Otolaryngologie : accès libre

Abstrait

Aerosol-Generating Otolaryngology Procedures and the Need for Enhanced Ppe during the Covid- 19 Epidemic

Russell Murphy

Acceptable particular defensive outfit is demanded to reduce the rate of transmission of COVID- 19 to health care workers. Otolaryngology groups are recommending an advanced position of particular defensive outfit for aerosol- generating procedures than public health agencies. The ideal of the review was to give substantiation that) Demonstrates which otolaryngology procedures are aerosol- generating, and that) Clarifies whether the advanced position of PPE supported by otolaryngology groups is justified [1].

Health care workers in China who performed tracheotomy during the SARS- CoV- 1 epidemic had 4.15 times lesser odds of contracting the contagion than controls that didn’t perform tracheotomy (95 CI2.75-7.54). No other studies give direct epidemiological substantiation of increased aerosolized transmission of contagions during otolaryngology procedures. Experimental substantiation has shown that electro cautery, advanced energy bias, open suctioning, and drilling can produce aerosolized natural patches. The viral cargo of COVID- 19 is loftiest in the upper aero digestive tract, adding the liability that aerosols generated during procedures of the upper aero digestive tract of infected cases would carry viral material. Cough and normal breathing produce aerosols which may increase the threat of transmission during inpatient procedures [2,3]. A significant proportion of individualities infected with COVID- 19 may not have symptoms, raising the liability of transmission of the complaint to deficiently defended health care workers from cases that don’t have probable or verified infection. Powered air purifying respirators, if used duly, give a lesser position of filtration than N95 masks and therefore may reduce the threat of transmission.