About: Mitigation of Aerosols Generated During Rhinologic Surgery: A Pandemic-Era Cadaveric Simulation

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An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
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
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