Skip to content

Fao Ectad Bamako

Resolab – Rabies Subnetwork

  • Home
  • Antibody Products
  • Bamako Mali
  • Rabies Research
  • Fao Ectad Bamako
  • Toggle search form
Otolaryngology Resident Practices and Perceptions in the Initial Phase of the U.S. COVID-19 Pandemic

Otolaryngology Resident Practices and Perceptions in the Initial Phase of the U.S. COVID-19 Pandemic

Posted on May 8, 2020May 8, 2020 By Clayton No Comments on Otolaryngology Resident Practices and Perceptions in the Initial Phase of the U.S. COVID-19 Pandemic

The coronavirus 2019 (COVID–19) pandemic has had widespread implications on clinical practice at United States (U.S.) hospitals. These changes are particularly relevant to otolaryngology – head and neck surgery (OHNS) residents, as reports suggest an increased risk of contracting COVID–19 for otolaryngologists.

The objectives of this study were to evaluate OHNS residency program practice changes and characterize resident perceptions during the initial phase of the pandemic.A cross-sectional survey of U.S. OHNS residents at 81 programs was conducted between March 23-29, 2020.82 residents from 51 institutions (63% of invited programs) responded. At time of survey, 98% of programs had enacted policy changes to minimize COVID–19 spread.

These included filtered respirator use for aerosol-generating procedures even in COVID–19-negative patients (85%), decreased resident staffing of surgeries (70%), and reduced frequency of tracheotomy care (61%). The majority of residents (66%) perceived that residents were at higher risk of contracting COVID–19 compared to attendings. Residents were most concerned about protective equipment shortage (93%) and transmitting COVID–19 to patients (90%).

 Otolaryngology Resident Practices and Perceptions in the Initial Phase of the U.S. COVID-19 Pandemic
Otolaryngology Resident Practices and Perceptions in the Initial Phase of the U.S. COVID-19 Pandemic

The majority of residents (73%) were satisfied with their department’s COVID–19 response. Resident satisfaction correlated with comfort level in discussing concerns with attendings (r=0.72, p<0.00001) and inversely correlated with perceptions of increased risk compared to attendings (r=-0.52, p < 0.00001).U.S.

OHNS residency programs implemented policy changes quickly in response to the COVID–19 pandemic. Sources of resident anxieties demonstrate the importance of open communication and an integrated team approach to facilitate optimal patient and provider care during this unprecedented crisis.

Utility of Tracheostomy in Patients with COVID-19 and Other Special Considerations

Patients who become severely ill from COVID–19 have a high likelihood of needing prolonged intubation, making tracheostomy a likely consideration. The infectious nature of COVID–19 poses an additional risk of transmission to healthcare workers that should be taken into consideration.

We explore current literature and recommendations for tracheostomy in patients with COVID–19, and look back at previous data from SARS-CoV-1, the virus responsible for the SARS outbreak of 2003.

Given the severity and clinical uncertainty of patients with COVID–19 and the increased risk of transmission to clinicians, careful consideration should be taken prior to performing tracheostomy. If tracheostomy is performed, we recommend a bedside approach to limit exposure time and number of exposed personnel.

Bronchoscopy use with a percutaneous approach should be limited in order to decrease viral exposure. Thorough preprocedural planning, use of experienced personnel, enhanced PPE where available, and a thoughtful anesthesia approach are instrumental in maximizing positive patient outcomes while successfully protecting the safety of healthcare personnel.

Patients who become severely ill from COVID–19 have a high likelihood of needing prolonged intubation, making tracheostomy a likely consideration.

The infectious nature of COVID–19 poses an additional risk of transmission to healthcare workers that should be taken into consideration. We explore current literature and recommendations for tracheostomy in patients with COVID–19, and look back at previous data from SARS-CoV-1, the virus responsible for the SARS outbreak of 2003.

Given the severity and clinical uncertainty of patients with COVID–19 and the increased risk of transmission to clinicians, careful consideration should be taken prior to performing tracheostomy. If tracheostomy is performed, we recommend a bedside approach to limit exposure time and number of exposed personnel.

Bronchoscopy use with a percutaneous approach should be limited in order to decrease viral exposure.

Thorough preprocedural planning, use of experienced personnel, enhanced PPE where available, and a thoughtful anesthesia approach are instrumental in maximizing positive patient outcomes while successfully protecting the safety of healthcare personnel.

Otolaryngology Resident Practices and Perceptions in the Initial Phase of the U.S. COVID-19 Pandemic Tags:Otolaryngology Resident Practices and Perceptions in the Initial Phase of the U.S. COVID-19 Pandemic

Post navigation

Previous Post: Covid-19: A major discovery: the virus uses a bacteria to kill
Next Post: Considerations for pharmacoepidemiological analyses in the SARS-CoV-2 pandemic

Related Posts

Indirect signal amplification strategy with a universal probe-based lateral flow immunoassay for the rapid quantitative detection of fumonisin B1 Moral outrage in COVID19- Understandable but not a strategy
Encapsulation and Outdoor Testing of Perovskite Solar Cells: Comparing Industrially Relevant Process with a Simplified Lab Procedure Considerations for pharmacoepidemiological analyses in the SARS-CoV-2 pandemic
Comb coherence-transfer and cavity ring-down saturation spectroscopy around 1.65 μm: kHz-accurate frequencies of transitions in the 2ν 3 band of 12 CH 4 Moral outrage in COVID19- Understandable but not a strategy
Estimation of salivary proteins in early childhood caries before and after treatment using gel electrophoresis Moral outrage in COVID19- Understandable but not a strategy
Isolation of exosome from the culture medium of Nasopharyngeal cancer (NPC) C666-1 cells using inertial based Microfluidic channel Moral outrage in COVID19- Understandable but not a strategy
Weather and Aggressive Behavior among Patients in Psychiatric Hospitals-An Exploratory Study Moral outrage in COVID19- Understandable but not a strategy

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *

RSS Biology News Net

  • The proteins that domesticated our genomes
  • Study reveals how ionising radiation damages DNA and causes cancer
  • Human kidney progenitors isolated, offering new clues to cell renewal
  • Giraffes more speciose than expected
  • New 'Trojan horse' antibody strategy shows promise against all Ebola viruses
  • Brain circuit that drives sleep-wake states, sleep-preparation behavior is identified
  • New genus of bacteria found living inside hydraulic fracturing wells
  • Biochemists' discovery could lead to vaccine against 'flesh-eating' bacteria
  • More tomatoes, faster: Accelerating tomato engineering
  • New species of pterosaur discovered in Patagonia

January 2023
M T W T F S S
 1
2345678
9101112131415
16171819202122
23242526272829
3031  
« Dec    

Recent Posts

  • Compare ELISA lab reagents for research
  • Compare monoclonal lab reagents for research
  • TEST Lab Reagents for Research
  • Weather and Aggressive Behavior among Patients in Psychiatric Hospitals-An Exploratory Study
  • Nocturnal incubation recess and flushing behavior by duck hens

Recent Comments

    Copyright © 2023 Fao Ectad Bamako.

    Powered by PressBook Grid Blogs theme