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Lung India. 2021 Mar;38:S105-S115. doi: 10.4103/lungindia.lungindia_953_20.

Conventional flexible bronchoscopy during the COVID pandemic: A consensus statement from the Indian Association for Bronchology.

Lung India : official organ of Indian Chest Society

Prashant Nemichand Chhajed, Amita Nene, Nitin Abhyankar, Jayachandra Akkaraju, Ritesh Agarwal, Suninder Arora, Rajani Bhat, Rakesh Chawla, D J Christopher, Sushmita Roy Chowdhary, Raja Dhar, Sahajal Dhooria, Rajiv Goyal, Richa Gupta, Prince James, Parvaiz A Koul, A K Abdul Khader, Karan Madan, Vikas Marwah, Ravindra Mehta, Anant Mohan, Vivek Nangia, Dharmesh Patel, V R Pattabhiraman, Inderpaul Singh Sehgal, Sheetu Singh, Arjun Srinivasan, Rajesh Swarnakar, Shyamsunder Tampi

Affiliations

  1. Lung Care and Sleep Centre; Institute of Pulmonology, Medical Research and Development, Mumbai, Maharashtra, India.
  2. Department of Respiratory Medicine, Bombay Hospital Institute of Medical Sciences, Mumbai, Maharashtra, India.
  3. Department of Respiratory Medicine, Poona Hospital, Pune, Maharashtra, India.
  4. Department of Respiratory Medicine, Virinchi Hospital, Hyderabad, Telangana, India.
  5. Department of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
  6. Batra Hospital and Medical Centre, New Delhi, India.
  7. Board of Doctors, New Delhi, India.
  8. Department of Respiratory Medicine, Jaipur Golden Hospital, New Delhi, India.
  9. Department of Pulmonary Medicine, Christian Medical College, Vellore, Tamil Nadu, India.
  10. Department of Respiratory Medicne, Apollo Gleaneagles Hospital, Kolkata, West Bengal, India.
  11. Department of Pulmonary Medicine, Fortis Hospital, Kolkata, West Bengal, India.
  12. Department of Respiratory Medicine, Jaipur Golden Hospital and Rajiv Gandhi Cancer Hospital, New Delhi, India.
  13. Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India.
  14. Department of Pulmonary Medicine, KMCT Medical College, Kozhikode, Kerala, India.
  15. Department of Pulmonary Medicine, All India Institute of Medical Sciences, New Delhi, India.
  16. Department of Pulmonary, Critical Care and Sleep Medicine, Army Institute of Cardiothoracic Sciences (AICTS), Pune, Maharashtra, India.
  17. Department of Respiratory Medicine, Apollo Hospitals, Bengaluru, Karnataka, India.
  18. Institute of Respiratory, Critical Care and Sleep Medicine, Max Hospital, Saket Complex, New Delhi, India.
  19. City Clinic and Bhailal Amin General Hospital, Vadodara, Gujarat, India.
  20. Department of Respiratory Medicine, Royal Care Hospital, Coimbatore, Tamil Nadu, India.
  21. Department of Chest and Tuberculosis, Institute of Respiratory Disease, Jaipur, Rajasthan, India.
  22. Department of Respiratory Medicine, Getwell Hospital and Research Institute, Nagpur, Maharashtra, India.

PMID: 33686993 PMCID: PMC8104343 DOI: 10.4103/lungindia.lungindia_953_20

Abstract

During the times of the ongoing COVID pandemic, aerosol-generating procedures such as bronchoscopy have the potential of transmission of severe acute respiratory syndrome coronavirus 2 to the healthcare workers. The decision to perform bronchoscopy during the COVID pandemic should be taken judiciously. Over the years, the indications for bronchoscopy in the clinical practice have expanded. Experts at the Indian Association for Bronchology perceived the need to develop a concise statement that would assist a bronchoscopist in performing bronchoscopy during the COVID pandemic safely. The current Indian Association for Bronchology Consensus Statement provides specific guidelines including triaging, indications, bronchoscopy area, use of personal protective equipment, patient preparation, sedation and anesthesia, patient monitoring, bronchoscopy technique, sample collection and handling, bronchoscope disinfection, and environmental disinfection concerning the coronavirus disease-2019 situation. The suggestions provided herewith should be adopted in addition to the national bronchoscopy guidelines that were published recently. This statement summarizes the essential aspects to be considered for the performance of bronchoscopy in COVID pandemic, to ensure safety for both for patients and healthcare personnel.

Keywords: Bronchoscopy; coronavirus disease-2019; severe acute respiratory syndrome coronavirus 2

Conflict of interest statement

None

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