Otolaryngology Practice in Covid 19 Era: A Road-Map to Safe Endoscopies

Muraleedharan, Manjul; Kaur, Shwinder; Arora, Kanika; Virk, Ramandeep Singh

doi:10.1007/s12070-020-02019-0

Cited by 5 publications

(7 citation statements)

References 6 publications

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“…Otorhinolaryngologist deal with the examination of oral cavity, nasal cavity and airway examination in the outpatient department, so they are at a much higher risk of getting infected with this SARS-CoV-2 infection as its main modality of spread is through droplet from one infected individual to other. 1,3,4 There has been a lot of literature since December 2019, regarding COVID. How things were looked upon during pre-COVID times and how things have mattered to us post-COVID times.…”

Section: Discussionmentioning

confidence: 99%

CANDID on COVID: Current & Continuing A to Z Cycle

Basavannaiah

2022

IJOAS

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Coronavirus disease 2019 (COVID-19) is a contagious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The first known case was identified in Wuhan, China, in December 2019. The disease since then spread worldwide leading to an constant ongoing pandemic. With the changing global scenario, unpredicatable life, destructive scenes everywhere this deadly micro virus has easily managed to bring the world to its knees with its changing variant, multiplying behaviour and mutating ability. Here, I have tried to get a glimpse of this “COVID” sights, sections & sequelae at a glance that has been face by the world since December 2019 till date.

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Section: Discussionmentioning

confidence: 99%

CANDID on COVID: Current & Continuing A to Z Cycle

Basavannaiah

2022

IJOAS

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“…General precautions include using nasal pledgets or lignocaine viscous instead of sprays, standing at the back of the patient, flexible scopes via nasal route instead of rigid ones, video recording of procedure to avoid repetitions for review etc. 19 For OPD endoscopies, 45.1% wanted to use special drapes and screens and 41.7% would do the procedure after getting a COVID negative report. Quite a few (21.4%) were of the opinion of doing endoscopies for therapeutic purposes only and 28.5% will not be doing endoscopies rather use radiological investigations for diagnosis.…”

Section: Discussionmentioning

confidence: 99%

“…concerning malignancies) surgeries should be avoided during the pandemic. 19,21 In this context, opinion from our questionnaire was divided amongst surgeons as to what type of surgeries they will prefer; majority of the respondents would restrict themselves to emergency cases. Few wanted to take time sensitive and routine cases too.…”

Section: Discussionmentioning

confidence: 99%

Learning from COVID-19 experience: a study amongst ENT surgeons’ COVID behaviour

Bhavana

Soni

Sharma

et al. 2021

Int J Otorhinolaryngol Head Neck Surg

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Background: Health care services across the world have undergone several modifications in view of ongoing COVID-19 pandemic. Otolaryngology needs special mention in this context owing to its proximity to virus’s natural habitat. Various ENT procedures are significantly aerosol generating and hence appropriate precautions and procedural modifications are needed. We aimed to determine attitude and practices of ENT professionals during COVID-19 pandemic and their level of preparedness towards resuming practice, teaching and training activities.Methods: We conducted an online survey through Google forms, participants were asked to fill up a multiple choice questionnaire. Responses collected were analysed and interpretations made on basis of most favoured options. Results: Majority of respondents was aware of the potential risks and precautions to be taken during Outpatient and surgical procedures and was willing to adapt their clinical setups to protect themselves and their patients. Few of them wanted to follow stricter protocols like doing endoscopies for therapeutic purposes only, using a PAPR for lengthy surgeries, not allowing trainees to assist in surgeries etc. Conclusions: We concluded that fresh guidelines are needed taking in account the opinion of government and private practitioners, with provisions for continuing training activities.

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“…There has been much clinical discussion surrounding the use of FEES in the context of COVID given the fact that speech-language pathologists are at high risk for transmission of COVID due to the nature of the endoscopy assessment alone. Many experts in the field consider FEES or any endoscopic procedure to be an aerosol generating procedure (AGP) [ 1 , 3 , 4 ], while others do not [ 5 ]. While the literature does not provide a consensus on whether endoscopy is an AGP [ 6 ], the literature does agree that performing FEES puts providers at significant risk for transmission of COVID [ 5 , 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Best Practice in Swallowing Assessment in COVID-19

Warner

Young

2022

Dysphagia

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The COVID-19 pandemic has significantly altered the world as we know it. Service delivery for the instrumental evaluation of dysphagia in hospitalized patients has been significantly impacted. In many institutions, instrumental assessment was halted or eliminated from the clinical workflow, leaving clinicians without evidence-based gold standards to definitively evaluate swallowing function. The aim of this study was to describe the outcomes of an early, but measured return to the use of instrumental dysphagia assessment in hospitalized patients during the COVID-19 pandemic. Data was extracted via a retrospective medical record review on all patients on whom a swallowing consult was placed. Information on patient demographics, type of swallowing evaluation, and patient COVID status was recorded and analyzed. Statistics on staff COVID status were also obtained. Over the study period, a total of 4482 FEES evaluations and 758 MBS evaluations were completed. During this time, no staff members tested COVID-positive due to workplace exposure. Results strongly support the fact that a measured return to instrumental assessment of swallowing is an appropriate and reasonable clinical shift during the COVID-19 pandemic.

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Otolaryngology Practice in Covid 19 Era: A Road-Map to Safe Endoscopies

Cited by 5 publications

References 6 publications

CANDID on COVID: Current & Continuing A to Z Cycle

CANDID on COVID: Current & Continuing A to Z Cycle

Learning from COVID-19 experience: a study amongst ENT surgeons’ COVID behaviour

Best Practice in Swallowing Assessment in COVID-19

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