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10.1002/lary.29122

http://scihub22266oqcxt.onion/10.1002/lary.29122
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33017067!7675733!33017067
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suck abstract from ncbi


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pmid33017067      Laryngoscope 2021 ; 131 (5): E1415-E1421
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  • Quantification of Aerosol Concentrations During Endonasal Instrumentation in the Clinic Setting #MMPMID33017067
  • Murr AT; Lenze NR; Gelpi MW; Brown WC; Ebert CS Jr; Senior BA; Thorp BD; Kimple AJ; Zanation AM
  • Laryngoscope 2021[May]; 131 (5): E1415-E1421 PMID33017067show ga
  • OBJECTIVE: Recent anecdotal reports and cadaveric simulations have described aerosol generation during endonasal instrumentation, highlighting a possible risk for transmission of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) during endoscopic endonasal instrumentation. This study aims to provide a greater understanding of particle generation and exposure risk during endoscopic endonasal instrumentation. STUDY DESIGN: Prospective quantification of aerosol generation during office-based nasal endoscopy procedures. METHODS: Using an optical particle sizer, airborne particles concentrations 0.3 to 10 microns in diameter, were measured during 30 nasal endoscopies in the clinic setting. Measurements were taken at time points throughout diagnostic and debridement endoscopies and compared to preprocedure and empty room particle concentrations. RESULTS: No significant change in airborne particle concentrations was measured during diagnostic nasal endoscopies in patients without the need for debridement. However, significant increases in mean particle concentration compared to preprocedure levels were measured during cold instrumentation at 2,462 particles/foot(3) (95% CI 837 to 4,088; P = .005) and during suction use at 2,973 particle/foot(3) (95% CI 1,419 to 4,529; P = .001). In total, 99.2% of all measured particles were
  • |Aerosols[MESH]
  • |COVID-19/diagnosis/epidemiology/*transmission/virology[MESH]
  • |Cadaver[MESH]
  • |Debridement/adverse effects/methods[MESH]
  • |Disease Transmission, Infectious/prevention & control[MESH]
  • |Endoscopy/*adverse effects/instrumentation[MESH]
  • |Humans[MESH]
  • |Infectious Disease Transmission, Patient-to-Professional/*prevention & control[MESH]
  • |Mass Screening/standards[MESH]
  • |Nose Diseases/*diagnosis/surgery/virology[MESH]
  • |Occupational Exposure/adverse effects/prevention & control[MESH]
  • |Particle Size[MESH]
  • |Personal Protective Equipment/*standards/virology[MESH]
  • |Prospective Studies[MESH]
  • |SARS-CoV-2/genetics/isolation & purification[MESH]
  • |Simulation Training/methods[MESH]


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