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Perioperative Considerations for Tracheostomies in The Era of COVID-19.
https://doi.org/10.1213/ANE.0000000000005009
Anesthesia and Analgesia; Gosling AF, Bose S et. al.

May 27th, 2020 - The morbidity, mortality and blistering pace of transmission of infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has led to an unprecedented worldwide health crisis. COVID-19, the disease produced by SARS-CoV-2 infection, is remarkable for persistent, severe respiratory failure requiring mechanical ventilation that places considerable strain on critical care resources...

Current Evidence for Minimally Invasive Surgery During the COVID-19 Pandemic and Risk M...
https://doi.org/10.1097/SLA.0000000000004010
Annals of Surgery; Chadi SA, Guidolin K et. al.

May 20th, 2020 - Our objective was to review the literature surrounding the risks of viral transmission during laparoscopic surgery and propose mitigation measures to address these risks. The SARS-CoV-2 pandemic has caused surgeons the world over to re-evaluate their approach to surgical procedures given concerns over the risk of aerosolization of viral particles and exposure of operating room staff to infectio...

Cadaveric Simulation of Otologic Procedures: An Analysis of Droplet Splatter Patterns D...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7240315
Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery; Sharma D, Rubel KE et. al.

May 19th, 2020 - The otolaryngology community has significant concerns regarding the spread of SARS-CoV-2 through droplet contamination and viral aerosolization during head and neck examinations and procedures. The objective of this study was to investigate the droplet and splatter contamination from common otologic procedures. Cadaver simulation series. Dedicated surgical laboratory. Two cadaver heads were pre...

Videolaryngoscopy Intubation in Patients with COVID-19: How to Minimize Risk of Aerosol...
https://doi.org/10.1097/ALN.0000000000003389
Anesthesiology Zeidan A, Bamadhaj M et. al.

May 19th, 2020 - Videolaryngoscopy Intubation in Patients with COVID-19: How to Minimize Risk of Aerosolization?|2020|Zeidan A,Bamadhaj M,Al-Faraidy M,Ali M,|

Application of a Modified Endoscopy Face Mask for Flexible Laryngoscopy During the COVI...
https://doi.org/10.1177/0194599820928977
Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery; Narwani V, Kohli N et. al.

May 18th, 2020 - Diagnostic flexible laryngoscopy (DFL) is a critical tool in the armamentarium of an otolaryngologist. However, in the midst of the COVID-19 pandemic, DFL represents a high-risk procedure for patients and otolaryngologists due to the risk of aerosolization. In cases where DFL is required, in patients with COVID-19 positivity or unknown COVID-19 status, we describe the use of a modified endoscop...

Tracheotomy May Be Appropriate for Certain Ventilated Patients With COVID-19
https://www.medscape.com/viewarticle/930615

May 17th, 2020 - NEW YORK (Reuters Health) — Tracheotomy might be reasonable for some patients with COVID-19 who have been ventilated for more than 21 days, according to guidelines from the University of Pennsylvania Health System. "Some institutions have been recommending very early tracheostomy, and others have been avoiding tracheostomy altogether," Dr. Tiffany N. Chao of University of Pennsylvania, in Phila...

Transmission and risk factors of OF COVID-19.
https://doi.org/10.3949/ccjm.87a.ccc029
Cleveland Clinic Journal of Medicine; Miller R, Englund K

May 13th, 2020 - SARS-CoV-2, the virus that causes COVID-19, is transmitted through respiratory secretions and saliva. The virus can also live for short periods of time (1 to several hours) on fomites such as doorknobs, handrails, and tables. Aerosolization of the virus can occur during procedures including bronchoscopy, endotracheal intubation, and administration of nebulized treatments. Asymptomatic shedding ...

High-Risk Aerosol-Generating Procedures in COVID-19: Respiratory Protective Equipment C...
https://doi.org/10.1177/0194599820927335
Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery; Howard BE

May 12th, 2020 - The correct selection and utilization of respiratory personal protective equipment is of the utmost importance in the current COVID-19 pandemic. This is especially true for health care workers exposed to high-risk aerosol-generating procedures, including otolaryngologists, ophthalmologists, neurosurgeons, maxillofacial surgeons, and laparoscopic surgeons. This communication provides a review of...

ELSA recommendations for minimally invasive surgery during a community spread pandemic:...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7212724
Surgical Endoscopy; Shabbir A, Menon RK et. al.

May 12th, 2020 - The COVID-19 pandemic has resulted in significant changes to surgical practice across the worlds. Some countries are seeing a tailing down of cases, while others are still having persistent and sustained community spread. These evolving disease patterns call for a customized and dynamic approach to the selection, screening, planning, and for the conduct of surgery for these patients. The curren...

Best Practice Guidelines for the Management of Acute Craniomaxillofacial Trauma During ...
https://doi.org/10.1097/SCS.0000000000006654
The Journal of Craniofacial Surgery; DeSerres JJ, Al-Shaqsi SZ et. al.

May 10th, 2020 - Coronavirus disease 2019 (COVID-19) is an infectious disease that is caused by severe respiratory syndrome coronavirus 2. Although elective surgical procedures are being cancelled in many parts of the world during the COVID-19 pandemic, acute craniomaxillofacial (CMF) trauma will continue to occur and will need to be appropriately managed. Surgical procedures involving the nasal, oral, or phary...

