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About:
Mitigation of Aerosols Generated During Rhinologic Surgery: A Pandemic-Era Cadaveric Simulation
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An Entity of Type :
schema:ScholarlyArticle
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wasabi.inria.fr
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Type:
Academic Article
research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
has title
Mitigation of Aerosols Generated During Rhinologic Surgery: A Pandemic-Era Cadaveric Simulation
Creator
Park, Jae
Wu, Arthur
Burgin, Sarah
Campiti, Vincent
Higgins, Thomas
Illing, Elisa
Rubel, Kolin
Sharma, Dhruv
Ting, Jonathan
Ye, Michael
Shipchandler, Taha
Sim, Michael
Source
Medline; PMC
abstract
OBJECTIVE: 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 generated during rhinologic surgery with and without interventions involving 3 passive suction devices. STUDY DESIGN: Cadaver simulation. SETTING: Dedicated surgical laboratory. SUBJECTS AND METHODS: In a simulation of rhinologic procedures with and without different passive suction interventions, the concentrations of generated aerosols in the particle size range of 0.30 to 10.0 µm were quantified with an optical particle sizer. RESULTS: Functional endoscopic sinus surgery with and without microdebrider, high-speed powered drilling, use of an ultrasonic aspirator, and electrocautery all produced statistically significant increases in concentrations of aerosols of various sizes (P < .05). Powered drilling, ultrasonic aspirator, and electrocautery generated the highest concentration of aerosols, predominantly submicroparticles <1 µm. All interventions with a suction device were effective in reducing aerosols, though the surgical smoke evacuation system was the most effective passive suction method in 2 of the 5 surgical conditions with statistical significance (P < .05). CONCLUSION: Significant aerosol concentrations were produced in the range of 0.30 to 10.0 µm during all rhinologic procedures in this cadaver simulation. Rhinologic surgery with a passive suction device results in significant mitigation of generated aerosols.
has issue date
2020-08-11
(
xsd:dateTime
)
bibo:doi
10.1177/0194599820951169
bibo:pmid
32779974
has license
cc-by
sha1sum (hex)
bf379c056592b1984fda1218c3d2fe1ac6f4a6a0
schema:url
https://doi.org/10.1177/0194599820951169
resource representing a document's title
Mitigation of Aerosols Generated During Rhinologic Surgery: A Pandemic-Era Cadaveric Simulation
has PubMed Central identifier
PMC7424621
has PubMed identifier
32779974
schema:publication
Otolaryngol Head Neck Surg
resource representing a document's body
covid:bf379c056592b1984fda1218c3d2fe1ac6f4a6a0#body_text
is
schema:about
of
named entity 'However'
named entity 'airborne'
named entity 'surgery'
named entity 'remains'
named entity 'passive'
named entity 'HEALTH CARE'
named entity 'WORKERS'
named entity 'REMAINS'
named entity 'CONCENTRATIONS'
named entity 'COVID-19'
named entity 'suction'
named entity 'initially'
named entity 'aerosols'
named entity 'transmission'
named entity 'Objective'
named entity 'Surgery'
named entity 'health care workers'
named entity 'airborne transmission'
named entity 'Simulation'
named entity 'aerosol'
named entity 'aerosol'
named entity 'ultrasonic'
named entity 'severe acute respiratory syndrome coronavirus 2'
named entity 'analysis of variance'
named entity 'fellowship-trained'
named entity 'electrocautery'
named entity 'surgical procedures'
named entity 'surgeon'
named entity 'aerosols'
named entity 'clinical practice'
named entity 'SARS-CoV-2'
named entity 'surgical smoke'
named entity 'SARS-CoV-2'
named entity 'OPS'
named entity 'viral particles'
named entity 'Airborne transmission'
named entity 'FESS'
named entity '10.0'
named entity 'virions'
named entity '10.0'
named entity 'nasal cavity'
named entity 'mm Hg'
named entity 'SARS-CoV-2'
named entity '10.0'
named entity 'operating room'
named entity 'statistical analyses'
named entity 'aerosol'
named entity 'FESS'
named entity 'statistically significant'
named entity 'aerosols'
named entity 'fixed point'
named entity 'aerosol'
named entity 'FESS'
named entity 'aerosols'
named entity 'Statistical significance'
named entity 'aerosol'
named entity 'operating room'
named entity 'statistically significant'
named entity 'FESS'
named entity 'aerosol'
named entity 'aerosol'
named entity 'cadaver'
named entity 'aerosol'
named entity 'aerosols'
named entity 'aerosols'
named entity 'aerosol'
named entity 'FESS'
named entity 'aerosol'
named entity 'ultrasonic'
named entity 'lower airway'
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