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Quantification of Aerosol Concentrations During Endonasal Instrumentation in the Clinic...
https://doi.org/10.1002/lary.29122
The Laryngoscope BIBLIOGRAPHY; Murr AT, Lenze NR et. al.

Oct 5th, 2020 - Recent anecdotal reports and cadaveric simulations have described aerosol generation during endonasal instrumentation, highlighting a possible risk for transmission of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) during endoscopic endonasal instrumentation. This study aims to provide a greater understanding of particle generation and exposure risk during endoscopic endonasal ins...

A survey of personal protective equipment use among US otolaryngologists during the COV...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7499145
American Journal of Otolaryngology; Yu K, Micco AG et. al.

Sep 26th, 2020 - Describe current practices and challenges in personal protective equipment (PPE) use among US otolaryngologists during the COVID-19 pandemic. Online survey. Academic and non-academic healthcare institutions. Subjects included US otolaryngology physicians. Emails were sent on April 17, 2020 to program coordinators at 121 residency programs, who were requested to forward the email to program dire...

Clinical utility of perfusion (Q)-single-photon emission computed tomography (SPECT)/CT...
https://doi.org/10.1007/s00259-020-05043-y
European Journal of Nuclear Medicine and Molecular Imaging; Das JP, Yeh R et. al.

Sep 22nd, 2020 - We reviewed the clinical utility of perfusion (Q)-single-photon emission computed tomography (SPECT)/CT for diagnosing pulmonary embolus (PE) in patients hospitalized with severe acute respiratory syndrome coronavirus 2 (SARS-CoV2). Following the World Health Organization's declaration of a global pandemic, our department policy recommended Q-only SPECT/CT for all patients undergoing nuclear me...

Efficacy of Povidone-Iodine Nasal and Oral Antiseptic Preparations Against Severe Acute...
https://doi.org/10.1177/0145561320957237
Ear, Nose, & Throat Journal; Pelletier JS, Tessema B et. al.

Sep 21st, 2020 - Severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) is the pathogen responsible for the global pandemic of coronavirus disease 2019 (COVID-19). From the first reported cases in December 2019, the virus has spread to over 4 million people worldwide. Human-to-human transmission occurs mainly through the aerosolization of respiratory droplets. Transmission also occurs through contact with...

A Rationale for Use of High Flow Nasal Cannula for Select Patients With Suspected or Co...
https://doi.org/10.1177/0885066620956630
Journal of Intensive Care Medicine; Suffredini DA, Allison MG

Sep 11th, 2020 - Infection with the novel 2019 coronavirus (SARS-CoV-2) is associated with the development of a viral pneumonia with severe hypoxemia and respiratory failure. In many cases these patients will require mechanical ventilation; but in others the severity of disease is significantly less and may not need invasive support. High flow nasal cannula (HFNC) is a widely used modality of delivering high co...

Tracheotomy in a High-Volume Center During the COVID-19 Pandemic: Evaluating the Surgeo...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7464051
Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery; Thal AG, Schiff BA et. al.

Sep 1st, 2020 - Performing tracheotomy in patients with COVID-19 carries a risk of transmission to the surgical team due to potential viral particle aerosolization. Few studies have reported transmission rates to tracheotomy surgeons. We describe our safety practices and the transmission rate to our surgical team after performing tracheotomy on patients with COVID-19 during the peak of the pandemic at a US epi...

Uninterrupted Continuous and Intermittent Nebulizer Therapy in a COVID-19 Patient Using...
https://doi.org/10.1089/jamp.2020.1636
Journal of Aerosol Medicine and Pulmonary Drug Delivery; Elnadoury O, Beattie J et. al.

Aug 24th, 2020 - Interruptions in continuous nebulized pulmonary vasodilators, such as epoprostenol, can potentially result in clinical deterioration in respiratory status. Coadministration of other intermittent nebulized therapies may require opening the ventilator circuit to facilitate administration. However, in patients with SARS-CoV2 infection, it is preferred to avoid opening the circuit whenever feasible...

RE: Open Tracheostomy for COVID-19 positive patients: a method to minimize aerosolizati...
https://doi.org/10.1097/TA.0000000000002913
The Journal of Trauma and Acute Care Surgery; Rhee P

Aug 16th, 2020 - RE: Open Tracheostomy for COVID-19 positive patients: a method to minimize aerosolization and reduce risk of exposure.|2020|Rhee P,|

Relevant Nutrition Therapy in COVID-19 and the Constraints on Its Delivery by a Unique ...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7436662
Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition; Patel JJ, Martindale RG et. al.

Aug 13th, 2020 - Worldwide, as of July 2020, >13.2 million people have been infected by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus. The spectrum of coronavirus disease 2019 (COVID-19) ranges from mild illness to critical illness in 5% of cases. The population infected with SARS-CoV-2 requiring an intensive care unit admission often requires nutrition therapy as part of supportive car...

Mitigation of Aerosols Generated During Rhinologic Surgery: A Pandemic-Era Cadaveric Si...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7424621
Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery; Sharma D, Ye MJ et. al.

Aug 11th, 2020 - After significant restrictions initially due to the COVID-19 pandemic, otolaryngologists have begun resuming normal clinical practice. However, the risk of SARS-CoV-2 transmission to health care workers through aerosolization and airborne transmission during rhinologic surgery remains incompletely characterized. The objective of this study was to quantify the number concentrations of aerosols g...

