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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 SARS-CoV-2 pandemic has prompted consideration of NRM recycling to extend limited stocks by healthcare providers and facilities. We assessed potential re-use via autoclaving of NRMs worn daily in a major urban Canadian hospital. NRM reusability was assessed following collection from volunteer staff after 2-8 hours' use, steriliza...

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...

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 27th, 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...

Neurosurgical/Head and Neck drape to Prevent Aerosolization of COVID-19 - The Lenox Hil...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7376354
World Neurosurgery; D'Amico RS, Khatri D et. al.

Jul 27th, 2020 - Neurosurgical/Head and Neck drape to Prevent Aerosolization of COVID-19 - The Lenox Hill Hospital/Northwell Health solution.|2020|D'Amico RS,Khatri D,Kwan K,Baum G,Serulle Y,|

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 ...

Addressing the Concerns of Aerosolization During Phacoemulsification Due to COVID-19: H...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7396218
Journal of Cataract and Refractive Surgery; Rai AS, Mele R et. al.

Jul 22nd, 2020 - Addressing the Concerns of Aerosolization During Phacoemulsification Due to COVID-19: Human Cadaveric Eye with Trypan Blue.|2020|Rai AS,Mele R,Rai AS,Braga-Mele R,|

Management of prostate cancer patients during COVID-19 pandemic.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7371779
Prostate Cancer and Prostatic Diseases; Obek C, Doganca T et. al.

Jul 21st, 2020 - Prostate cancer patients' management demands prioritization, adjustments, and a tailored approach during the unprecedented SARS-CoV-2 pandemic. Benefit of care from treatment must be carefully weighed against the potential of infection and morbidity from COVID-19. Furthermore, urologists need to be cognizant of their obligation for wise consumption of restricted healthcare resources and protect...

Aerosol Dispersion During Mastoidectomy and Custom Mitigation Strategies for Otologic S...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7361126
Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery; Chari DA, Workman AD et. al.

Jul 14th, 2020 - To investigate small-particle aerosolization from mastoidectomy relevant to potential viral transmission and to test source-control mitigation strategies. Cadaveric simulation. Surgical simulation laboratory. An optical particle size spectrometer was used to quantify 1- to 10-µm aerosols 30 cm from mastoid cortex drilling. Two barrier drapes were evaluated: OtoTent1, a drape sheet affixed to th...

Cardiopulmonary Resuscitation in Intensive Care Unit Patients With Coronavirus Disease ...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7286272
Journal of Cardiothoracic and Vascular Anesthesia; Cheruku S, Dave S et. al.

Jul 5th, 2020 - Cardiopulmonary resuscitation (CPR) in patients with severe acute respiratory syndrome coronavirus-2-associated disease (coronavirus disease 2019) poses a unique challenge to health- care providers due to the risk of viral aerosolization and disease transmission. This has caused some centers to modify existing CPR procedures, limit the duration of CPR, or consider avoiding CPR altogether. In th...

Misconceptions About Negative Pressure Rooms and Their Impact Aboard USNS Comfort in Ne...
https://doi.org/10.1177/0194599820938016
Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery; Hill CJ, Capra GG et. al.

Jun 29th, 2020 - The outbreak of novel coronavirus disease 2019 (COVID-19) has had a momentous impact on the field of otolaryngology due to the high number of aerosol-generating procedures involving the upper aerodigestive tract. These procedures bear significant risk to the provider and clinical environment due to the possibility of viral aerosolization. While significant attention has been appropriately paid ...

The otolaryngologist's and anesthesiologist's collaborative role in a pandemic: A large...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7284239
International Journal of Pediatric Otorhinolaryngology; Willer BL, Thung AK et. al.

Jun 20th, 2020 - There has been a rapid global spread of a novel coronavirus, the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), which originated in Wuhan China in late 2019. A serious threat of nosocomial spread exists and as such, there is a critical necessity for well-planned and rehearsed processes during the care of the COVID-19 positive and suspected patient to minimize transmission and ris...

