2020, Number 1
<< Back Next >>
Acta de Otorrinolaringología CCC 2020; 48 (1)
Perioperative aspects in otologic surgery during COVID-19 era
Martínez H, Ronderos SÁM, García-Chabur MA, Corredor N
Language: Spanish
References: 37
Page: 79-92
PDF size: 934.04 Kb.
ABSTRACT
Otologic surgical procedures have been affected by the COVID-19 pandemic. Is not
known how long it will be until we see a decrease in the number of new cases and
when we will be able to return to our usual medical practice. Meanwhile, we must
adapt quickly to a new surgical practice in the COVID era. This article discuses
recommendations for reactivating otological surgical services during the pandemic,
establishing safe guidelines for ear surgery and for postoperative patient follow-up.
One of the most important goals is to provide recommendations on how to behave
in the operating room, how to use personal protection elements and to present new
methods that seek to reduce the exposure of the surgical team to aerosolization. Here
we describe a novel technique using the already described double draping technique
and adding an extension for the surgeon´s protection.
REFERENCES
Al-jabir A, Kerwan A, Nicola M, Alsafi Z, Khan M, Neill NO,et al. Impact of the coronavirus (COVID-19) pandemic onsurgical practice - Part 2 (surgical prioritisation). Int J Surg[Internet]. 2020;2. Available from: https://doi.org/10.1016/j.ijsu.2020.05.002
Rea P, Lloyd S, Jenkins D. Guidance for undertaking otologicalprocedures during COVID-19 pandemic. Br Soc Otol [Internet].2020;6–8. Available from: https://www.entuk.org/guidanceundertaking-otological-procedures-during-covid-19-pandemic
Kozin AED, Remenschneider AK, Blevins NH, Jan TA, QuesnelAM, Chari DA, et al. American Neurotology Society PositionStatement on Management of Otologic and NeurotologicPatients During the COVID-19 Pandemic. :1–34.
P AJB, Prieto R, Torregrosa L, Álvarez C, Hernández JD,González LG, et al. Volver a empezar : cirugía electiva durantela pandemia del SARS-CoV2 . Recomendaciones desde laAsociación. Rev Colomb Cirugía. 2020;302–21.
CDC. Appendix B. Air [Internet]. Guidelines for EnvironmentalInfection Control in Health-Care Facilities (2003). 2003.Available from: https://www.cdc.gov/infectioncontrol/guidelines/environmental/appendix/air.html
Tao KX, Zhang BX, Zhang P, Zhu P, Wang GB, Chen XP.Recommendations for general surgery clinical practice in 2019coronavirus disease situation. Zhonghua Wai Ke Za Zhi. 2020Mar;58(3):170–7.
Coccolini F, Perrone G, Chiarugi M, Di Marzo F, Ansaloni L,Scandroglio I, et al. Surgery in COVID-19 patients: Operationaldirectives. World J Emerg Surg. 2020;15(1):1–7.
Thamboo A, Lea J, Sommer DD, Sowerby L, AbdalkhaniA, Diamond C, et al. Clinical evidence based review andrecommendations of aerosol generating medical procedures inotolaryngology - head and neck surgery during the COVID-19pandemic. J Otolaryngol Head Neck Surg [Internet].2020;49(1):28. Available from: http://www.ncbi.nlm.nih.gov/pubmed/32375884%0Ahttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC7202463
Saavedra CH, Acevedo CA, Solórzano CA, Medina DC, VergaraEP, Gabriel R. Consenso colombiano de atención, diagnósticoy manejo de la infección por SARS-COV-2/COVID-19 enestablecimientos de atención de la salud. Infect Rev la AsocColomb Infectología. 2020;24(3).
Ti LK, Ang LS, Foong TW, Ng BSW. What we do whena COVID-19 patient needs an operation: operating roompreparation and guidance. Can J Anesth [Internet]. 2020;19–21.Available from: https://doi.org/10.1007/s12630-020-01617-4
Wong J, Goh QY, Tan Z, Lie SA, Tay YC, Ng SY, et al.Preparing for a COVID-19 pandemic: a review of operatingroom outbreak response measures in a large tertiary hospitalin Singapore. Can J Anesth [Internet]. 2020; Available from:https://doi.org/10.1007/s12630-020-01620-9
Verbeek JH, Rajamaki B, Ijaz S, Sauni R, Toomey E, BlackwoodB, et al. Personal protective equipment for preventing highlyinfectious diseases due to exposure to contaminated body fluidsin healthcare staff. Cochrane Database Syst Rev [Internet].2020 Apr 15 [cited 2020 May 13];(4). Available from: http://doi.wiley.com/10.1002/14651858.CD011621.pub4
Givi B, Schiff BA, Chinn SB, Clayburgh D, Iyer NG, Jalisi S,et al. Safety Recommendations for Evaluation and Surgery ofthe Head and Neck during the COVID-19 Pandemic. JAMAOtolaryngol - Head Neck Surg. 2020;1:1–6.
Hirschmann MT, Hart A, Henckel J, Sadoghi P, Seil R,Mouton C. COVID-19 coronavirus: recommended personalprotective equipment for the orthopaedic and traumasurgeon. Knee Surg Sports Traumatol Arthrosc [Internet].2020;(0123456789). Available from: http://www.ncbi.nlm.nih.gov/pubmed/32342138%0Ahttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC7184806
Panuganti, B. A., Pang, J., Califano, J., & Chan JYK. ProceduralPrecautions and Personal Protective Equipment during Headand Neck Instrumentation in the COVID-19 Era. Head Neck.2020;8.
