{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,14]],"date-time":"2025-12-14T15:58:15Z","timestamp":1765727895176,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2020,8,6]],"date-time":"2020-08-06T00:00:00Z","timestamp":1596672000000},"content-version":"unspecified","delay-in-days":5,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Trauma Surg Acute Care Open"],"accepted":{"date-parts":[[2020,7,27]]},"published-print":{"date-parts":[[2020,8]]},"abstract":"\n Background<\/jats:title>\n Cricothyrotomy is associated with significant aerosolization that increases the potential risk of infection among healthcare providers. It is important to identify simple yet effective methods to suppress aerosolization and improve the safety of healthcare providers.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n 5 ear, nose and throat and general surgeons used a locally developed hybrid cricothyrotomy simulator with a porcine trachea to test three draping methods to suppress aerosolization during the procedure: an X-ray cassette drape, dry operating room (OR) towels and wet OR towels. The three methods were judged based on three categories: effectiveness of suppression, availability in all healthcare systems and ease of handling.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n All five surgeons performed the procedure independently using each of the three suppression methods. The wet OR towel drape was found to be an effective method to suppress aerosolization, and it did not hinder the surgeons from performing the procedure accurately. This finding was confirmed by using an atomized fluorescein dye injection into the porcine trachea, representing aerosolized material while performing the procedure.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n We present a novel intervention using wet towels to suppress aerosolization during cricothyrotomy. Wet towels are cheap and readily available within any healthcare setting regardless of the financial resources available.<\/jats:p>\n <\/jats:sec>","DOI":"10.1136\/tsaco-2020-000542","type":"journal-article","created":{"date-parts":[[2020,8,7]],"date-time":"2020-08-07T02:06:54Z","timestamp":1596766014000},"page":"e000542","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Emergency cricothyrotomy during the COVID-19 pandemic: how to suppress aerosolization"],"prefix":"10.1136","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1891-9272","authenticated-orcid":false,"given":"Nabil","family":"Issa","sequence":"first","affiliation":[{"name":"Departments of Surgery and Medical Education, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Whitney E","family":"Liddy","sequence":"additional","affiliation":[{"name":"Department of Ear, Nose and Throat, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandeep","family":"Samant","sequence":"additional","affiliation":[{"name":"Department of Ear, Nose and Throat, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David B","family":"Conley","sequence":"additional","affiliation":[{"name":"Department of Ear, Nose and Throat, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert C","family":"Kern","sequence":"additional","affiliation":[{"name":"Department of Ear, Nose and Throat, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric S","family":"Hungness","sequence":"additional","affiliation":[{"name":"Departments of Surgery and Medical Education, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey H","family":"Barsuk","sequence":"additional","affiliation":[{"name":"Departments of Medicine and Medical Education, Northwestern University Feinberg School of Medicine, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,8,6]]},"reference":[{"key":"2025082410514327000_5.1.e000542.1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0035797"},{"key":"2025082410514327000_5.1.e000542.2","doi-asserted-by":"publisher","DOI":"10.3390\/v11100940"},{"key":"2025082410514327000_5.1.e000542.3","doi-asserted-by":"crossref","DOI":"10.1136\/tsaco-2020-000482","article-title":"Critical care and acute care surgery committees of the American association for the surgery of trauma. performing tracheostomy during the Covid-19 pandemic: guidance and recommendations from the critical care and acute care surgery committees of the American association for the surgery of trauma","volume":"5","author":"Michetti","year":"2020","journal-title":"Trauma Surg Acute Care Open"},{"key":"2025082410514327000_5.1.e000542.4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2010.00753.x"},{"key":"2025082410514327000_5.1.e000542.5","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aev371"},{"key":"2025082410514327000_5.1.e000542.6","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1017\/cem.2018.386","article-title":"Bougie-assisted cricothyroidotomy: Delphi-derived essential steps for the novice learner","volume":"21","author":"Dharamsi","year":"2019","journal-title":"CJEM"},{"key":"2025082410514327000_5.1.e000542.7","doi-asserted-by":"crossref","first-page":"672","DOI":"10.1001\/jamaoto.2020.1081","article-title":"Negative-Pressure aerosol cover for COVID-19 tracheostomy","author":"Bertroche","year":"2020","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"key":"2025082410514327000_5.1.e000542.8","doi-asserted-by":"crossref","first-page":"1361","DOI":"10.1002\/hed.26222","article-title":"Health workers' safety during tracheostomy in COVID-19 patients: homemade protective screen","volume":"42","author":"Cordier","year":"2020","journal-title":"Head Neck"},{"key":"2025082410514327000_5.1.e000542.9","doi-asserted-by":"crossref","unstructured":"Carron JD , Buck LS , Harbarger CF , Eby TL . A simple technique for droplet control during mastoid surgery. JAMA Otolaryngol Head Neck Surg 2020.","DOI":"10.1001\/jamaoto.2020.1064"},{"key":"2025082410514327000_5.1.e000542.10","unstructured":"CDC . Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 (COVID-19) Pandemic. https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/hcp\/infection-control-recommendations.html (30 Jun 2020)."}],"container-title":["Trauma Surgery & Acute Care Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/tsaco-2020-000542","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,24]],"date-time":"2025-08-24T17:51:52Z","timestamp":1756057912000},"score":1,"resource":{"primary":{"URL":"https:\/\/tsaco.bmj.com\/lookup\/doi\/10.1136\/tsaco-2020-000542"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2020,8,6]]},"published-print":{"date-parts":[[2020,8]]}},"alternative-id":["10.1136\/tsaco-2020-000542"],"URL":"https:\/\/doi.org\/10.1136\/tsaco-2020-000542","relation":{},"ISSN":["2397-5776"],"issn-type":[{"type":"electronic","value":"2397-5776"}],"subject":[],"published":{"date-parts":[[2020,8]]}}}