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2020 ; 42
(6
): 1187-1193
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Conservation of personal protective equipment for head and neck cancer surgery
during COVID-19 pandemic
#MMPMID32342543
Chow VLY
; Chan JYW
; Ho VWY
; Lee GCC
; Wong MMK
; Wong STS
; Gao W
Head Neck
2020[Jun]; 42
(6
): 1187-1193
PMID32342543
show ga
BACKGROUND: COVID-19 pandemic has led to a global shortage of personal protective
equipment (PPE). This study aims to stratify face shield needs when performing
head and neck cancer surgery. METHODS: Fifteen patients underwent surgery between
March 1, 2020 and April 9, 2020. Operative diagnosis and procedure; droplet count
and distribution on face shields were documented. RESULTS: Forty-five surgical
procedures were performed for neck nodal metastatic carcinoma of unknown origin
(n = 3); carcinoma of tonsil (n = 2), tongue (n = 2), nasopharynx (n = 3),
maxilla (n = 1), and laryngopharynx (n = 4). Droplet contamination was 57.8%,
59.5%, 8.0%, and 0% for operating, first and second assistant surgeons, and scrub
nurse respectively. Droplet count was highest and most widespread during
osteotomies. No droplet splash was noted for transoral robotic surgery.
CONCLUSION: Face shield is not a mandatory adjunctive PPE for all head and neck
surgical procedures and health care providers. Judicious use helps to conserve
resources during such difficult times.
|*Occupational Health
[MESH]
|COVID-19
[MESH]
|Centers for Disease Control and Prevention, U.S./standards
[MESH]
|Cohort Studies
[MESH]
|Communicable Disease Control/methods
[MESH]
|Coronavirus Infections/*epidemiology/prevention & control
[MESH]
|Equipment Safety
[MESH]
|Female
[MESH]
|Humans
[MESH]
|Infectious Disease Transmission, Patient-to-Professional/*prevention & control
[MESH]
|Male
[MESH]
|Monitoring, Intraoperative/*methods
[MESH]
|Operating Rooms/standards
[MESH]
|Pandemics/prevention & control/*statistics & numerical data
[MESH]