Diagnostic and therapeutic endonasal rhinologic procedures generating aerosol during COVID-19 pandemic: a systematized review
| Autor: | Sandeep Trehan, Isha Preet Tuli, Sneha Nagendra, Priyanka Chamoli, Aashish Tomar, Shilpam Sharma, Kirti Khandelwal |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Rhinology
medicine.medical_specialty Coronavirus disease 2019 (COVID-19) Endoscopia nasal MEDLINE Endoscopic sinus surgery Review Article Epistaxe Nasal endoscopy Health care Pandemic medicine Humans Infection control Intensive care medicine Pandemics Personal Protective Equipment Personal protective equipment Aerosols SARS-CoV-2 business.industry Cirurgia endoscópica dos seios da face COVID-19 Cirurgia da base do crânio Epistaxis Otorhinolaryngology RF1-547 Skull base surgery business |
| Zdroj: | Brazilian Journal of Otorhinolaryngology Brazilian Journal of Otorhinolaryngology, Vol 87, Iss 4, Pp 469-477 (2021) Brazilian Journal of Otorhinolaryngology v.87 n.4 2021 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial (ABORL-CCF) instacron:ABORL-CCF |
| ISSN: | 1808-8694 |
| DOI: | 10.1016/j.bjorl.2020.11.008 |
| Popis: | Introduction Most rhinologic procedures, particularly endoscopic sinonasal procedures, are liable to produce aerosols. The severe acute respiratory syndrome coronavirus 2 (SARS-Co V-2) transmits via respiratory droplets, but the degree of its spread through airborne routes by aerosol is unclear. Objective The aim of this article is to counsel rhinologists on how to modify their conventional practice during the COVID-19 pandemic by prioritising the need of procedures, identifying aerosol- generating procedures and using precise personal protection equipment for various endonasal procedures. Methods We did a review of articles indexed for MEDLINE on PubMed, ENT Cochrane, DOAJ and Web of Science databases using the keywords nasal endoscopy, SARS‐CoV‐2, COVID‐19, aerosol generating medical procedures and rhinology to formulate guidelines for the safety of healthcare workers. Results The review included evidence from 28 articles from the otorhinolaryngology, surgery, infectious disease, head and neck surgery and cancer biology literature. We have provided recommendations and relevant information for rhinologists during the COVID-19 pandemic, based on the available studies and data, to warrant high-quality patient care and requisite levels of infection prevention during rhinology procedures. Conclusion In rhinology, marked care is advised during nasal packing, electrocauterisation and use of high-speed rotating devices in potentially infected tissue as they are considerable aerosol- producing procedures. The choice of personal protective equipment is based on the risk of exposure and possible modes of aerosol generation. |
| Databáze: | OpenAIRE |
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