Your browser doesn't support javascript.
CSO (Canadian Society of Otolaryngology - Head & Neck Surgery) position paper on rhinologic and skull base surgery during the COVID-19 pandemic.
Chan, Yvonne; Banglawala, Sarfaraz M; Chin, Christopher J; Côté, David W J; Dalgorf, Dustin; de Almeida, John R; Desrosiers, Martin; Gall, Richard M; Gevorgyan, Artur; Hassan Hassan, A; Janjua, Arif; Lee, John M; Leung, Randy M; Mechor, Bradford D; Mertz, Dominik; Monteiro, Eric; Nayan, Smriti; Rotenberg, Brian; Scott, John; Smith, Kristine A; Sommer, Doron D; Sowerby, Leigh; Tewfik, Marc A; Thamboo, Andrew; Vescan, Allan; Witterick, Ian J.
  • Chan Y; Department of Otolaryngology - Head & Neck Surgery, University of Toronto, Toronto, ON, Canada. y.chan@utoronto.ca.
  • Banglawala SM; Department of Otolaryngology - Head & Neck Surgery, University of Toronto, Toronto, ON, Canada.
  • Chin CJ; Division of Otolaryngology - Head and Neck Surgery, Department of Surgery, Dalhousie University, Saint John, NB, Canada.
  • Côté DWJ; University of Montreal Hospital Center (CHUM) and Research Center (CRCHUM), Montreal, QC, Canada.
  • Dalgorf D; Department of Otolaryngology - Head & Neck Surgery, University of Toronto, Toronto, ON, Canada.
  • de Almeida JR; Department of Otolaryngology - Head & Neck Surgery, University of Toronto, Toronto, ON, Canada.
  • Desrosiers M; Universite de Montreal, Montreal, QC, Canada.
  • Gall RM; Department of Otolaryngology - Head and Neck Surgery, University of Manitoba, Winnipeg, MB, Canada.
  • Gevorgyan A; Department of Otolaryngology - Head & Neck Surgery, University of Toronto, Toronto, ON, Canada.
  • Hassan Hassan A; Department of Clinical Sciences, Northern Ontario School of Medicine, Thunder Bay, ON, Canada.
  • Janjua A; Division of Otolaryngology - Head & Neck Surgery, University of British Columbia, Vancouver, BC, Canada.
  • Lee JM; Department of Otolaryngology - Head & Neck Surgery, University of Toronto, Toronto, ON, Canada.
  • Leung RM; Department of Otolaryngology - Head & Neck Surgery, University of Toronto, Toronto, ON, Canada.
  • Mechor BD; Calgary Sinus Centre, Calgary, AB, Canada.
  • Mertz D; Division of Infectious Diseases, Department of Medicine, McMaster University, Hamilton, ON, Canada.
  • Monteiro E; Department of Otolaryngology - Head & Neck Surgery, University of Toronto, Toronto, ON, Canada.
  • Nayan S; Division of Otolaryngology - Head & Neck Surgery, Department of Surgery, McMaster University, Hamilton, ON, Canada.
  • Rotenberg B; Department of Otolaryngology - Head and Neck Surgery, Western University, London, ON, Canada.
  • Scott J; Department of Otolaryngology - Head & Neck Surgery, Dalhousie University, Halifax, NS, Canada.
  • Smith KA; Department of Otolaryngology - Head and Neck Surgery, University of Manitoba, Winnipeg, MB, Canada.
  • Sommer DD; Division of Otolaryngology - Head & Neck Surgery, Department of Surgery, McMaster University, Hamilton, ON, Canada.
  • Sowerby L; Department of Otolaryngology - Head and Neck Surgery, Western University, London, ON, Canada.
  • Tewfik MA; Department of Otolaryngology - Head & Neck Surgery, McGill University, Montreal, QC, Canada.
  • Thamboo A; Division of Otolaryngology - Head & Neck Surgery, University of British Columbia, Vancouver, BC, Canada.
  • Vescan A; Department of Otolaryngology - Head & Neck Surgery, University of Toronto, Toronto, ON, Canada.
  • Witterick IJ; Department of Otolaryngology - Head & Neck Surgery, University of Toronto, Toronto, ON, Canada.
J Otolaryngol Head Neck Surg ; 49(1): 81, 2020 Dec 03.
Article in English | MEDLINE | ID: covidwho-992570
ABSTRACT
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.
Subject(s)
Fulltext
Print
XML
PubMed Links
Search on Google

Full text: Available Collection: International databases Database: MEDLINE Main subject: Otolaryngology / Otorhinolaryngologic Surgical Procedures / Preoperative Care / Nose / Skull Base / Pandemics / Personal Protective Equipment / COVID-19 Testing / COVID-19 Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study Limits: Humans Language: English Journal: J Otolaryngol Head Neck Surg Journal subject: Otolaryngology Year: 2020 Document Type: Article Affiliation country: S40463-020-00476-9

Similar

MEDLINE
LILACS
LIS
Fulltext
Print
XML
PubMed Links
Search on Google

Full text: Available Collection: International databases Database: MEDLINE Main subject: Otolaryngology / Otorhinolaryngologic Surgical Procedures / Preoperative Care / Nose / Skull Base / Pandemics / Personal Protective Equipment / COVID-19 Testing / COVID-19 Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study Limits: Humans Language: English Journal: J Otolaryngol Head Neck Surg Journal subject: Otolaryngology Year: 2020 Document Type: Article Affiliation country: S40463-020-00476-9