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Tracheostomy during COVID-19 pandemic-Novel approach
Velda Ling Yu Chow1, Jimmy Yu Wai Chan1, Valerie Wai Yee Ho1
1Division of Head and Neck Surgery, Department of Surgery, University of Hong Kong Li Ka Shing Faculty of Medicine, Queen Mary Hospital, Hong Kong, China.
Head & Neck
|May 3, 2020
Summary
A novel plastic drape technique effectively reduced SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus 2) transmission during tracheostomy procedures. This method protected healthcare providers and conserved personal protective equipment.
Area of Science:
- Surgical Innovation
- Infectious Disease Control
- Respiratory Care
Background:
- The COVID-19 pandemic necessitates strategies to minimize SARS-CoV-2 transmission.
- Tracheostomy procedures pose a risk of viral aerosol and droplet exposure to healthcare professionals.
Purpose of the Study:
- To evaluate a novel method for reducing SARS-CoV-2 transmission during tracheostomy.
- To assess the efficacy of a sterile plastic drape as a physical barrier.
Main Methods:
- A prospective study involving five patients undergoing tracheostomy between April 1-17, 2020.
- Implementation of a clear, sterile plastic drape as an additional barrier during the procedure.
- Documentation of droplet count and distribution on the drape and face shields.
Main Results:
- Droplet contamination was observed on all plastic drapes used (n=5).
- The central surface of the drapes showed the highest contamination (91.5%).
- No droplet contamination was detected on face shields, suggesting effective barrier protection.
Conclusions:
- Sterile plastic drapes are effective in reducing viral transmission during tracheostomy.
- This technique can help conserve resources like face shields during pandemics.
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