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UK consensus statement on the diagnosis of inducible laryngeal obstruction in light of the COVID-19 pandemic.
Haines, Jemma; Esposito, Karen; Slinger, Claire; Pargeter, Nicola; Murphy, Jennifer; Selby, Julia; Prior, Kathryn; Mansur, Adel; Vyas, Aashish; Stanton, Andrew E; Sabroe, Ian; Hull, James H; Fowler, Stephen J.
  • Haines J; Division of Infection, Immunity & Respiratory Medicine, School of Biological Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.
  • Esposito K; Manchester Academic Health Science Centre and NIHR Manchester Biomedical Research Centre, Manchester University Hospitals NHS Foundation Trust, Manchester, UK.
  • Slinger C; Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
  • Pargeter N; Lancashire Chest Centre, Royal Preston Hospital, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, UK.
  • Murphy J; Heartlands Hospital, University Hospitals Birmingham, Birmingham, UK.
  • Selby J; Newcastle Upon Tyne Hospitals, Newcastle Upon Tyne, UK.
  • Prior K; Royal Brompton Hospital, London, UK.
  • Mansur A; Lancashire Chest Centre, Royal Preston Hospital, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, UK.
  • Vyas A; Heartlands Hospital, University Hospitals Birmingham, Birmingham, UK.
  • Stanton AE; Lancashire Chest Centre, Royal Preston Hospital, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, UK.
  • Sabroe I; Newcastle Upon Tyne Hospitals, Newcastle Upon Tyne, UK.
  • Hull JH; Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
  • Fowler SJ; Royal Brompton Hospital, London, UK.
Clin Exp Allergy ; 50(12): 1287-1293, 2020 12.
Article in English | MEDLINE | ID: covidwho-841769
ABSTRACT
Prior to the COVID-19 pandemic, laryngoscopy was the mandatory gold standard for the accurate assessment and diagnosis of inducible laryngeal obstruction. However, upper airway endoscopy is considered an aerosol-generating procedure in professional guidelines, meaning routine procedures are highly challenging and the availability of laryngoscopy is reduced. In response, we have convened a multidisciplinary panel with broad experience in managing this disease and agreed a recommended strategy for presumptive diagnosis in patients who cannot have laryngoscopy performed due to pandemic restrictions. To maintain clinical standards whilst ensuring patient safety, we discuss the importance of triage, information gathering, symptom assessment and early review of response to treatment. The consensus recommendations will also be potentially relevant to other future situations where access to laryngoscopy is restricted, although we emphasize that this investigation remains the gold standard.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Laryngeal Diseases / Critical Pathways / Airway Obstruction / COVID-19 Type of study: Diagnostic study / Prognostic study Limits: Humans Country/Region as subject: Europa Language: English Journal: Clin Exp Allergy Journal subject: Allergy and Immunology Year: 2020 Document Type: Article Affiliation country: Cea.13745

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Laryngeal Diseases / Critical Pathways / Airway Obstruction / COVID-19 Type of study: Diagnostic study / Prognostic study Limits: Humans Country/Region as subject: Europa Language: English Journal: Clin Exp Allergy Journal subject: Allergy and Immunology Year: 2020 Document Type: Article Affiliation country: Cea.13745