Francom Christian R, Javia Luv R, Wolter Nikolaus E, Lee Gi Soo, Wine Todd, Morrissey Tyler, Papsin Blake C, Peyton James M, Matava Clyde T, Volk Mark S, Prager Jeremy D, Propst Evan J
Department of Otolaryngology, Head and Neck Surgery, University of Colorado School of Medicine, Children's Hospital Colorado, Aurora, CO, USA.
Department of Otorhinolaryngology, Head and Neck Surgery, University of Pennsylvania Perelman School of Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Int J Pediatr Otorhinolaryngol. 2020 Jul;134:110059. doi: 10.1016/j.ijporl.2020.110059. Epub 2020 Apr 21.
Aerosolization procedures during the COVID-19 pandemic place all operating room personnel at risk for exposure. We offer detailed perioperative management strategies and present a specific protocol designed to improve safety during pediatric laryngoscopy and bronchoscopy. Several methods of using disposable drapes for various procedures are described, with the goal of constructing a tent around the patient to decrease widespread contamination of dispersed droplets and generated aerosol. The concepts presented herein are translatable to future situations where aerosol generating procedures increase risk for any pathogenic exposure. This protocol is a collaborative effort based on knowledge gleaned from clinical and simulation experience from Children's Hospital Colorado, Children's Hospital of Philadelphia, The Hospital for Sick Children in Toronto, and Boston Children's Hospital.
在新冠疫情期间，雾化操作使所有手术室人员都面临暴露风险。我们提供了详细的围手术期管理策略，并提出了一项旨在提高小儿喉镜检查和支气管镜检查安全性的具体方案。文中描述了在各种操作中使用一次性手术单的几种方法，目的是在患者周围构建一个帐篷，以减少分散飞沫和产生的气溶胶的广泛污染。本文提出的概念可应用于未来因产生气溶胶的操作而增加任何病原体暴露风险的情况。该方案是基于从科罗拉多儿童医院、费城儿童医院、多伦多病童医院和波士顿儿童医院的临床及模拟经验中收集到的知识而共同制定的。