High-flow nasal cannula for acute hypoxemic respiratory failure in patients with COVID-...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7294988
Canadian Journal of Anaesthesia = Journal Canadien D'anesthesie; Agarwal A, Basmaji J et. al.

Jun 16th, 2020 - We conducted two World Health Organization-commissioned reviews to inform use of high-flow nasal cannula (HFNC) in patients with coronavirus disease (COVID-19). We synthesized the evidence regarding efficacy and safety (review 1), as well as risks of droplet dispersion, aerosol generation, and associated transmission (review 2) of viral products. Literature searches were performed in Ovid MEDLI...

Aerosolization During Common Ventilation Scenarios.
https://doi.org/10.1177/0194599820933595
Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery; Xiao R, Workman AD et. al.

Jun 15th, 2020 - Otolaryngologists are at increased risk for exposure to suspected aerosol-generating procedures during the ongoing coronavirus disease 2019 (COVID-19) pandemic. In the present study, we sought to quantify differences in aerosol generation during common ventilation scenarios. We performed a series of 30-second ventilation experiments on porcine larynx-trachea-lung specimens. We used an optical p...

Rapid outdoor non-compression intubation (RONCI) of cardiac arrests to mitigate COVID-1...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7255224
The American Journal of Emergency Medicine; Kinney B, Slama R

Jun 8th, 2020 - The COVID-19 pandemic has introduced numerous challenges for Health Care Professionals, including exposing Emergency Department (ED) staff to the SARS-CoV-2 virus during Cardiopulmonary Resuscitation (CPR). Recent guidelines from the American Heart Association (AHA) prioritize early intubation with viral filter placement to minimize hospital staff exposure. We propose a novel technique for rapi...

Electrocautery, Diathermy, and Surgical Energy Devices: Are Surgical Teams at Risk Duri...
https://doi.org/10.1097/SLA.0000000000004112
Annals of Surgery; Zakka K, Erridge S et. al.

Jun 8th, 2020 - The aim of the study was to provide a rapid synthesis of available data to identify the risk posed by utilizing surgical energy devices intraoperatively due to the generation of surgical smoke, an aerosol. Secondarily it aims to summarize methods to minimize potential risk to operating room staff. Continuing operative practice during the coronavirus disease-19 (COVID-19) pandemic places the hea...

Use of Tracheostomy During the COVID-19 Pandemic: American College of Chest Physicians/...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7274948
Chest Lamb CR, Desai NR et. al.

Jun 8th, 2020 - The role of tracheostomy during the COVID-19 pandemic remains unknown. The goal of this consensus statement is to examine the current evidence for performing tracheostomy in patients with respiratory failure from COVID-19 and offer guidance to physicians on the preparation, timing, and technique while minimizing the risk of infection to health care workers (HCWs). A panel including intensivists...

Improved safety of endoscopic vessel harvesting during the COVID-19 pandemic.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7267800
The Annals of Thoracic Surgery; Ali Hassan SM, Palacios CM et. al.

Jun 6th, 2020 - The COVID-19 pandemic has necessitated that operating room procedures be modified to ensure the safety of staff and patients. Specifically, procedures that have the potential to create aerosolization must be reassessed, given the risk of viral transmission via aerosolization. We present the use of a non-sealed endoscopic vessel harvesting(EVH) approach during coronary surgery that does not nece...

Comparison of the Effectiveness of Different Barrier Enclosure Techniques in Protection...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7302074
A&A Practice; Ibrahim M, Khan E et. al.

Jun 4th, 2020 - The coronavirus disease 2019 (COVID-19; SARS-CoV-2) pandemic has created serious challenges to anesthesiologists. As hospitalized patients' respiratory function deteriorates, many will require endotracheal intubation. Airway management of infected patients risks aerosolization of viral-loaded droplets that pose serious hazards to the anesthesiologist and all health care personnel present. The a...