Pediatric laryngoscopy and bronchoscopy during the COVID-19 pandemic: A four-center collaborative protocol to improve safety with perioperative management strategies and creation of a surgical tent with disposable drapes.

Autor: Francom CR; Department of Otolaryngology, Head and Neck Surgery, University of Colorado School of Medicine, Children's Hospital Colorado, Aurora, CO, USA. Electronic address: Christian.francom@childrenscolorado.org., Javia LR; Department of Otorhinolaryngology, Head and Neck Surgery, University of Pennsylvania Perelman School of Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA., Wolter NE; Department of Otolaryngology, Head and Neck Surgery, University of Toronto, The Hospital for Sick Children, Toronto, Canada., Lee GS; Department of Otolaryngology, Head and Neck Surgery, Harvard Medical School, Boston Children's Hospital, Boston, MA, USA., Wine T; Department of Otolaryngology, Head and Neck Surgery, University of Colorado School of Medicine, Children's Hospital Colorado, Aurora, CO, USA., Morrissey T; Department of Anesthesiology, University of Colorado School of Medicine, Children's Hospital Colorado, Aurora, CO, USA., Papsin BC; Department of Otolaryngology, Head and Neck Surgery, University of Toronto, The Hospital for Sick Children, Toronto, Canada., Peyton JM; Department of Anesthesiology, Harvard Medical School, Boston Children's Hospital, Boston, MA, USA., Matava CT; Department of Anesthesia and Pain Medicine, University of Toronto, The Hospital for Sick Children, Toronto, Canada., Volk MS; Department of Otolaryngology, Head and Neck Surgery, Harvard Medical School, Boston Children's Hospital, Boston, MA, USA., Prager JD; Department of Otolaryngology, Head and Neck Surgery, University of Colorado School of Medicine, Children's Hospital Colorado, Aurora, CO, USA., Propst EJ; Department of Otolaryngology, Head and Neck Surgery, University of Toronto, The Hospital for Sick Children, Toronto, Canada.
Jazyk: angličtina
Zdroj: International journal of pediatric otorhinolaryngology [Int J Pediatr Otorhinolaryngol] 2020 Jul; Vol. 134, pp. 110059. Date of Electronic Publication: 2020 Apr 21.
DOI: 10.1016/j.ijporl.2020.110059
Abstrakt: Aerosolization procedures during the COVID-19 pandemic place all operating room personnel at risk for exposure. We offer detailed perioperative management strategies and present a specific protocol designed to improve safety during pediatric laryngoscopy and bronchoscopy. Several methods of using disposable drapes for various procedures are described, with the goal of constructing a tent around the patient to decrease widespread contamination of dispersed droplets and generated aerosol. The concepts presented herein are translatable to future situations where aerosol generating procedures increase risk for any pathogenic exposure. This protocol is a collaborative effort based on knowledge gleaned from clinical and simulation experience from Children's Hospital Colorado, Children's Hospital of Philadelphia, The Hospital for Sick Children in Toronto, and Boston Children's Hospital.
Competing Interests: Declaration of competing interest The authors have no conflicts of interest.
(Copyright © 2020. Published by Elsevier B.V.)
Databáze: MEDLINE
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