Aerosol Production with Surgical Instrumentation: Implications for Head and Neck Surgery in the COVID-19 Era

Evaluating the aerosolization of droplets from surgical instruments to assess the implications of surgery in SARS-CoV-2 transmission for both patients and providers. Cadaver study. Outpatient surgery center. Aerosolized particles between 0.3 and 25 microns were measured. Instruments tested included...

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Bibliographic Details
Published in:Indian journal of otolaryngology, and head, and neck surgery and head, and neck surgery, 2022-10, Vol.74 (Suppl 2), p.3145-3150
Main Authors: Low, Garren M. I., LeConte, Bailey, Eguia, Arturo A., Kim, Ashley, Karni, Ron J., Luong, Amber U., Jain, Kunal S.
Format: Article
Language:English
Subjects:
Cancer surgery
COVID-19
Disease transmission
Head & neck cancer
Head and Neck Surgery
Medicine
Medicine & Public Health
Original
Original Article
Otorhinolaryngology
Severe acute respiratory syndrome coronavirus 2
Surgical apparatus & instruments
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Summary:Evaluating the aerosolization of droplets from surgical instruments to assess the implications of surgery in SARS-CoV-2 transmission for both patients and providers. Cadaver study. Outpatient surgery center. Aerosolized particles between 0.3 and 25 microns were measured. Instruments tested included monopolar cautery with and without suction, bipolar cautery, a bipolar vessel sealing device, and tissue scissors. Each trial was compared to a background reading. Monopolar cautery without suction, Ligasure used continuously and Bipolar cautery produced the most aerosols. Monopolar cautery with simultaneous suction produced no detectable aerosols. Ligasure used for a single cycle produced notably fewer aerosols than during continuous use. Most aerosols produced were 
ISSN:2231-3796
0973-7707
DOI:10.1007/s12070-021-02872-7