{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T07:15:21Z","timestamp":1778742921381,"version":"3.51.4"},"reference-count":10,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>In the context of the current coronavirus pandemic, we propose an inexpensive, innovative overhead transparent plastic barrier with powered suction (OTPBPS) technique using materials that are ubiquitous in the hospital, easy to set up in minutes and well tolerated by the patients. As presented in this case report, it is an effective method to reduce viral spread from patients with positive or suspected yet unconfirmed coronavirus disease 2019 status.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>A 49-year-old male was admitted to the hospital with a diagnosis of cervical stenosis and a C6-C7 disc herniation with spinal cord compression. The OTPBPS technique was set up to create a negative pressure environment around the patient\u2019s head, using a Mayo stand, a transparent plastic bag, and powered wall canister suction. The neurosurgeon successfully performed an anterior cervical discectomy and instrumented fusion under OTPBPS. The patient was satisfied with the intubation and anesthetic management and reported excellent feedback.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>The OTPBPS technique helps control the spread of an aerosolized viral load from the patient\u2019s mouth or airway during awake fiber-optic intubation. This technique will help anesthesiologists and other front-line health-care providers manage copious endotracheal secretions and droplet particles, which have an immense infectious potential.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_801_2020","type":"journal-article","created":{"date-parts":[[2020,12,29]],"date-time":"2020-12-29T08:24:53Z","timestamp":1609230293000},"page":"473","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Innovative overhead transparent plastic barrier with powered suction technique intended to limit coronavirus disease 2019 aerosols spread during fiber-optic intubation and throughout the surgery"],"prefix":"10.25259","volume":"11","author":[{"given":"Ramsis","family":"Ghaly","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zinaida","family":"Perciuleac","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Pleasca","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iulia","family":"Pirvulescu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth D.","family":"Candido","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nebojsa Nick","family":"Knezevic","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2020,12,29]]},"reference":[{"key":"10.25259\/SNI_801_2020\/ref-3","doi-asserted-by":"crossref","first-page":"e34","DOI":"10.1213\/ANE.0000000000004876","article-title":"Barrier system for airway management of COVID-19 patients","volume":"131","author":"Brown","year":"2020","journal-title":"Anesth Analg"},{"key":"10.25259\/SNI_801_2020\/ref-4","doi-asserted-by":"crossref","first-page":"1957","DOI":"10.1056\/NEJMc2007589","article-title":"Barrier enclosure during endotracheal intubation","volume":"382","author":"Canelli","year":"2020","journal-title":"N Engl J Med"},{"key":"10.25259\/SNI_801_2020\/ref-5","doi-asserted-by":"crossref","first-page":"477","DOI":"10.15585\/mmwr.mm6915e6","article-title":"Characteristics of health care personnel with COVID-19-United States, February 12-April 9, 2020","volume":"69","author":"CDC COVID-19 Response Team","year":"2020","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"10.25259\/SNI_801_2020\/ref-6","doi-asserted-by":"crossref","first-page":"e63","DOI":"10.1056\/NEJMp2006372","article-title":"Universal masking in hospitals in the COVID-19 era","volume":"382","author":"Klompas","year":"2020","journal-title":"N Engl J Med"},{"key":"10.25259\/SNI_801_2020\/ref-7","doi-asserted-by":"crossref","first-page":"e106","DOI":"10.1213\/ANE.0000000000004937","article-title":"Acrylic box versus plastic sheet covering on droplet dispersal during extubation in COVID-19 patients","volume":"131","author":"Laosuwan","year":"2020","journal-title":"Anesth Analg"},{"key":"10.25259\/SNI_801_2020\/ref-8","doi-asserted-by":"crossref","first-page":"e641","DOI":"10.1016\/S2214-109X(20)30110-8","article-title":"COVID-19 in Italy: Momentous decisions and many uncertainties","volume":"8","author":"Lazzerini","year":"2020","journal-title":"Lancet Glob Health"},{"key":"10.25259\/SNI_801_2020\/ref-9","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1080\/15459624.2012.725986","article-title":"Dispersion and exposure to a cough-generated aerosol in a simulated medical examination room","volume":"9","author":"Lindsley","year":"2012","journal-title":"J Occup Environ Hyg"},{"key":"10.25259\/SNI_801_2020\/ref-10","doi-asserted-by":"crossref","first-page":"1616","DOI":"10.1097\/ALN.0000000000003288","article-title":"Precautions for intubating patients with COVID-19","volume":"132","author":"Luo","year":"2020","journal-title":"Anesthesiology"},{"key":"10.25259\/SNI_801_2020\/ref-11","doi-asserted-by":"crossref","first-page":"e475","DOI":"10.1016\/S2468-2667(20)30164-X","article-title":"Risk of COVID-19 among front-line health-care workers and the general community: A prospective cohort study","volume":"5","author":"Nguyen","year":"2020","journal-title":"Lancet Public Health"},{"key":"10.25259\/SNI_801_2020\/ref-12","first-page":"153","article-title":"Clinical manifestation, diagnosis, prevention and control of SARS-CoV-2 (COVID-19) during the outbreak period","volume":"28","author":"Ozma","year":"2020","journal-title":"Infez Med"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/innovative-overhead-transparent-plastic-barrier-with-powered-suction-technique-intended-to-limit-coronavirus-disease-2019-aerosols-spread-during-fiber-optic-intubation-and-throughout-the-surgery\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/innovative-overhead-transparent-plastic-barrier-with-powered-suction-technique-intended-to-limit-coronavirus-disease-2019-aerosols-spread-during-fiber-optic-intubation-and-throughout-the-surgery\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,29]],"date-time":"2020-12-29T08:24:57Z","timestamp":1609230297000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/innovative-overhead-transparent-plastic-barrier-with-powered-suction-technique-intended-to-limit-coronavirus-disease-2019-aerosols-spread-during-fiber-optic-intubation-and-throughout-the-surgery\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,29]]},"references-count":10,"alternative-id":["10.25259\/SNI_801_2020"],"URL":"https:\/\/doi.org\/10.25259\/sni_801_2020","relation":{},"ISSN":["2152-7806"],"issn-type":[{"value":"2152-7806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12,29]]},"article-number":"473"}}