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Bronchoscopy in COVID-19 patients: When, how and why. Experience in clinical practice.
Guarino, Carmine; Cesaro, Cristiano; Fiorentino, Giuseppe; Rossi, Francesco; Polverino, Benedetto Maria; Fragranza, Fiorentino; Monastra, Luca; Murino, Patrizia; Zamparelli, Enzo; La Cerra, Giuseppe.
  • Guarino C; Unit of Bronchology, Monaldi Hospital, Azienda Ospedaliera dei Colli, Naples . carmine.guarino@ospedalideicolli.it.
  • Cesaro C; Unit of Bronchology, Monaldi Hospital, Azienda Ospedaliera dei Colli, Naples. cristianocesaro@gmail.com.
  • Fiorentino G; Units of Subintensive Care Therapy, Corps G, Cotugno Hospital, Azienda Ospedaliera dei Colli, Naples. giuseppefiorentino1@gmail.com.
  • Rossi F; Unit of Bronchology, Monaldi Hospital, Azienda Ospedaliera dei Colli, Naples. francesco.rossi@ospedalideicolli.it.
  • Polverino BM; Unit of Bronchology, Monaldi Hospital, Azienda Ospedaliera dei Colli, Naples . drpolverino@tiscali.it.
  • Fragranza F; Unit of Anesthesia and Resuscitation, Cotugno Hospital, Azienda Ospedaliera dei Colli, Naples. fiofrag@libero.it.
  • Monastra L; Unit of Anesthesia and Resuscitation, Cotugno Hospital, Azienda Ospedaliera dei Colli, Naples. lucamonastra@alice.it.
  • Murino P; Unit of Anesthesia and Resuscitation, Monaldi Hospital, Azienda Ospedaliera dei Colli, Naples. patrizia.murino@ospedalideicolli.it.
  • Zamparelli E; Unit of Anesthesia and Resuscitation, Monaldi Hospital, Azienda Ospedaliera dei Colli, Naples. enzozamparelli@gmail.com.
  • La Cerra G; Unit of Bronchology, Monaldi Hospital, Azienda Ospedaliera dei Colli, Naples. lacerragiuseppe@alice.it.
Monaldi Arch Chest Dis ; 91(2)2021 Mar 02.
Article in English | MEDLINE | ID: covidwho-1119589
Semantic information from SemMedBD (by NLM)
1. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
2. Thrombosis CAUSES Respiratory Failure
Subject
Thrombosis
Predicate
CAUSES
Object
Respiratory Failure
3. Bilateral pneumonia CAUSES Respiratory Failure
Subject
Bilateral pneumonia
Predicate
CAUSES
Object
Respiratory Failure
4. Virus PROCESS_OF Health Personnel
Subject
Virus
Predicate
PROCESS_OF
Object
Health Personnel
5. Suspected COVID-19 PROCESS_OF Patients
Subject
Suspected COVID-19
Predicate
PROCESS_OF
Object
Patients
6. Bronchoscopic procedure TREATS Confirmation
Subject
Bronchoscopic procedure
Predicate
TREATS
Object
Confirmation
7. Bronchoscopic procedure TREATS Suspected COVID-19
Subject
Bronchoscopic procedure
Predicate
TREATS
Object
Suspected COVID-19
8. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
9. Thrombosis CAUSES Respiratory Failure
Subject
Thrombosis
Predicate
CAUSES
Object
Respiratory Failure
10. Bilateral pneumonia CAUSES Respiratory Failure
Subject
Bilateral pneumonia
Predicate
CAUSES
Object
Respiratory Failure
11. Virus PROCESS_OF Health Personnel
Subject
Virus
Predicate
PROCESS_OF
Object
Health Personnel
12. Suspected COVID-19 PROCESS_OF Patients
Subject
Suspected COVID-19
Predicate
PROCESS_OF
Object
Patients
13. Bronchoscopic procedure TREATS Confirmation
Subject
Bronchoscopic procedure
Predicate
TREATS
Object
Confirmation
14. Bronchoscopic procedure TREATS Suspected COVID-19
Subject
Bronchoscopic procedure
Predicate
TREATS
Object
Suspected COVID-19
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.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Bronchoscopy / Infection Control / Infectious Disease Transmission, Patient-to-Professional / Airway Management / COVID-19 Type of study: Diagnostic study / Prognostic study Limits: Humans Language: English Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Bronchoscopy / Infection Control / Infectious Disease Transmission, Patient-to-Professional / Airway Management / COVID-19 Type of study: Diagnostic study / Prognostic study Limits: Humans Language: English Year: 2021 Document Type: Article