Intubation Checklist for COVID-19 Patients: A Practical Tool for Bedside Practitioners.
https://doi.org/10.4187/respcare.08063
Respiratory Care; Papali A, Ingram AO et. al.

Aug 10th, 2020 - The high frequency of aerosolizing procedures in the ICU, including endotracheal intubation, places clinical staff at elevated risk of contracting the 2019 coronavirus (COVID-19). Use of an intubation checklist can reduce exposure risk and thus acts as a potential safeguard. Specific, step-by-step guidance to perform safe endotracheal intubation in the setting of COVID-19 are limited. This arti...

Use of simulation to develop a COVID-19 resuscitation process in a pediatric emergency ...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7402106
American Journal of Infection Control; Diaz MCG, Dawson K

Aug 8th, 2020 - The coronavirus disease 2019 (COVID-19) pandemic has created many challenges for health care providers. At the forefront is the need to balance optimal patient care with the safety of those providing that care. This is especially true during resuscitations where life-saving procedures cause widespread aerosolization of the virus. Efforts to mitigate this exposure to front-line providers are the...

Bronchoscopy challenges during the COVID-19 pandemic.
https://doi.org/10.3949/ccjm.87a.ccc054
Cleveland Clinic Journal of Medicine; Gildea TR, Abdelmalak BB

Aug 4th, 2020 - Bronchoscopy is an aerosol-generating procedure that creates unique challenges for healthcare providers to reduce the potential spread of the COVID-19 respiratory pathogen. As part of the initial response, Cleveland Clinic postponed elective surgeries including bronchoscopy. We established a 5-tier system for prioritizing the urgency of bronchoscopy procedures. When elective bronchoscopies were...

Dead in the air? Case report highlighting need to adapt to CoVID adaptations.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7377813
The American Journal of Emergency Medicine; Kuehnel NA, Yngsdal-Krenz RTR et. al.

Aug 4th, 2020 - During the recent CoVID-19 pandemic, airway management recommendations have been provided to decrease aerosolization and risk of viral spread to healthcare providers. High efficiency particulate air (HEPA) viral filters and adaptors are one way to decrease the risk of aerosolization during intubation. When placed proximal to the ventilator circuit, these viral filters and adaptors can create a ...

Risk of SARS-CoV-2 Transmission During Flexible Laryngoscopy: A Systematic Review.
https://doi.org/10.1001/jamaoto.2020.1973
JAMA Otolaryngology-- Head & Neck Surgery; Kay JK, Parsel SM et. al.

Aug 3rd, 2020 - Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) reportedly infected otolaryngologists disproportionately in the early parts of the coronavirus disease 2019 pandemic. Recommendations from national and international health organizations suggest minimizing the use of flexible laryngoscopy as a result. To review evidence on the risks of aerosolization and transmission of SARS-CoV-2 fro...

N95 mask reuse in a major urban hospital: COVID-19 response process and procedure.
https://doi.org/10.1016/j.jhin.2020.07.035
The Journal of Hospital Infection; Czubryt MP, Stecy T et. al.

Aug 3rd, 2020 - The shortage of single-use N95 respirator masks (NRMs) during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has prompted consideration of NRM recycling to extend limited stocks by healthcare providers and facilities. To assess potential reuse via autoclaving of NRMs worn daily in a major urban Canadian hospital. NRM reusability was assessed following collection from ...

A Technique to Minimize Aerosolization During Percutaneous Tracheostomy in COVID-19 Pat...
https://doi.org/10.1177/0003134820943102
The American Surgeon; Betancourt-Ramirez A, Yelon JA et. al.

Jul 29th, 2020 - The SARS-CoV-2 pandemic has caused respiratory failure in many patients. With no effective treatment or vaccine, prolonged mechanical ventilation is common in survivors. Timing and performance of tracheostomy, for both patient and surgical team safety, remains a question. Here within, we report our experience with percutaneous dilatational tracheostomy with modification to minimize aerosolizati...

A Multidisciplinary Intubation Algorithm for Suspected COVID-19 Patients in the Emergen...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7390585
The Western Journal of Emergency Medicine; Trembley LL, Tobias AZ et. al.

Jul 29th, 2020 - Intubation of patients suspected of having coronavirus disease 2019 (COVID-19) is considered to be a high-risk procedure due to the aerosolization of viral particles. In an effort to minimize the risk of exposure and optimize patient care, we sought to develop, test, provide training, and implement a standardized algorithm for intubating these high-risk patients at our institution. We developed...

Coronavirus Neurosurgical/Head and Neck Drape to Prevent Aerosolization of Coronavirus ...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7376354
World Neurosurgery; D'Amico RS, Khatri D et. al.

Jul 27th, 2020 - The coronavirus disease 2019 (COVID-19) pandemic has infected more than 13 million people on a global scale and claimed more than half million deaths across 213 countries and territories. While the focus is currently on recovery from the pandemic, the disease has significantly changed the way we practice medicine and neurosurgery in New York City and the United States. Apart from the emergency ...

Improving protection from bioaerosol exposure during postoperative patient interaction ...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7364143
American Journal of Otolaryngology; Ko-Keeney EH, Saran MS et. al.

Jul 24th, 2020 - During patient transport from operating room to post-operative recovery area, anesthesia staff are at increased risk of particle aerosolization from patients despite wearing face shields. Current single-use face shields do not provide anesthesia staff from adequate protection from bioaerosolized particles expired during a patient's cough, particularly during transfer from the operating room to ...