Minimization Of Aerosol-Generating Procedures
Three aspects of our practice were identified to be potentially aerosol-generating and modifications were implemented.
The use of energy devices such as Harmonic Scalpel during surgery
Modification: A reduction in use was recommended. If use was necessary, the surgeon was to don, minimally, N95 mask and eye protection even if the surgery did not involve mucosa of the upper airway.
  1. The use of high-speed drills and debriders during surgery Modification: Non-urgent endoscopic sinus surgeries were postponed. Emergent skullbase surgeries such as those performed for pituitary decompression were allowed to proceed with PAPR.
  2. The use of nasal decongestant and anesthetic via a nozzle spray during nasoendoscopy Modification: Doctors were recommended to use a sterile water-based lubricant gel for nasoendoscopy (applied over the nasoendoscope) instead of nasal sprays.