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2.
Head Neck ; 42(6): 1187-1193, 2020 06.
Article in English | MEDLINE | ID: covidwho-133249

ABSTRACT

BACKGROUND: COVID-19 pandemic has led to a global shortage of personal protective equipment (PPE). This study aims to stratify face shield needs when performing head and neck cancer surgery. METHODS: Fifteen patients underwent surgery between March 1, 2020 and April 9, 2020. Operative diagnosis and procedure; droplet count and distribution on face shields were documented. RESULTS: Forty-five surgical procedures were performed for neck nodal metastatic carcinoma of unknown origin (n = 3); carcinoma of tonsil (n = 2), tongue (n = 2), nasopharynx (n = 3), maxilla (n = 1), and laryngopharynx (n = 4). Droplet contamination was 57.8%, 59.5%, 8.0%, and 0% for operating, first and second assistant surgeons, and scrub nurse respectively. Droplet count was highest and most widespread during osteotomies. No droplet splash was noted for transoral robotic surgery. CONCLUSION: Face shield is not a mandatory adjunctive PPE for all head and neck surgical procedures and health care providers. Judicious use helps to conserve resources during such difficult times.


Subject(s)
Coronavirus Infections/epidemiology , Infectious Disease Transmission, Patient-to-Professional/prevention & control , Monitoring, Intraoperative/methods , Occupational Health , Pandemics/statistics & numerical data , Personal Protective Equipment/virology , Pneumonia, Viral/epidemiology , COVID-19 , Centers for Disease Control and Prevention, U.S./standards , Cohort Studies , Communicable Disease Control/methods , Coronavirus Infections/prevention & control , Equipment Safety , Female , Humans , Male , Operating Rooms/standards , Pandemics/prevention & control , Personal Protective Equipment/standards , Pneumonia, Viral/prevention & control , Practice Guidelines as Topic , Retrospective Studies , United States
3.
Head Neck ; 42(6): 1202-1208, 2020 06.
Article in English | MEDLINE | ID: covidwho-125244

ABSTRACT

The practices of head and neck surgical oncologists must evolve to meet the unprecedented needs placed on our health care system by the Coronavirus disease 2019 (COVID-19) pandemic. Guidelines are emerging to help guide the provision of head and neck cancer care, though in practice, it can be challenging to operationalize such recommendations. Head and neck surgeons at Wuhan University faced significant challenges in providing care for their patients. Similar challenges were faced by the University of Toronto during the severe acute respiratory syndrome (SARS) pandemic in 2003. Herein, we outline our combined experience and key practical considerations for maintaining an oncology service in the midst of a pandemic.


Subject(s)
Communicable Disease Control/standards , Coronavirus Infections/prevention & control , Head and Neck Neoplasms/surgery , Pandemics/statistics & numerical data , Pneumonia, Viral/prevention & control , Practice Guidelines as Topic , Surgical Oncology/standards , COVID-19 , Canada , China , Coronavirus Infections/epidemiology , Delivery of Health Care/standards , Female , Head and Neck Neoplasms/diagnosis , Humans , Male , Monitoring, Intraoperative/methods , Occupational Health , Outcome Assessment, Health Care , Pandemics/prevention & control , Patient Safety , Pneumonia, Viral/epidemiology , Practice Patterns, Physicians'/standards
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