Evidence map›Paper›PMID 32375884›Full record

ReviewJournal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale2020

Clinical evidence based review and recommendations of aerosol generating medical procedures in otolaryngology - head and neck surgery during the COVID-19 pandemic.

Andrew Thamboo, Jane Lea, Doron D Sommer, Leigh Sowerby, Arman Abdalkhani, Christopher Diamond, Jennifer Ham, Austin Heffernan, M Cai Long, Jobanjit Phulka and 3 more

Abstract readReview
In one paragraph

Review in Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

63 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. CSO (Canadian Society of Otolaryngology - Head & Neck Surgery) position paper on rhinologic and skull base surgery during the COVID-19 pandemic.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale · 2020
    Guideline
  4. Guideline
  5. Occurrence of healthcare-associated infections caused by the zoonotic bacterium Pasteurella multocida subsp. gallicida in patients with severe motor and intellectual disabilities in Japan.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  6. Review
  7. Article
  8. Article
  9. Facial Trauma During the COVID-19 Pandemic.Craniomaxillofacial trauma & reconstruction · 2022
    Article
  10. Otolaryngology Surgical Activity in Tertiary Care Center During the Covid-19 Lockdown.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2022
    Article
  11. Measuring SARS-CoV-2 aerosolization in rooms of hospitalized patients.Laryngoscope investigative otolaryngology · 2022
    Article
  12. Article
  13. Otolaryngology in the face of A pandemic.Operative techniques in otolaryngology--head and neck surgery · 2022
    Article
  14. Diagnostic and surgical innovations in otolaryngology for adult and paediatric patients during the COVID-19 era.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2022
    Review
  15. Article
  16. Review
  17. Article
  18. Observational
  19. Status quo after one year of COVID-19 pandemic in otolaryngological hospital-based departments and private practices in Germany.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2022
    Article
  20. Pediatric otolaryngology telemedicine amid a pandemic - And beyond.International journal of pediatric otorhinolaryngology · 2022
    Article

3 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Andrew ThambooDivision of Otolaryngology Head & Neck Surgery, Department of Surgery, University of British Columbia, Vancouver, BC, Canada. athamboo4@providencehealth.bc.ca.
Jane LeaDivision of Otolaryngology Head & Neck Surgery, Department of Surgery, University of British Columbia, Vancouver, BC, Canada.
Doron D SommerDivision of Otolaryngology Head & Neck Surgery, Department of Surgery, McMaster University, Hamilton, ON, Canada.
Leigh SowerbyDepartment of Otolaryngology, Western University, London, ON, Canada.
Arman AbdalkhaniDivision of Otolaryngology Head & Neck Surgery, Department of Surgery, University of British Columbia, Vancouver, BC, Canada.
Christopher DiamondDivision of Otolaryngology Head & Neck Surgery, Department of Surgery, University of British Columbia, Vancouver, BC, Canada.
Jennifer HamFaculty of Medicine, University of British Columbia, Vancouver, Canada.
Austin HeffernanFaculty of Medicine, University of British Columbia, Vancouver, Canada.
M Cai LongFaculty of Medicine, University of British Columbia, Vancouver, Canada.
Jobanjit PhulkaFaculty of Medicine, University of British Columbia, Vancouver, Canada.
Yu Qi WuFaculty of Medicine, University of British Columbia, Vancouver, Canada.
Phillip YeungFaculty of Medicine, University of British Columbia, Vancouver, Canada.
Marc LammersDivision of Otolaryngology Head & Neck Surgery, Department of Surgery, University of British Columbia, Vancouver, BC, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAerosol generating medical procedures (AGMPs) present risks to health care workers (HCW) due to airborne transmission of pathogens. During the COVID-19 pandemic, it is essential for HCWs to recognize which procedures are potentially aerosolizing so that appropriate infection prevention precautions can be taken. The aim of this literature review was to identify potential AGMPs in Otolaryngology - Head and Neck Surgery and provide evidence-based recommendations.

methodsA literature search was performed on Medline, Embase and Cochrane Review databases up to April 3, 2020. All titles and abstracts of retrieved studies were evaluated and all studies mentioning potential AGMPs were included for formal review. Full text of included studies were assessed by two reviewers and the quality of the studies was evaluated. Ten categories of potential AGMPs were developed and recommendations were provided for each category.

resultsDirect evidence indicates that CO2 laser ablation, the use of high-speed rotating devices, electrocautery and endotracheal suctioning are AGMPs. Indirect evidence indicates that tracheostomy should be considered as potential AGMPs. Nasal endoscopy and nasal packing/epistaxis management can result in droplet transmission, but it is unknown if these procedures also carry the risk of airborne transmission.

conclusionsDuring the COVID-19 pandemic, special care should be taken when CO2 lasers, electrocautery and high-speed rotating devices are used in potentially infected tissue. Tracheal procedures like tracheostomy and endotracheal suctioning can also result in airborne transmission via small virus containing aerosols.

Indexed as

AerosolsBetacoronavirusCoronavirus InfectionsCOVID-19HumansInfection ControlInfectious Disease Transmission, Patient-to-ProfessionalOtorhinolaryngologic DiseasesOtorhinolaryngologic Surgical ProceduresPandemicsPneumonia, ViralPractice Guidelines as TopicSARS-CoV-2AerosolsAerosolAerosolizationCOVID-19GuidelineReview

Identifiers

PMID32375884
PMCPMC7202463

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.