CSO (Canadian Society of Otolaryngology-Head & Neck Surgery) position paper on rhinologic and skull base surgery during the COVID-19 pandemic

被引：4

作者：

Chan, Yvonne ^{[1
]}

Banglawala, Sarfaraz M. ^{[1
]}

Chin, Christopher J. ^{[2
]}

Cote, David W. J. ^{[3
]}

Dalgorf, Dustin ^{[1
]}

de Almeida, John R. ^{[1
]}

Desrosiers, Martin ^{[4
]}

Gall, Richard M. ^{[5
]}

Gevorgyan, Artur ^{[1
]}

Hassan Hassan, A. ^{[6
]}

Janjua, Arif ^{[7
]}

Lee, John M. ^{[1
]}

Leung, Randy M. ^{[1
]}

Mechor, Bradford D. ^{[8
]}

Mertz, Dominik ^{[9
]}

Monteiro, Eric ^{[1
]}

Nayan, Smriti ^{[10
]}

Rotenberg, Brian ^{[11
]}

Scott, John ^{[12
]}

Smith, Kristine A. ^{[5
]}

Sommer, Doron D. ^{[10
]}

Sowerby, Leigh ^{[11
]}

Tewfik, Marc A. ^{[13
]}

Thamboo, Andrew ^{[7
]}

Vescan, Allan ^{[1
]}

Witterick, Ian J. ^{[1
]}

机构：

[1] Univ Toronto, Dept Otolaryngol Head & Neck Surg, Toronto, ON, Canada

[2] Dalhousie Univ, Dept Surg, Div Otolaryngol Head & Neck Surg, St John, NB, Canada

[3] Univ Montreal Hosp Ctr CHUM & Res Ctr CRCHUM, Montreal, PQ, Canada

[4] Univ Montreal, Montreal, PQ, Canada

[5] Univ Manitoba, Dept Otolaryngol Head & Neck Surg, Winnipeg, MB, Canada

[6] Northern Ontario Sch Med, Dept Clin Sci, Thunder Bay, ON, Canada

[7] Univ British Columbia, Div Otolaryngol Head & Neck Surg, Vancouver, BC, Canada

[8] Calgary Sinus Ctr, Calgary, AB, Canada

[9] McMaster Univ, Div Infect Dis, Dept Med, Hamilton, ON, Canada

[10] McMaster Univ, Dept Surg, Div Otolaryngol Head & Neck Surg, Hamilton, ON, Canada

[11] Western Univ, Dept Otolaryngol Head & Neck Surg, London, ON, Canada

[12] Dalhousie Univ, Dept Otolaryngol Head & Neck Surg, Halifax, NS, Canada

[13] McGill Univ, Dept Otolaryngol Head & Neck Surg, Montreal, PQ, Canada

来源：

JOURNAL OF OTOLARYNGOLOGY-HEAD & NECK SURGERY | 2020年 / 49卷 / 01期

关键词：

BLOOD AEROSOL CONTAMINATION; HEALTH-CARE WORKERS; SURGICAL SMOKE; PROTECTION; EPISTAXIS; PAPILLOMAVIRUS; RESPIRATORS; PERFORMANCE; MANAGEMENT; INFLUENZA;

D O I：

10.1186/s40463-020-00476-9

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Healthcare services in many countries have been partially or completely disrupted by the Coronavirus (COVID-19) pandemic since its onset in the end of 2019. Amongst the most impacted are the elective medical and surgical services in order to conserve resources to care for COVID-19 patients. As the number of infected patients decrease across Canada, elective surgeries are being restarted in a staged manner. Since Otolaryngologists - Head & Neck Surgeons manage surgical diseases of the upper aerodigestive tract where the highest viral load reside, it is imperative that these surgeries resume in a safe manner. The aim of this document is to compile the current best evidence available and provide expert consensus on the safe restart of rhinologic and skull base surgeries while discussing the pre-operative, intra-operative, and post-operative care and tips. Risk assessment, patient selection, case triage, and pre-operative COVID-19 testing will be analyzed and discussed. These guidelines will also consider the optimal use of personal protective equipment for specific cases, general and specific operative room precautions, and practical tips of intra-operative maneuvers to optimize patient and provider safety. Given that the literature surrounding COVID-19 is rapidly evolving, these recommendations will serve to start our specialty back into elective rhinologic surgeries over the next months and they may change as we learn more about this disease.

引用

页数：22

共 113 条

[1] Preoperative treatment with topical corticoids and bleeding during primary endoscopic sinus surgery [J].

Albu, Silviu ;

Gocea, Anamaria ;

Mitre, Ileana .

OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2010, 143 (04) :573-578

[2]

American Academy of Otolaryngology-Head and Neck Surgery, 2020, Guidance for Return to Practice for Otolaryngology-Head and Neck Surgery-Part One

[3]

[Anonymous], 2020, EUR RADIOL

[4]

[Anonymous], 2020, Radiology, DOI DOI 10.1148/RADIOL.2020200642

[5]

[Anonymous], COVID 19 MAN INF RIS

[6]

[Anonymous], 2020, CANADIAN ANESTHESIOL

[7]

[Anonymous], 2020, LANCET

[8]

[Anonymous], 2020, Joint Statement: Roadmap for Resuming Elective Surgery after COVID-19 Pandemic Internet

[9]

[Anonymous], 2020, IPAC REC US PERS PRO

[10] Presumed Asymptomatic Carrier Transmission of COVID-19 [J].

Bai, Yan ;

Yao, Lingsheng ;

Wei, Tao ;

Tian, Fei ;

Jin, Dong-Yan ;

Chen, Lijuan ;

Wang, Meiyun .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2020, 323 (14) :1406-1407

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