OPEN TRACHEOSTOMY FOR COVID19 POSITIVE PATIENTS: A METHOD TO MINIMIZE AEROSOLIZATION AN...
https://doi.org/10.1097/TA.0000000000002780
The Journal of Trauma and Acute Care Surgery; Prabhakaran K, Malcom R et. al.

May 10th, 2020 - The COVID-19 virus is highly contagious and thus there is a potential of infecting operating staff when operating on these patients. This case series describes a method of performing open tracheostomy for COVID-19 patients while minimizing potential aerosolization of the virus using typically available equipment and supplies. This is a case series of 18 patients who were COVID-19 positive and u...

Geospatial analysis of COVID-19 and otolaryngologists above age 60.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7192070
American Journal of Otolaryngology; Ruthberg JS, Quereshy HA et. al.

May 10th, 2020 - The 2019 novel coronavirus (COVID-19) is disproportionately impacting older individuals and healthcare workers. Otolaryngologists are especially susceptible with the elevated risk of aerosolization and corresponding high viral loads. This study utilizes a geospatial analysis to illustrate the comparative risks of older otolaryngologists across the United States during the COVID-19 pandemic. Dem...

Management of patients with COPD during the COVID-19 pandemic.
https://doi.org/10.3949/ccjm.87a.ccc007
Cleveland Clinic Journal of Medicine; Attaway A

May 10th, 2020 - Patients with COPD have an increased risk for severity of COVID-19. Flu-like symptoms with dyspnea may distinguish COVID-19 infection from dyspnea due to a COPD-related exacerbation. Management of COPD with COVID-19 warrants standard-of-care treatment with antimicrobial agents and corticosteroids, though limiting the dose and duration of steroids use may be warranted due to the risk of increase...

Cardiothoracic robotic assisted surgery in times of COVID-19.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7207081
Journal of Robotic Surgery; Van den Eynde J, De Groote S et. al.

May 9th, 2020 - The coronavirus disease 2019 (COVID-19) pandemic poses an immense threat to healthcare systems worldwide. At a time when elective surgeries are being suspended and questions are being raised about how the remaining procedures on COVID-19 positive patients can be performed safely, it is important to consider the potential role of robotic assisted surgery within the current pandemic. Recently, se...

Save Surgical, Filtering Masks for Healthcare Workers: Guidelines
https://www.medscape.com/viewarticle/929982

May 7th, 2020 - NEW YORK (Reuters Health) - Filtering face piece (FFP) masks should be "strictly reserved" for health care workers (HCW) caring for patients with suspected or confirmed COVID-19 during the pandemic, according to new French guidelines. Surgical mask use should be limited to patients with suggested or confirmed COVID-19, HCW and other first-aid workers who come into contact with these patients, a...

Keep cystic fibrosis patients out of the hospital.
https://doi.org/10.3949/ccjm.87a.ccc005
Cleveland Clinic Journal of Medicine; Dasenbrook E

May 4th, 2020 - No specific data exists regarding management of patients with cystic fibrosis (CF) who are infected with COVID-19. Based on expert opinion, strategies for outpatient management include use of elexacaftor-tezacaftor-ivacaftor to reduce pulmonary exacerbations, telemedicine, adherence to prescribed regimens, prompt and aggressive treatment of CF exacerbations, and communication about COVID-19 wit...

Asthma increases risk of severity of COVID-19.
https://doi.org/10.3949/ccjm.87a.ccc002
Cleveland Clinic Journal of Medicine; Pennington E

May 4th, 2020 - Current Centers for Disease Control and Prevention guidelines state that patients with moderate to severe asthma may be at greater risk for more severe disease if infected with SARS-CoV-2; however, no published data support this suggestion. During this pandemic, it is recommended that patients with asthma continue taking all controller inhalers and other asthma medication as prescribed to preve...

Brief guideline for the prevention of COVID-19 infection in head and neck and otolaryng...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7151470
American Journal of Otolaryngology; Boccalatte LA, Larrañaga JJ et. al.

May 3rd, 2020 - Anatomically, viral density is greater in the nasal cavity and the nasopharynx. It is to be expected that instrumentation in or through those areas will entail a higher risk of transmission. That's why head and neck and otolaryngologist surgeons are among the most vulnerable health professionals. Surgeons should essentially perform procedures they require. Surgeries should be performed with per...

Procedural precautions and personal protective equipment during head and neck instrumen...
https://doi.org/10.1002/hed.26220
Head & Neck REFERENCES; Panuganti BA, Pang J et. al.

Apr 29th, 2020 - Otolaryngologists represent a subset of health care workers uniquely vulnerable to COVID-19 transmission. Given the segmentation of extant guidelines concerning precautions and protective equipment for SARS-CoV2, we aimed to provide consolidated recommendations regarding appropriate personal protective equipment (PPE) in head neck surgery during the COVID-19 era. Guidelines published by interna...

Bronchoscopy, laryngoscopy, and esophagoscopy during the COVID-19 pandemic.
https://doi.org/10.1002/hed.26221
Head & Neck REFERENCES; Reddy PD, Nguyen SA et. al.

Apr 29th, 2020 - The United States now has the highest death toll due to COVID-19. Many otolaryngology procedures, including laryngoscopy, bronchoscopy, and esophagoscopy, place otolaryngologists at increased risk of coronavirus transmission due to close contact with respiratory droplets and aerosolization from the procedure. The aim of this study is to provide an overview of guidelines on how to perform these ...