2021
DOI: 10.1513/annalsats.202009-1225rl
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Bronchoscopy on Intubated Patients with COVID-19 Is Associated with Low Infectious Risk to Operators

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Cited by 49 publications
(55 citation statements)
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“…Locally, we run a large pleural unit with high rates of lung cancer and mesothelioma and provide a regional interventional service. 3 As per known literature, we have noticed a dramatic drop in referrals. New patient referrals to pleural clinic for any cause in 2020 were only 43% compared to 2019 numbers (unpublished local data) (clinics were kept open during the pandemic as multi-site working is possible locally) and we also noted a drop in interventions performed (57 in 2020 vs 97 in 2019, even allowing for 6 weeks where no elective theatre lists ran).…”
Section: A Note On Lung Cancer In the Covid-19 Erasupporting
confidence: 56%
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“…Locally, we run a large pleural unit with high rates of lung cancer and mesothelioma and provide a regional interventional service. 3 As per known literature, we have noticed a dramatic drop in referrals. New patient referrals to pleural clinic for any cause in 2020 were only 43% compared to 2019 numbers (unpublished local data) (clinics were kept open during the pandemic as multi-site working is possible locally) and we also noted a drop in interventions performed (57 in 2020 vs 97 in 2019, even allowing for 6 weeks where no elective theatre lists ran).…”
Section: A Note On Lung Cancer In the Covid-19 Erasupporting
confidence: 56%
“…2 Subsequently, it has been shown that, when indicated, bronchoscopy can be performed safely in those with COVID-19. 3 Data from our centre indicate that bronchoscopy can be undertaken for multiple indications when there is careful adherence to PPE use, enabling continuation of essential services, particularly in the aforementioned timely diagnosis of lung cancer. 4 St Vincent's University Hospital, an 836-bed academic health centre in Dublin, Ireland, is one of the eight designated national cancer centres which provides rapid access diagnostic and treatment options for the management of suspected lung cancer.…”
Section: To the Editorsmentioning
confidence: 97%
“…The use of bronchoscopy in COVID-19 patients has been recommended when current respiratory samples from sputum and endotracheal aspirates are negative, in which an alternate diagnosis provided by BAL would significantly impact clinical management [44]. Nevertheless, two recent single-center retrospective studies showed no increase in the risk of COVID-19 transmission to healthcare providers when bronchoscopy is routinely performed while adhering to the proper infection control protocol [12,45].…”
Section: Discussionmentioning
confidence: 99%
“…Furthermore, during the first wave of the COVID-19 pandemic, bronchoscopic explorations were considered as a source of exposure to SARS-CoV-2 for physicians due to the risk of the aerosolization during this procedure. Thus, we performed such investigations less frequently in COVID-19 patients; this risk has been debunked in recent papers [ 35 ]. Hence, it was not always possible to identify bronchoscopic findings suggestive of Aspergillus tracheobronchitis, such as epithelial plaques, pseudomembranes, or ulcers.…”
Section: Discussionmentioning
confidence: 99%