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Recommendations for interventional pulmonology during COVID-19 outbreak: a consensus statement from the Portuguese

F Guedes1, J P Boléo-Tomé2, L V Rodrigues3

  • 1Centro Hospitalar do Porto (CHP), Hospital Geral de Santo António (HGSA), Unidade de Broncologia, Serviço de Pneumologia, Porto, Portugal; Departamento de Clínicas Veterinárias, Instituto de Ciências Biomédicas de Abel Salazar (ICBAS), Universidade do Porto (UP), Porto, Portugal; Centro de Estudos de Ciência Animal (CECA), Instituto de Ciências, Tecnologias e Agroambiente (ICETA) da Universidade do Porto, Praça Gomes Teixeira, Apartado 55142, 4051-401, Porto, Portugal.

Pulmonology
|September 2, 2020
PubMed

Insights

Healthcare workers performing bronchoscopy face high COVID-19 infection risks. This guide offers recommendations for safe interventional pulmonology procedures during the pandemic until vaccines are available.

Area of Science:

  • Pulmonology
  • Infectious Diseases
  • Public Health

Background:

  • Coronavirus disease 2019 (COVID-19), caused by SARS-CoV-2, spreads rapidly via respiratory droplets.
  • Healthcare workers are at high risk of infection, particularly during aerosol-generating procedures like bronchoscopy.
  • Existing recommendations require updates to address the ongoing presence of SARS-CoV-2 in the community.

Purpose of the Study:

  • To provide guidance for interventional pulmonology practices during the COVID-19 pandemic.
  • To outline safe and efficient protocols for performing bronchoscopy and pleural procedures.
  • To address the long-term management of COVID-19 in clinical settings.

Main Methods:

  • Review of current literature and expert consensus on infection control.
  • Adaptation of standard bronchoscopy and pleural procedure techniques.
  • Development of safety protocols for patients and healthcare personnel.

Main Results:

  • Bronchoscopy and pleural procedures carry significant risks of SARS-CoV-2 transmission.
  • Modified procedures are necessary to minimize droplet spread and protect staff.
  • Recommendations focus on safety measures applicable until widespread vaccination or effective treatments are available.

Conclusions:

  • Interventional pulmonology requires adapted procedures to ensure safety during the COVID-19 pandemic.
  • Continuous evaluation and updating of safety protocols are essential.
  • Safe performance of bronchoscopy and pleural procedures is achievable with appropriate precautions.

Keywords:
BronchoscopyCOVID-19Consensus statementInterventional pulmonologyThoracocentesis

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