Evidence map›Paper›PMID 33358322›Full record

SynthesisBrazilian journal of otorhinolaryngology

Diagnostic and therapeutic endonasal rhinologic procedures generating aerosol during COVID-19 pandemic: a systematized review.

Isha Preet Tuli, Sandeep Trehan, Kirti Khandelwal, Priyanka Chamoli, Sneha Nagendra, Aashish Tomar, Shilpam Sharma

Abstract readSystematic Review
In one paragraph

Synthesis in Brazilian journal of otorhinolaryngology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. COVID-19 and rhinological surgery.Operative techniques in otolaryngology--head and neck surgery · 2022
    Article
  2. Observational
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

7 authors.

Isha Preet TuliVardhman Mahavir Medical College and Safdarjung Hospital, Department of Otorhinolaryngology and Head and Neck Surgery, New Delhi, India.
Sandeep TrehanVardhman Mahavir Medical College and Safdarjung Hospital, Department of Otorhinolaryngology and Head and Neck Surgery, New Delhi, India. Electronic address: sandytrehan89@gmail.com.
Kirti KhandelwalVardhman Mahavir Medical College and Safdarjung Hospital, Department of Otorhinolaryngology and Head and Neck Surgery, New Delhi, India.
Priyanka ChamoliVardhman Mahavir Medical College and Safdarjung Hospital, Department of Otorhinolaryngology and Head and Neck Surgery, New Delhi, India.
Sneha NagendraVardhman Mahavir Medical College and Safdarjung Hospital, Department of Otorhinolaryngology and Head and Neck Surgery, New Delhi, India.
Aashish TomarVardhman Mahavir Medical College and Safdarjung Hospital, Department of Otorhinolaryngology and Head and Neck Surgery, New Delhi, India.
Shilpam SharmaVardhman Mahavir Medical College and Safdarjung Hospital, Department of Otorhinolaryngology and Head and Neck Surgery, New Delhi, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMost rhinologic procedures, particularly endoscopic sinonasal procedures, are liable to produce aerosols. The severe acute respiratory syndrome coronavirus 2 (SARS-Co V-2) transmits via respiratory droplets, but the degree of its spread through airborne routes by aerosol is unclear.

objectiveThe aim of this article is to counsel rhinologists on how to modify their conventional practice during the COVID-19 pandemic by prioritising the need of procedures, identifying aerosol- generating procedures and using precise personal protection equipment for various endonasal procedures.

methodsWe did a review of articles indexed for MEDLINE on PubMed, ENT Cochrane, DOAJ and Web of Science databases using the keywords nasal endoscopy, SARS-CoV-2, COVID-19, aerosol generating medical procedures and rhinology to formulate guidelines for the safety of healthcare workers.

resultsThe review included evidence from 28 articles from the otorhinolaryngology, surgery, infectious disease, head and neck surgery and cancer biology literature. We have provided recommendations and relevant information for rhinologists during the COVID-19 pandemic, based on the available studies and data, to warrant high-quality patient care and requisite levels of infection prevention during rhinology procedures.

conclusionIn rhinology, marked care is advised during nasal packing, electrocauterisation and use of high-speed rotating devices in potentially infected tissue as they are considerable aerosol- producing procedures. The choice of personal protective equipment is based on the risk of exposure and possible modes of aerosol generation.

Indexed as

COVID-19PandemicsAerosolsHumansPersonal Protective EquipmentSARS-CoV-2AerosolsCOVID-19Endoscopic sinus surgeryEpistaxisNasal endoscopySkull base surgery

Identifiers

PMID33358322
PMCPMC7837198

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.