Bronchoscopy during the COVID-19 pandemic: effect on current practices and strategies to reduce procedure-associated transmission

Expert Rev Respir Med. 2021 Jun;15(6):773-779. doi: 10.1080/17476348.2021.1913058. Epub 2021 Apr 12.

Abstract

Introduction: Bronchoscopy and related procedures have unambiguously been affected during the Corona Virus Disease 2019 (COVID-19) pandemic caused by Severe Acute Respiratory Syndrome-Corona Virus-2 (SARS COV-2). Ordinary bronchoscopy practices and lung cancer services might have changed over this pandemic and for the years to come.Areas covered: This manuscript summarizes the utility of bronchoscopy in COVID-19 patients, and the impact of the pandemic in lung cancer diagnostic services, in view of possible viral spread during these We conducted a literature review of articles published in PubMed/Medline from inception to November 5th, 2020 using relevant terms.Expert opinion: Without doubt this pandemic has changed the way bronchoscopy and related procedures are being performed. Mandatory universal personal protective equipment, pre-bronchoscopy PCR tests, dedicated protective barriers and disposable bronchoscopes might be the safest and simpler way to perform even the most complicated procedures.

Keywords: COVID-19; bronchoalveolar lavage; bronchoscopy; endobronchial ultrasound/transbronchial needle aspiration; interventional pulmonology; pandemic.

Publication types

  • Historical Article
  • Review

MeSH terms

  • Bronchoscopes / microbiology
  • Bronchoscopes / standards
  • Bronchoscopes / virology
  • Bronchoscopy* / instrumentation
  • Bronchoscopy* / methods
  • Bronchoscopy* / standards
  • COVID-19 / epidemiology*
  • COVID-19 / prevention & control
  • COVID-19 / therapy*
  • COVID-19 / transmission
  • Cross Infection / prevention & control*
  • Equipment Contamination / prevention & control
  • History, 21st Century
  • Humans
  • Lung Neoplasms / diagnosis
  • Medical Oncology / instrumentation
  • Medical Oncology / methods
  • Medical Oncology / standards
  • Pandemics
  • Personal Protective Equipment / virology
  • Practice Patterns, Physicians'* / standards
  • Practice Patterns, Physicians'* / trends
  • SARS-CoV-2 / physiology