Evaluation of the aerosol generating potential of endoscopic dacryocystorhinostomy
| Autor: | Darren A Chen, Gary J. Lelli, Mark Lee, Ashutosh Kacker |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Nasal cavity
medicine.medical_specialty RD1-811 Coronavirus disease 2019 (COVID-19) aerosol business.industry medicine.medical_treatment Dacryocystorhinostomy transmission General Medicine Facial Plastics and Reconstructive Surgery Endoscopic dacryocystorhinostomy Lacrimal sac Aerosol Surgery medicine.anatomical_structure Otorhinolaryngology RF1-547 Laryngeal mask airway medicine Intubation business dacryocystorhinostomy Original Research |
| Zdroj: | Laryngoscope Investigative Otolaryngology, Vol 6, Iss 5, Pp 948-951 (2021) Laryngoscope Investigative Otolaryngology |
| ISSN: | 2378-8038 |
| DOI: | 10.1002/lio2.639 |
| Popis: | Purpose The COVID‐19 pandemic gave rise to renewed concerns of the transmission risks posed by surgeries on sites of high viral colonization such as the nasopharynx. Endoscopic dacryocystorhinostomy (DCR) involves the creation of a new tear duct from the lacrimal sac to the nasal cavity. The purpose of this project is to determine if endoscopic DCR is an aerosol generating procedure (AGP). Methods An optical particle sizer (OPS) was used to intraoperatively quantify aerosol concentrations during four cases of endoscopic DCR. The OPS sampled the air once every 60 seconds throughout the operations. The time of important operative steps were documented and correlated with OPS readings. Particle concentrations during each major surgical step were compared to baseline readings by the Mann Whitney U Test. Results There were statistically significant increases in median particle concentrations during laryngeal mask airway intubations for both particles 0.3 to 5.0 μm and >5.0 μm (P An optical particle sizer quantified aerosols during key steps of endoscopic 42 dacryocystorhinostomy, showing increases in 0.3‐5.0 μm and >5.0 μm particles during 43 intubation, but no increases in particles associated with any of the surgical steps. |
| Databáze: | OpenAIRE |
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