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Is the ultrasonic scalpel recommended in head and neck surgery during the COVID-19 pandemic? State-of-the-art review.

Identifieur interne : 000C21 ( Main/Exploration ); précédent : 000C20; suivant : 000C22

Is the ultrasonic scalpel recommended in head and neck surgery during the COVID-19 pandemic? State-of-the-art review.

Auteurs : Miguel Mayo-Yánez [Espagne] ; Christian Calvo-Henríquez [Espagne] ; Jérôme R. Lechien [Belgique] ; Nicolas Fakhry [France] ; Tareck Ayad [Canada] ; Carlos M. Chiesa-Estomba [Espagne]

Source :

RBID : pubmed:32441394

Descripteurs français

English descriptors

Abstract

BACKGROUND

Guidelines for ultrasonic devices use are imperative because infectious aerosols arising from airway procedures were a key etiologic factor in prior coronavirus outbreaks. This manuscript aims to summarize the available recommendations and the most relevant concepts about the use of ultrasonic scalpel during the SARS-CoV-2 pandemic.

METHODS

Literature review of manuscripts with patients, animal models, or in vitro studies where the ultrasonic scalpel was used and the plume produced was analyzed in a quantitative and/ or qualitative way.

DISCUSSION

Activated devices with tissue produce a biphasic bioaerosol composed (size 68.3-994 nm) of tissue particles, blood, intact and no viable cells, and carcinogenic or irritant hydrocarbons (benzene, ethylbenzene, styrene, toluene, heptene, and methylpropene).

CONCLUSION

It is imperative to use an active smoke evacuator, to avoid ultrasonic scalpel use in COVID-19 positive patients and in upper airway surgery, as well as to follow the protection recommendations of the guidelines for management this type of patients.


DOI: 10.1002/hed.26278
PubMed: 32441394
PubMed Central: PMC7280627


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<term>Coronavirus Infections (epidemiology)</term>
<term>Coronavirus Infections (prevention & control)</term>
<term>Coronavirus Infections (transmission)</term>
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<term>Pneumonia, Viral (epidemiology)</term>
<term>Pneumonia, Viral (prevention & control)</term>
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<term>Humains (MeSH)</term>
<term>Infections à coronavirus (prévention et contrôle)</term>
<term>Infections à coronavirus (transmission)</term>
<term>Infections à coronavirus (épidémiologie)</term>
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<term>Pneumopathie virale (épidémiologie)</term>
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<term>Pneumonia, Viral</term>
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<term>Infectious Disease Transmission, Patient-to-Professional</term>
<term>Occupational Exposure</term>
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<term>Pneumonia, Viral</term>
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<term>Exposition professionnelle</term>
<term>Infections à coronavirus</term>
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<term>Pneumonia, Viral</term>
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<term>Pneumopathie virale</term>
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<term>Procédures de chirurgie par ultrasons</term>
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<term>Contre-indications aux procédures</term>
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<p>
<b>BACKGROUND</b>
</p>
<p>Guidelines for ultrasonic devices use are imperative because infectious aerosols arising from airway procedures were a key etiologic factor in prior coronavirus outbreaks. This manuscript aims to summarize the available recommendations and the most relevant concepts about the use of ultrasonic scalpel during the SARS-CoV-2 pandemic.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>Literature review of manuscripts with patients, animal models, or in vitro studies where the ultrasonic scalpel was used and the plume produced was analyzed in a quantitative and/ or qualitative way.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>DISCUSSION</b>
</p>
<p>Activated devices with tissue produce a biphasic bioaerosol composed (size 68.3-994 nm) of tissue particles, blood, intact and no viable cells, and carcinogenic or irritant hydrocarbons (benzene, ethylbenzene, styrene, toluene, heptene, and methylpropene).</p>
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<p>
<b>CONCLUSION</b>
</p>
<p>It is imperative to use an active smoke evacuator, to avoid ultrasonic scalpel use in COVID-19 positive patients and in upper airway surgery, as well as to follow the protection recommendations of the guidelines for management this type of patients.</p>
</div>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Guidelines for ultrasonic devices use are imperative because infectious aerosols arising from airway procedures were a key etiologic factor in prior coronavirus outbreaks. This manuscript aims to summarize the available recommendations and the most relevant concepts about the use of ultrasonic scalpel during the SARS-CoV-2 pandemic.</AbstractText>
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<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">It is imperative to use an active smoke evacuator, to avoid ultrasonic scalpel use in COVID-19 positive patients and in upper airway surgery, as well as to follow the protection recommendations of the guidelines for management this type of patients.</AbstractText>
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<Affiliation>Otorhinolaryngology-Head and Neck Surgery Department, Complexo Hospitalario Universitario A Coruña (CHUAC), A Coruña, Galicia, Spain.</Affiliation>
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