An operative barrier system for skull base and mastoid surgery: creating a safe operative theatre in the era of COVID-19

Journal of Otolaryngology - Head & Neck Surgery

Trung Le¹  Joseph Chen¹  Justin Cottrell¹  Justin Lui¹ 

[1] Sunnybrook Health Science Centre, University of Toronto, Toronto, Ontario, Canada;Department of Otolaryngology – Head & Neck Surgery, University of Toronto, St. George Campus, David Naylor Building, 6 Queen’s Park Crescent West, Suite 120, M5S 3H2, Toronto, ON, Canada;

关键词: COVID-19;    AGMP;    Neurotology;    Mastoidectomy;    Healthcare safety;    Barrier system;   

DOI  :  10.1186/s40463-020-00471-0

来源: Springer

【 摘 要 】

Within Neurotology, special draping systems have been devised for mastoid surgery recognizing that drilling of middle ear mucosa is an aerosol generating medical procedure (AGMP) which can place surgical teams at risk of COVID-19 infection. We provide a thorough description of a barrier system utilized in our practice, along with work completed by our group to better quantify its effectiveness. Utilization of a barrier system can provide near complete bone dust and droplet containment within the surgical field and prevent contamination of other healthcare workers. As this is an early system, further adaptations and national collaborations are required to ultimately arrive at a system that seamlessly integrates into the surgical suite. While these barrier systems are new, they are timely as we face a pandemic, and can play a crucial role in safely resuming surgery.

【 授权许可】

CC BY