Bronchoscopy in COVID-19 patients: When, how and why. Experience in clinical practice

https://doi.org/10.4081/monaldi.2021.1744

Authors

  • Carmine Guarino | carmine.guarino@ospedalideicolli.it Unit of Bronchology, Monaldi Hospital, Azienda Ospedaliera dei Colli, Naples , Italy. https://orcid.org/0000-0002-1023-7744
  • Cristiano Cesaro Unit of Bronchology, Monaldi Hospital, Azienda Ospedaliera dei Colli, Naples, Italy.
  • Giuseppe Fiorentino Units of Subintensive Care Therapy, Corps G, Cotugno Hospital, Azienda Ospedaliera dei Colli, Naples, Italy. https://orcid.org/0000-0002-2523-9769
  • Francesco Rossi Unit of Bronchology, Monaldi Hospital, Azienda Ospedaliera dei Colli, Naples, Italy.
  • Benedetto Maria Polverino Unit of Bronchology, Monaldi Hospital, Azienda Ospedaliera dei Colli, Naples , Italy.
  • Fiorentino Fragranza Unit of Anesthesia and Resuscitation, Cotugno Hospital, Azienda Ospedaliera dei Colli, Naples, Italy.
  • Luca Monastra Unit of Anesthesia and Resuscitation, Cotugno Hospital, Azienda Ospedaliera dei Colli, Naples, Italy.
  • Patrizia Murino Unit of Anesthesia and Resuscitation, Monaldi Hospital, Azienda Ospedaliera dei Colli, Naples, Italy.
  • Enzo Zamparelli Unit of Anesthesia and Resuscitation, Monaldi Hospital, Azienda Ospedaliera dei Colli, Naples, Italy.
  • Giuseppe La Cerra Unit of Bronchology, Monaldi Hospital, Azienda Ospedaliera dei Colli, Naples, Italy.

Abstract

Severe Acute Respiratory Syndrome due to Coronavirus-19 (SARS-CoV-2) is caused by combined alveolar-capillary lung damage, with bilateral pneumonia and thrombosis, which often causes respiratory failure. Proper COVID-19 management requires high skills in airway control and the need to perform aerosol-generating procedures such as bronchoscopy, which can increase the possibility of virus spreading among healthcare professionals. In an epidemiologically delicate moment, the multidisciplinary decision on “WHEN, HOW and WHY†to perform bronchoscopies minimizing the risk of COVID-19 transmission, represented a great challenge for all specialists engaged in bronchoscopic procedures. In this work authors want to share all technical aspects of 87 videobronchoscopies performed in confirmed or suspected COVID-19 patients, from 3rd to 6th January 2020, describing the reason, the organizational and operational model and patients characteristics. Was also evaluated the impact of high-risk procedures such as bronchoscopy on the personnel involved. The disclosure of all technical details, represents, in the opinion of the authors, an important contribution, capable of providing support to all physicians engaged in bronchoscopy procedures in confirmed or suspected COVID-19 patients.

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References

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Published
2021-03-02
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Issue
Section
COVID-19 - Collection of articles on the Coronavirus outbreak
Keywords:
Bronchoscopy, COVID-19, bronchoalveolar lavage, disposable bronchoscope
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How to Cite
Guarino, Carmine, Cristiano Cesaro, Giuseppe Fiorentino, Francesco Rossi, Benedetto Maria Polverino, Fiorentino Fragranza, Luca Monastra, Patrizia Murino, Enzo Zamparelli, and Giuseppe La Cerra. 2021. “Bronchoscopy in COVID-19 Patients: When, How and Why. Experience in Clinical Practice”. Monaldi Archives for Chest Disease 91 (2). https://doi.org/10.4081/monaldi.2021.1744.

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