{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:04:19Z","timestamp":1777921459131,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2020,5,1]],"date-time":"2020-05-01T00:00:00Z","timestamp":1588291200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2020,5,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The current global COVID-19 pandemic is caused by the novel coronavirus Severe Acute Respiratory Syndrome coronavirus 2 (SARS-CoV-2). Given that SARS-CoV-2 is highly transmissible, surgical societies have recommended that procedures with a high risk of aerosolization be avoided or delayed. However, some high-risk procedures, such as those related to head and neck malignancies, cannot always be delayed. Care must be taken during aerosol-generating procedures to minimize viral transmission as much as possible. Preoperative testing for COVID-19, limited operating room personnel, adequate personal protective equipment, and surgical technique are factors to consider for high-risk procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This article presents the case of an awake tracheotomy performed for a transglottic mass causing airway obstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>With detailed planning and specific techniques, the amount of aerosolization was reduced, and the procedure was performed as safely as possible.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This case provides a template for future aerosol-generating procedures during respiratory pandemics.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2020.0239","type":"journal-article","created":{"date-parts":[[2020,4,20]],"date-time":"2020-04-20T17:25:29Z","timestamp":1587403529000},"page":"477-480","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Surgical Considerations for an Awake Tracheotomy During the COVID-19 Pandemic"],"prefix":"10.1177","volume":"30","author":[{"given":"Jason","family":"Crossley","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, MedStar Georgetown University Hospital, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"Clark","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, MedStar Georgetown University Hospital, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fredrick","family":"Brody","sequence":"additional","affiliation":[{"name":"Department of Surgery, Washington DC Veterans Affairs Medical Center, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica H.","family":"Maxwell","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, MedStar Georgetown University Hospital, Washington, DC, USA"},{"name":"Department of Surgery, Washington DC Veterans Affairs Medical Center, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,5,7]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"World Health Organization. Rolling Updates on Coronavirus Disease (COVID-19). https:\/\/www.who.int\/emergencies\/diseases\/novel-coronavirus-2019\/events-as-they-happen (accessed April10 2020)."},{"key":"e_1_3_3_3_2","doi-asserted-by":"crossref","unstructured":"Wang Y Liu Y Liu L Wang X Luo N Ling L. Clinical outcome of 55 asymptomatic cases at the time of hospital admission infected with SARS-Coronavirus-2 in Shenzhen China. J Infect Dis 2020 [Epub ahead of print]; DOI: 10.1093\/infdis\/jiaa119.","DOI":"10.1093\/infdis\/jiaa119"},{"key":"e_1_3_3_4_2","doi-asserted-by":"crossref","unstructured":"Lai C Liu Y Wang C et al. Asymptomatic carrier state acute respiratory disease and pneumonia due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2): facts and myths. J Microbiol Immunol Infect 2020 [Epub ahead of print]; DOI: 10.1016\/j.jmii.2020.02.012.","DOI":"10.1016\/j.jmii.2020.02.012"},{"key":"e_1_3_3_5_2","unstructured":"ArcGIS Dashboards. Coronavirus COVID-19 Global Cases by the Center for Systems Science and Engineering (CSSE) at Johns Hopkins University. https:\/\/gisanddata.maps.arcgis.com\/apps\/opsdashboard\/index.html#\/bda7594740fd40299423467b48e9ecf6 (accessed April8 2020)."},{"key":"e_1_3_3_6_2","doi-asserted-by":"crossref","unstructured":"Bai Y Yao L Wei T et al. Presumed asymptomatic carrier transmission of COVID-19. JAMA 2020 [Epub ahead of print]; DOI: 10.1001\/jama.2020.2565.","DOI":"10.1001\/jama.2020.2565"},{"key":"e_1_3_3_7_2","doi-asserted-by":"crossref","unstructured":"Workman A Welling D Carter B et al. Endonasal instrumentation and aerosolization risk in the era of COVID-19: simulation literature review and proposed mitigation strategies. Int Forum Allergy Rhinol 2020 [Epub ahead of print]; DOI: 10.1002\/alr.22577.","DOI":"10.1002\/alr.22577"},{"key":"e_1_3_3_8_2","doi-asserted-by":"crossref","unstructured":"van Doremalen N Bushmaker R Morris D et al. Aerosol and surface stability of SARS-CoV-2 as compared with SARS-CoV-1. New Eng J Med 2020 [Epub ahead of print]; DOI: 10.1056\/NEJMc2004973.","DOI":"10.1101\/2020.03.09.20033217"},{"key":"e_1_3_3_9_2","unstructured":"Parker N Schiff B Fritz M et al. Position Statement: Tracheotomy Recommendations During the COVID-19 Pandemic. American Academy of Otolaryngology\u2014Head & Neck Surgery. https:\/\/www.entnet.org\/content\/coronavirus-disease-2019-resources (accessed April8 2020)."},{"key":"e_1_3_3_10_2","unstructured":"Patel Z Hwang P Nayak J et al. Statement from Stanford University School of Medicine Departments of Otolaryngology\u2014Head and Neck Surgery and Neurosurgery. https:\/\/www.docdroid.net\/AyUBOji\/covid-19-information.pdf (accessed April6 2020)."},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200310000-00022"},{"key":"e_1_3_3_12_2","doi-asserted-by":"crossref","unstructured":"Werner M Carey R Albergotti W et al. Impact of the COVID-19 pandemic on the management of head and neck malignancies. https:\/\/www.entnet.org\/sites\/default\/files\/uploads\/brody_impact_of_the_covid-19_pandemic_on_the_management_of_head_and_neck_malignancies.pdf (accessed April10 2020).","DOI":"10.1177\/0194599820921413"},{"key":"e_1_3_3_13_2","doi-asserted-by":"crossref","unstructured":"Givi B Schiff B Chinn S et al. Safety recommendations for evaluation and surgery of the head and neck during the COVID-19 pandemic. JAMA Otolaryngol Head Neck Surg 2020 [Epub ahead of print]; DOI: 10.1001\/jamaoto.2020.0780.","DOI":"10.1001\/jamaoto.2020.0780"},{"key":"e_1_3_3_14_2","doi-asserted-by":"crossref","unstructured":"Tay J Khoo M Loh W. Surgical considerations for tracheostomy during the COVID-19 pandemic: lessons learned from the severe acute respiratory syndrome outbreak. JAMA Otolaryngol Head Neck Surg 2020 [Epub ahead of print]; DOI: 10.1001\/jamaoto.2020.0764.","DOI":"10.1001\/jamaoto.2020.0764"},{"key":"e_1_3_3_15_2","doi-asserted-by":"crossref","unstructured":"Balakrishnan K Schechtman S Hogikyan N et al. COVID-19 pandemic: what every otolaryngologist\u2014head and neck surgeon needs to know for safe airway management. https:\/\/www.entnet.org\/sites\/default\/files\/uploads\/brenner_what_every_otohns_needs_to_know_safe_airway_management.pdf (accessed April10 2020).","DOI":"10.1177\/0194599820919751"}],"container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/lap.2020.0239","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2020.0239","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2020.0239","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:54:22Z","timestamp":1777665262000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/lap.2020.0239"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,1]]},"references-count":14,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2020,5,1]]}},"alternative-id":["10.1089\/lap.2020.0239"],"URL":"https:\/\/doi.org\/10.1089\/lap.2020.0239","relation":{},"ISSN":["1092-6429","1557-9034"],"issn-type":[{"value":"1092-6429","type":"print"},{"value":"1557-9034","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5,1]]}}}