{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T10:23:39Z","timestamp":1772706219191,"version":"3.50.1"},"reference-count":13,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2020,5,6]],"date-time":"2020-05-06T00:00:00Z","timestamp":1588723200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>This study describes a novel approach in reducing SARS\u2010CoV\u20102 transmission during tracheostomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Five patients underwent tracheostomy between April 1, 2020 and April 17, 2020. A clear and sterile plastic drape was used as an additional physical barrier against droplets and aerosols. Operative diagnosis; droplet count and distribution on plastic sheet and face shields were documented.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Tracheostomy was performed for patients with carcinoma of tonsil (n = 2) and nasopharynx (n = 1), and aspiration pneumonia (n = 2). Droplet contamination was noted on all plastic sheets (n = 5). Droplet contamination was most severe over the central surface at 91.5% (86.7%\u2010100.0%) followed by the left and right lateral surfaces at 5.2% (6.7%\u201010.0%) and 3.3% (6.7%\u201010.0%), respectively. No droplet contamination was noted on all face shields.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Plastic drapes can help reduce viral transmission to health care providers during tracheostomy. Face shields may be spared which in turn helps to conserve resources during the novel coronavirus disease 2019 pandemic.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.26234","type":"journal-article","created":{"date-parts":[[2020,5,2]],"date-time":"2020-05-02T00:33:45Z","timestamp":1588379625000},"page":"1367-1373","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Tracheostomy during <scp>COVID<\/scp>\u201019 pandemic\u2014Novel approach"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3958-2410","authenticated-orcid":false,"given":"Velda Ling Yu","family":"Chow","sequence":"first","affiliation":[{"name":"Division of Head and Neck Surgery, Department of Surgery University of Hong Kong Li Ka Shing Faculty of Medicine, Queen Mary Hospital  Hong Kong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0303-6469","authenticated-orcid":false,"given":"Jimmy Yu Wai","family":"Chan","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery, Department of Surgery University of Hong Kong Li Ka Shing Faculty of Medicine, Queen Mary Hospital  Hong Kong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valerie Wai Yee","family":"Ho","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery, Department of Surgery University of Hong Kong Li Ka Shing Faculty of Medicine, Queen Mary Hospital  Hong Kong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sherby Suet Ying","family":"Pang","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery, Department of Surgery University of Hong Kong Li Ka Shing Faculty of Medicine, Queen Mary Hospital  Hong Kong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George Chung Ching","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery, Department of Surgery University of Hong Kong Li Ka Shing Faculty of Medicine, Queen Mary Hospital  Hong Kong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melody Man Kuen","family":"Wong","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery, Department of Surgery University of Hong Kong Li Ka Shing Faculty of Medicine, Queen Mary Hospital  Hong Kong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arthur Shing Ho","family":"Lo","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery, Department of Surgery University of Hong Kong Li Ka Shing Faculty of Medicine, Queen Mary Hospital  Hong Kong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frances","family":"Lui","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology University of Hong Kong Li Ka Shing Faculty of Medicine, Queen Mary Hospital  Hong Kong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clara Ching Mei","family":"Poon","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology University of Hong Kong Li Ka Shing Faculty of Medicine, Queen Mary Hospital  Hong Kong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stanley Thian Sze","family":"Wong","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery, Department of Surgery University of Hong Kong Li Ka Shing Faculty of Medicine, Queen Mary Hospital  Hong Kong China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,5,6]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMc2001737"},{"key":"e_1_2_7_3_1","unstructured":"US Centers for Disease Control and Prevention. Interim infection prevention and control recommendations for patients with suspected or confirmed coronavirus disease (COVID\u201019) in healthcare settings.https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/infection-control\/control-recommendations.html. Accessed April 18 2020."},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2020.0764"},{"key":"e_1_2_7_5_1","first-page":"1","article-title":"Asymptomatic carrier state, acute respiratory disease, and pneumonia due to severe acute respiratory syndrome coronavirus 2 (SARSCoV\u20102): facts and myths","volume":"2","author":"Lai C\u2010C","year":"2020","journal-title":"J Microbiol Immunol Infect"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2020200642"},{"key":"e_1_2_7_7_1","unstructured":"World Health Organisation. Rational use of personal protective equipment for coronavirus disease (COVID\u201019) and considerations during severe shortages. Interim Guidance 2020.https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/331695\/WHO\u20102019\u2010nCov\u2010IPC_PPE_use\u20102020.3\u2010eng.pdf. Accessed April 18 2020."},{"key":"e_1_2_7_8_1","unstructured":"Centers for Disease Control and Prevention (CDC) Healthcare Infection Control Practices Advisory Committee (HICPAC). Part III. Precautions to prevent transmission of infectious agents.http:\/\/ww.cdc.gov\/hicpac\/2007IP\/2007ip_part3.html. Accessed April 18 2020."},{"key":"e_1_2_7_9_1","unstructured":"Centre for Health Protection. Key elements on prevention and control of coronavirus disease (COVID\u201019) in healthcare settings (Interim).https:\/\/www.chp.gov.hk\/files\/pdf\/ic_advice_for_nid_in_healthcare_setting.pdf. Accessed April 18 2020."},{"key":"e_1_2_7_10_1","unstructured":"World Health Organisation. Novel coronavirus (COVID\u201019) situation dashboard.https:\/\/who.sprinklr.com. 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