance between the surgeon's eye and the microscope was measured in each personal protective equipment condition. RESULTS: Eleven surgeons participated. The distance from the eye to the microscope inversely correlated with the diameter and area visible (p < 0.001). The median area visible while wearing the filtering facepiece code 3 mask and full-face visor was 4 per cent (range, 4-16 per cent). CONCLUSION: The full-face visor is incompatible with the operating microscope. Solutions offering adequate eye protection for aerosol-generating procedures that require the microscope, including mastoidectomy, are urgently needed. Low-profile safety goggles should have a working distance of less than 20 mm and be compatible with prescription lenses.
  • |Aerosols[MESH]
  • |Betacoronavirus/isolation & purification[MESH]
  • |Body Fluids/virology[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/epidemiology/virology[MESH]
  • |Humans[MESH]
  • |Infection Control/methods[MESH]
  • |Mastoidectomy/*instrumentation/trends[MESH]
  • |Microscopy/instrumentation[MESH]
  • |Microsurgery/*instrumentation/trends[MESH]
  • |Otolaryngologists/statistics & numerical data[MESH]
  • |Otorhinolaryngologic Surgical Procedures/*instrumentation/statistics & numerical data[MESH]
  • |Pandemics[MESH]
  • |Personal Protective Equipment/*adverse effects/standards/virology[MESH]
  • |Pneumonia, Viral/epidemiology/virology[MESH]
  • |SARS-CoV-2[MESH]


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