COVID-19: Chest Drains With Air Leak – The Silent ‘Super Spreader’?

To date, one million confirmed cases of SARS-CoV-2 virus have been reported worldwide with a death toll of over 50,000 (1). Particular concern has been raised regarding the exposure of healthcare professionals. Early reports from the Wuhan province in China described up to 29% infection rates among healthcare professionals before the use of personal Protection equipment (PPE) was fully established (2). Several measures are being established with regard the correct use of PPE and reduction in aerosol generating procedures. However to the authors’ knowledge, no specific guidance is available regarding the potential risk of aerosolization of SARS-Cov-2 virus via chest drains in patients with active air leak.