In the July 2020 ASA Monitor article titled “Airway Management in 2020: Different and Scarier,” author Karen Sibert, MD, FASA, raises important and provocative questions regarding airway management in the COVID-19 era (ASA Monitor 2020;84:25).

One is: Should we be practicing universal precautions during the COVID-19 pandemic and going forward, since the incidence of false-negatives for COVID-19 testing may be as high as 30%? Others have called for universal airborne precautions for the protection of anesthesiology and other health care workers from COVID-19, but such policies have not yet been widely adopted (Anesth Analg 2020;131:e102-4).

Dr. Sibert's article points out how extubation can include an alarming display of coughing by the patient. She poses the question of how much concern we should have in terms of aerosol generation during routine airway management in the OR...

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