Saadi RA, Bann D V., Patel VA, Goldenberg D, May J, IsildakH. A Commentary on Safety Precautions for Otologic Surgeryduring the COVID-19 Pandemic. Otolaryngol - Head NeckSurg (United States). 2020;1–3.
Chang L, Yan Y, Wang L. Coronavirus Disease 2019:Coronaviruses and Blood Safety. Transfus Med Rev.2020;(January):19–21.
Carron JD, Buck LS, Harbarger CF, Eby TL. A SimpleTechnique for Droplet Control During Mastoid Surgery. JAMAOtolaryngol Neck Surg [Internet]. 2020 Apr 28; Availablefrom: https://doi.org/10.1001/jamaoto.2020.1064
Chen JX, Workman AD, Chari DA, Jung DH, Kozin E, LeeDJ, et al. Demonstration and mitigation of aerosol and particledispersion during mastoidectomy relevant to the COVID-19era. Otol Neurotol [Internet]. 2020;0. Available from: http://www.ncbi.nlm.nih.gov/pubmed/32384377
Bertroche JT, Pipkorn P, Zolkind P, Buchman CA, Zevallos JP.Negative-Pressure Aerosol Cover for COVID-19 Tracheostomy.JAMA Otolaryngol Neck Surg [Internet]. 2020 Apr 28;Available from: https://doi.org/10.1001/jamaoto.2020.1081
Parhar HS, Tasche K, Brody RM, Weinstein GS, O’Malley BW,Shanti RM, et al. Topical preparations to reduce SARS-CoV2aerosolization in head and neck mucosal surgery . Head Neck.2020;(April):7–9.
Fan JKM, Chan FSY, Chu KM. Surgical smoke. Asian J Surg[Internet]. 2009;32(4):253–7. Available from: http://dx.doi.org/10.1016/S1015-9584(09)60403-6
Brüske I, Preissler G, Jauch K-W, Pitz M, Nowak D, PetersA, et al. Surgical smoke and ultrafine particles. J Occup MedToxicol. 2009;3:31.
Benson SM, Novak DA, Ogg MJ. Proper Use of SurgicalN95 Respirators and Surgical Masks in the OR. AORN J.2013;97(4):457–70.
Workman AD, Welling DB, Carter BS, Curry WT, Holbrook EH,Gray ST, et al. Endonasal instrumentation and aerosolizationrisk in the era of COVID-19: simulation, literature review,and proposed mitigation strategies. Int Forum Allergy Rhinol.2020;
Mowbray N, Ansell J, Warren N, Wall P, Torkington J. Issurgical smoke harmful to theater staff? a systematic review.Surg Endosc. 2013;27(9):3100–7.
SAGES. The Technique and Justification for MinimallyInvasive [Internet]. 2020. Available from: https://www.sages.org/resour%0Aces-smoke-gas-evacuation-during-openlaparoscopic-endos%0Acopic-procedures
Khan I, Mohamad S, Ansari S, Iyer A. Are head bandagesreally required after middle-ear surgery? A systematic review. JLaryngol Otol. 2015;129(8):740–3.
Brat GA, Facs MPH, Hersey SP, Chhabra K, Gupta A, MphJS, et al. Protecting Surgical Teams During the COVID-19Outbreak: A Narrative Review and Clinical Considerations.Ann Surg [Internet]. Available from: https://journals.lww.com/annalsofsurgery/Documents/COVID Surgery_VF.pdf
Montoya MP, Chitilian H V. Extubation barrier drape tominimise droplet spread. Br J Anaesth. 2020;(January).
Asenjo JF. Safer intubation and extubation of patients withCOVID-19. Can J Anesth Can d’anesthésie [Internet]. 2020;Available from: https://doi.org/10.1007/s12630-020-01666-9
Matava CT, Yu J, Denning S. Clear plastic drapes may beeffective at limiting aerosolization and droplet spray duringextubation: implications for COVID-19. Can J Anesth[Internet]. 2020;1–3. Available from: https://doi.org/10.1007/s12630-020-01649-w
Yong PSA, Chen X. Reducing droplet spread during airwaymanipulation : lessons from the COVID-19 pandemic inSingapore. Br J Anaesth. 2020;(January).
Dexter F, Parra MC, Brown JR, Loftus RW. PerioperativeCOVID-19 Defense: An Evidence-Based Approach forOptimization of Infection Control and Operating RoomManagement. Anesth Analg. 2020;XXX(Xxx):1–6.
Armellino D. Minimizing Sources of Airborne, Aerosolized,and Contact Contaminants in the OR Environment. AORN J[Internet]. 2017;106(6):494–501. Available from: https://doi.org/10.1016/j.aorn.2017.09.012
Gunter RL, Chouinard S, Fernandes-taylor S, Jason T, ClarksonS, Bennett K, et al. Current Use of Telemedicine for Post-Discharge Surgical Care: A Systematic Review. J Am CollSurg. 2016;222(5):915–27.
Liu Z, Zhang Y, Wang X, Zhang D, Diao D, ChandramohanK, et al. Recommendations for Surgery During the NovelCoronavirus (COVID-19) Epidemic. Indian J Surg. 2020;