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2020 ; 42
(7
): 1645-1651
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gab.com Text
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English Wikipedia
Procedural precautions and personal protective equipment during head and neck
instrumentation in the COVID-19 era
#MMPMID32348594
Panuganti BA
; Pang J
; Califano J
; Chan JYK
Head Neck
2020[Jul]; 42
(7
): 1645-1651
PMID32348594
show ga
BACKGROUND: Otolaryngologists represent a subset of health care workers uniquely
vulnerable to COVID-19 transmission. Given the segmentation of extant guidelines
concerning precautions and protective equipment for SARS-CoV2, we aimed to
provide consolidated recommendations regarding appropriate personal protective
equipment (PPE) in head neck surgery during the COVID-19 era. METHODS: Guidelines
published by international and US governing bodies were reviewed in conjunction
with published literature concerning COVID-19 transmission risk, testing, and
PPE, to compile situation-specific recommendations for head and neck providers
managing COVID-19 patients. RESULTS: High-quality data regarding the
aerosolization potential of head and neck instrumentation and appropriate PPE
during head and neck surgeries are lacking. However, extrapolation of
recommendations by governing bodies suggests strongly that head and neck mucosal
instrumentation warrants strict adherence to airborne-level precautions.
CONCLUSION: We present a series of situation-specific recommendations for PPE use
and other procedural precautions for otolaryngology providers to consider in the
COVID-19 era.