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Self‐removing passive drain to facilitate postoperative care via telehealth during the <scp>COVID</scp>‐19 pandemic

Jesse R. Qualliotine, Ryan K. Orosco

2020Head & Neck23 citationsDOIOpen Access PDF

Abstract

BACKGROUND: Telehealth postoperative visits are an attractive strategy to minimize exposure, especially during the SARS-CoV-2 (COVID-19) pandemic. The use of a surgical drain often prevents this minimal-exposure approach in that patients return to the outpatient clinic for drain removal. METHODS AND RESULTS: Following unilateral neck dissection, the customary closed-suction drain was replaced with a self-removing, passive drain dressing to facilitate same-day discharge and telehealth postoperative follow-up. The patient removed the dressing and drain at home during a telehealth visit on postoperative day 4 and she healed favorably without any signs of infection or seroma. CONCLUSIONS: When thoughtfully applied in the appropriate clinical context, small practice adaptations like this can facilitate telehealth solutions that diminish unnecessary exposure for patients, their caregivers, and health care staff.

Topics & Concepts

TelehealthMedicineCoronavirus disease 2019 (COVID-19)PandemicContext (archaeology)Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)2019-20 coronavirus outbreakSuctionSeromaTelemedicineMedical emergencyIntensive care medicineSurgeryHealth careComplicationInternal medicineVirologyEconomicsOutbreakEngineeringMechanical engineeringEconomic growthDiseasePaleontologyInfectious disease (medical specialty)BiologyCOVID-19 and healthcare impactsReconstructive Surgery and Microvascular TechniquesTelemedicine and Telehealth Implementation
Self‐removing passive drain to facilitate postoperative care via telehealth during the <scp>COVID</scp>‐19 pandemic | Litcius