Safety practices for in-office laryngology procedures during clinical reintroduction amidst COVID-19
dc.contributor.author | Calcagno, Haley | |
dc.contributor.author | Anthony, Benjamin P. | |
dc.contributor.author | Halum, Stacey L. | |
dc.contributor.author | Parker, Noah P. | |
dc.contributor.department | Otolaryngology -- Head and Neck Surgery, School of Medicine | en_US |
dc.date.accessioned | 2021-11-02T20:48:42Z | |
dc.date.available | 2021-11-02T20:48:42Z | |
dc.date.issued | 2021-08 | |
dc.description.abstract | Objective Describe safety practices for performing in-office laryngology procedures during clinical re-introduction amidst the coronavirus disease 2019 (COVID-19) pandemic. Methods An anonymous survey in Qualtrics was created to evaluate demographics, preprocedure testing, practice settings, anesthesia, and personal protective equipment (PPE) use for five procedure categories (non-mucosal-traversing injections, mucosal-traversing injections, endoscopy without suction, endoscopy with suction/mucosal intervention via working channel, and laser via working channel). The survey was emailed to the Fall Voice Community on Doc Matter and to members of the American Broncho-Esophagological Association (ABEA) from May to June 2020. Results Eighty-two respondents were analyzed (response rate: 10%). Respondents represented diverse locations, including international. Most reported academic (71%) or private practices (16%), laryngology fellowship training (76%), and a significant practice devotion to laryngology and broncho-esophagology. During the early re-introduction, most continued to perform all procedure categories. The office was preferred to the OR setting for most, though 36% preferred the OR for laser procedures. There was a preference for preprocedural SARS-Cov2 testing for procedures involving a working channel (>67%), and these procedures had the highest proportion of respondents discontinuing the procedure due to COVID-19. Various types of topical anesthesia were reported, including nebulizer treatments. The most common forms of personal protective equipment utilized were gloves (>95%) and N95 masks (>67%). Powered-air purifying respirators and general surgical masks were used infrequently. Conclusions During the early re-introduction, respondents reported generally continuing to perform office laryngology procedures, while greater mucosal manipulation affected decisions to stop procedures due to COVID-19, perform preprocedural SARS-Cov2 testing, and alter topical anesthesia. Gloves and N95 masks were the predominate PPE. Level of Evidence N/A. | en_US |
dc.eprint.version | Final published version | en_US |
dc.identifier.citation | Calcagno, H., Anthony, B. P., Halum, S. L., & Parker, N. P. (2021). Safety practices for in-office laryngology procedures during clinical reintroduction amidst COVID-19. Laryngoscope Investigative Otolaryngology, 6(4), 780-785. https://doi.org/10.1002/lio2.591 | en_US |
dc.identifier.issn | 2378-8038 | en_US |
dc.identifier.uri | https://hdl.handle.net/1805/26924 | |
dc.language.iso | en | en_US |
dc.publisher | Wiley | en_US |
dc.relation.isversionof | 10.1002/lio2.591 | en_US |
dc.relation.journal | Laryngoscope Investigative Otolaryngology | en_US |
dc.rights | Attribution 4.0 United States | |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | * |
dc.source | Publisher | en_US |
dc.subject | COVID-19 | en_US |
dc.subject | laryngoscopy | en_US |
dc.subject | otolaryngology | en_US |
dc.subject | personal protective equipment | en_US |
dc.title | Safety practices for in-office laryngology procedures during clinical reintroduction amidst COVID-19 | en_US |
dc.type | Article | en_US |