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

Abstract 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 sys...

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Bibliographic Details
Main Authors: Justin Cottrell, Justin Lui, Trung Le, Joseph Chen
Format: Article
Language:English
Published: BMC 2020-10-01
Series:Journal of Otolaryngology - Head and Neck Surgery
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40463-020-00471-0
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spelling doaj-a2e75137938247da92a27ec511c13c962020-11-25T02:46:29ZengBMCJournal of Otolaryngology - Head and Neck Surgery1916-02162020-10-014911410.1186/s40463-020-00471-0An operative barrier system for skull base and mastoid surgery: creating a safe operative theatre in the era of COVID-19Justin Cottrell0Justin Lui1Trung Le2Joseph Chen3Sunnybrook Health Science Centre, University of TorontoSunnybrook Health Science Centre, University of TorontoSunnybrook Health Science Centre, University of TorontoSunnybrook Health Science Centre, University of TorontoAbstract 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.http://link.springer.com/article/10.1186/s40463-020-00471-0COVID-19AGMPNeurotologyMastoidectomyHealthcare safetyBarrier system
collection DOAJ
language English
format Article
sources DOAJ
author Justin Cottrell
Justin Lui
Trung Le
Joseph Chen
spellingShingle Justin Cottrell
Justin Lui
Trung Le
Joseph Chen
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 and Neck Surgery
COVID-19
AGMP
Neurotology
Mastoidectomy
Healthcare safety
Barrier system
author_facet Justin Cottrell
Justin Lui
Trung Le
Joseph Chen
author_sort Justin Cottrell
title An operative barrier system for skull base and mastoid surgery: creating a safe operative theatre in the era of COVID-19
title_short An operative barrier system for skull base and mastoid surgery: creating a safe operative theatre in the era of COVID-19
title_full An operative barrier system for skull base and mastoid surgery: creating a safe operative theatre in the era of COVID-19
title_fullStr An operative barrier system for skull base and mastoid surgery: creating a safe operative theatre in the era of COVID-19
title_full_unstemmed An operative barrier system for skull base and mastoid surgery: creating a safe operative theatre in the era of COVID-19
title_sort operative barrier system for skull base and mastoid surgery: creating a safe operative theatre in the era of covid-19
publisher BMC
series Journal of Otolaryngology - Head and Neck Surgery
issn 1916-0216
publishDate 2020-10-01
description Abstract 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.
topic COVID-19
AGMP
Neurotology
Mastoidectomy
Healthcare safety
Barrier system
url http://link.springer.com/article/10.1186/s40463-020-00471-0
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