COVID-19 and ENT Pediatric otolaryngology during the COVID-19 pandemic. Guidelines of the French Association of Pediatric Otorhinolaryngology (AFOP) and French Society of Otorhinolaryngology (SFORL)

Leboulanger, N.; Sagardoy, T.; Akkari, M.; Ayari-Khalfallah, S.; Celerier, Charlotte; Fayoux, P.; Luscan, R; Mansbach, Anne-Laure; Moreddu, E.; Pondaven, S.; Simon, François; Teissier, Natacha; Thierry, Briac; Fanous, Amanda; Lescanne, E.; Nicollas, R.; Couloigner, V.; Head, Neck Surgery

doi:10.1016/j.anorl.2020.04.010

Cited by 53 publications

(96 citation statements)

References 15 publications

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“…Other articles recommended similar approaches, for example doing a computed tomography (CT) along with PCR. 27,28,33,42 It must also be taken in consideration that children are usually less symp-tomatic; therefore, pediatric cases should always be treated as if they were COVID-19 þ or PCR testing should be done. 24 For situations in which PCR testing is not possible due to lack of resources, a three-level triage for emergencies and clinics could be of good use.…”

Section: Surgical Screening For Sars-cov2mentioning

confidence: 99%

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Head and Neck Practice in the COVID-19 Pandemics Today: A Rapid Systematic Review

Hojaij

Chinelatto

Boog

et al. 2020

Int Arch Otorhinolaryngol

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Introduction Head and neck specialists and otorhinolaryngologists are greatly exposed to coronavirus disease 2019 (COVID-19) transmission in their everyday praxis. Many articles are being published regarding medical staff protection and patient management during the pandemic. Objective To provide an easy access to and a trustful review of the main aspects that have changed in the head and neck surgery and otorhinolaryngology practice due to the COVID-19 pandemic. Data Synthesis The search terms used were: (head and neck or otorhinolaryngology or ORL or thyroid) AND (severe acute respiratory syndrome coronavirus 2 [SARS-COV-2] or COVID-19 or CORONAVIRUS). The results were limited to the year of 2020. Articles were read in English, Portuguese, French, German, and Spanish or translated from Chinese. All included articles were read by at least two authors. Thirty-five articles were included. Most articles suggest postponing elective surgeries, with exception to cancer surgeries, which should be evaluated separately. Twenty-five articles recommended some kind of screening prior to surgery, using polymerase chain reaction (PCR) tests and epidemiological data. Extra precautions, such as use of personal protective equipment (PPE), are suggested for both tracheostomies and endoscopies. Fifteen articles give recommendation on how to use telemedicine. Conclusion The use of PPE (N95 or powered air-purifying respirator [PAPR]) during procedures should be mandatory. Patients should be evaluated about their COVID-19 status before hospital admission. Cancer should be treated. Tracheostomy tube cuff should be inflated inside the tracheal incision. All COVID-19 precautions should be kept until there is a validated antiviral treatment or an available vaccine.

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Section: Surgical Screening For Sars-cov2mentioning

confidence: 99%

“…35,38 (d) Choosing anesthetic gels over anesthetic sprays, and ensuring adequate surface anesthesia to reduce cough and sneeze reflexes. 33 (e) Practicing high-level disinfection of the endoscopes and decontamination of all surface areas of the examination room 28,36. (f) Using disposable nasal pledgets for decongestion 19.…”

mentioning

confidence: 99%

Head and Neck Practice in the COVID-19 Pandemics Today: A Rapid Systematic Review

Hojaij

Chinelatto

Boog

et al. 2020

Int Arch Otorhinolaryngol

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“…Individual comments received by us during the survey also shows reduction in surgery. In children, incidence of symptomatic COVID-19 (1-5%) is low and of good prognosis [10]. No speci c problems were reported by paediatric ENT practitioners in our study.…”

Section: Discussionmentioning

confidence: 46%

“…In ENT clinical settings, this brought about an enormous in ux of unexpected problems. These included inexperience and shortage of time in handling the ferocity of the disease across various health institutes, rede ning and revising safety protocols for staff and patients [5][6][7][8][9][10][11][12][13], de cit in personal protective equipment (PPE) [14], shortage of sterilization and disinfections products, reorganizing departments with provision of isolation for COVID-19 suspected and positive patients, replacement of unavailable staff as well as support of medical personnel vulnerable who were contaminated or in personal contact with infected patients [15][16][17]. And nally a certain extent of economical and nancial instability due to reduction in clinical times and operating lists, physical exhaustion and psychological burden from workplace [18] and including quarantine acquired stress amongst staff were also observed.…”

Section: Introductionmentioning

confidence: 99%

Face to Face with COVID-19: Highlights of Challenges Encountered in Various ENT Practices Across the Czech Republic (A National Survey)

Guha

Plzák

Chovanec

2020

Preprint

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Abstract The SARS-CoV-2 virus causing the COVID-19 disease created considerable complications and disruptions due to it’s pandemic spread. The nature of the disease left certain clinical specialties more vulnerable than others, causing serious problems with organization of care of patients. Most studies concentrated on protocols and strategies to control the situation and reduce further spread amongst medical fields. Only few were designed to identify the various issues faced by doctors. We decided to design a questionnaire addressing relevant matters for doctors working in the field of ear, nose and throat (ENT). This was then sent to all the members of the Czech Association of Otorhinolaryngologists. All ENT doctors were invited to fill out the survey within a stipulated time. The aim of the study was to evaluate the impact of a pandemic situation amongst such a high risk specialty. Our results showed a significant difference between the first cases of COVID-19 and progress of the disease during April 2020 in terms of workplace preparation, adequacy of personal protective equipment and other disposable aids. There was also inadequate support of medical personnel within the ENT practices. Furthermore, financial losses were also experienced due to mainly patient-related problems. In conclusion, the obtained results were used to formulate some recommendations for the public, patients, medical staff and employers. These suggestions will hopefully help avoid a repetition of the glitches if faced with another pandemic situation.

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“…All disposable material must be eliminated in the infectious waste circuit in the examination room, except for the protective glasses, which can be decontaminated and reused. 1,2…”

Section: Personal Protective Equipmentmentioning

confidence: 99%

The Italian Society Indication for Rhinologists during Covid-19: Italy Phase 2

Motta

Passàli²,

Passàli

et al. 2020

Int Arch Otorhinolaryngol

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COVID-19 and ENT Pediatric otolaryngology during the COVID-19 pandemic. Guidelines of the French Association of Pediatric Otorhinolaryngology (AFOP) and French Society of Otorhinolaryngology (SFORL)

Abstract: Département d'ORL et chirurgie cervico-faciale pédiatrique, Hôpital Necker-Enfants Malades, APHP,

Cited by 53 publications

References 15 publications

Head and Neck Practice in the COVID-19 Pandemics Today: A Rapid Systematic Review

Head and Neck Practice in the COVID-19 Pandemics Today: A Rapid Systematic Review

Face to Face with COVID-19: Highlights of Challenges Encountered in Various ENT Practices Across the Czech Republic (A National Survey)

The Italian Society Indication for Rhinologists during Covid-19: Italy Phase 2

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