[Recommendations for performing interventions during the COVID-19 pandemic].

Area of Science:

• Pulmonology
• Infectious Diseases
• Public Health

Background:

• Coronavirus disease (COVID-19), caused by SARS-CoV-2, is a pandemic with high contagion risk, particularly via aerosols.
• Healthcare workers (HCWs) are at increased risk of exposure during aerosol-generating procedures involving the airway, lungs, and pleural space.
• The need for clear guidelines to mitigate infection risk in HCWs during pulmonary interventions is critical.

Purpose of the Study:

• To provide evidence-based recommendations for interventional pulmonology procedures during the COVID-19 pandemic.
• To outline risk stratification, diagnostic methods, and technical considerations for procedures like bronchoscopy, tracheostomy, and pleural procedures.
• To detail precautions for reducing SARS-CoV-2 contagion during pulmonary interventions.

Main Methods:

• A systematic review of available evidence was conducted.
• International specialists in interventional pulmonology collaborated to formulate recommendations.
• Recommendations cover risk assessment, diagnostic strategies, and procedural modifications for pulmonary interventions.

Main Results:

• Established risk stratification protocols for patients undergoing pulmonary procedures.
• Defined specific technical considerations and precautions for bronchoscopy, tracheostomy, and pleural procedures.
• Highlighted the importance of personal protective equipment (PPE) and environmental controls to minimize aerosol exposure.

Conclusions:

• Adherence to these recommendations can significantly reduce the risk of SARS-CoV-2 transmission to healthcare workers.
• Standardized guidelines are essential for safe practice in interventional pulmonology during infectious disease outbreaks.
• Proactive infection control measures are paramount in protecting healthcare professionals and preventing further spread.