2020
DOI: 10.1055/a-1320-8250
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Empfehlungen zur Durchführung einer Bronchoskopie in Zeiten der COVID-19-Pandemie: Update 12/2020

Abstract: ZusammenfassungDie Pandemie ausgelöst durch SARS-CoV-19 geht weltweit unverändert mit einer bedeutsamen Morbidität und Mortalität einher, sodass Schutzmaßnahmen zur Verhinderung der Transmission des Virus weiterhin notwendig sind. Mitarbeiter im Gesundheitswesen sind einem höheren Risiko ausgesetzt, und dies gilt insbesondere im Rahmen sog. Aerosol-generierender Verfahren wie der Bronchoskopie. Seit der Veröffentlichung konsentierter Empfehlungen zur Durchführung einer Bronchoskopie unter diesen Bedingungen vo… Show more

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Cited by 13 publications
(5 citation statements)
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“…Among CD3+ T lymphocytes 52% were CD8+ (IQR 39.5-62.7), with a T CD4+/CD8+ ratio of 0.6 (IQR 0.4-1.2). 20% where HLA-DR+ (IQR [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32]. At multivariate analysis only the percentage of macrophages in the BALF at the time of ICU entry correlated with higher mortality (OR 1.336, 95% CI 1.014-1.759, p = 0.039).…”
Section: Bal In Suspected Covid-19 Non-critically Ill Patientsmentioning
confidence: 98%
See 1 more Smart Citation
“…Among CD3+ T lymphocytes 52% were CD8+ (IQR 39.5-62.7), with a T CD4+/CD8+ ratio of 0.6 (IQR 0.4-1.2). 20% where HLA-DR+ (IQR [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32]. At multivariate analysis only the percentage of macrophages in the BALF at the time of ICU entry correlated with higher mortality (OR 1.336, 95% CI 1.014-1.759, p = 0.039).…”
Section: Bal In Suspected Covid-19 Non-critically Ill Patientsmentioning
confidence: 98%
“…Several bronchology societies have issued documents regarding bronchoscopy during the early phase of the COVID-19 pandemic. 1,[13][14][15][16] Based on the risk of aerosol transmitted infection all societies at that time recommended postponing elective procedures, limiting the number of procedures in COVID-19 patients, performing procedures in COVID-19 patients with the minimal sufficient staff and with the use of appropriate personal protective equipment (PPE). Deciding how to stratify elective procedures to minimize the risk of transmission while not compromising time-sensitive medical care has been a major challenge and experts recommended reviewing the need for all procedures on a case-by-case basis to assess the indication and urgency.…”
Section: Indications Of Major Bronchoscopy Societiesmentioning
confidence: 99%
“…Several bronchology societies have issued documents regarding bronchoscopy during the early phase of the COVID-19 pandemic (1,(13)(14)(15)(16). Based on the risk of aerosol-transmitted infection, all societies at that time recommended postponing elective procedures, limiting the number of procedures in COVID-19 patients, performing procedures in COVID-19 patients with minimal sufficient staff, and with the use of appropriate personal protective equipment (PPE).…”
Section: Indications Of Major Bronchoscopy Societiesmentioning
confidence: 99%
“…Lymphocytes were a minority, 1%, with CD3+ 92% (IQR 82-95). Among CD3+ T lymphocytes, 52% were CD8+ (IQR 39.5-62.7), with a T CD4+/CD8+ ratio of 0.6 (IQR 0.4-1.2); and 20% were HLA-DR+ (IQR [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32]. In multivariate analysis, only the percentage of macrophages in the BALF at the time of ICU entry correlated with higher mortality (OR 1.336, 95%CI 1.014-1.759, p = 0.039).…”
Section: Bal Utility For Post-covid Ild Assessmentmentioning
confidence: 99%
“…Das Risiko einer Übertragung des SARS-CoV-2-Virus auf das Endoskopiepersonal ist bei Einhaltung gängiger Schutzmaßnahmen wahrscheinlich gering [28]. Die DGP hat bereits in 2020 Empfehlungen zur Durchführung einer Bronchoskopie bei COVID-19-Patienten formuliert [32].…”
Section: ) Vorbekannte Ild Akuter Verdacht Auf Covid-19bedingte Pneum...unclassified