A Negative-Pressure Face-Mounted System Reduces Aerosol Spread during Endonasal Endoscopic Surgery
| Autor: | Edmond Jonathan Gandham, Abhijit Goyal-Honavar, Latif Rajesh Johnson, Ankush Gupta, Regi Thomas, Suresh Devasahayam, Krishna Prabhu, Ari George Chacko |
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| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | J Neurol Surg B Skull Base |
| ISSN: | 2193-634X 2193-6331 |
| Popis: | Purpose Due to the potential risk of COVID-19 transmission during endonasal surgery, we studied methods to reduce droplet and aerosol generation during these procedures. Methods Droplet spread was assessed using ultraviolet light and a camera that detected fluorescence in the operative field and surgeon's personal protective equipment. Density of aerosols sized Results Droplet contamination due to direct spillage of fluorescein from the syringe was noted in two patients. Aerosol density rose during sphenoid drilling in both groups, with no significant difference when continuous suction and irrigation were employed (1.27 times vs. 1.07 times the baseline, p = 0.248). Aerosol density rose significantly when suction and irrigation were interrupted in the no-mask group (44.9 times vs. 1.2 times, p = 0.028), which was not seen when the mask was used. Conclusion Aerosol generation increases during drilling in endonasal procedures and is a concern during this pandemic. The use of a rigid suction close to the drill along with copious irrigation is effective in reducing aerosol spread. The use of a negative pressure mask provides additional safety when inadvertent blockage of suction and inadequate irrigation occur. |
| Databáze: | OpenAIRE |
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