Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.
Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear, Boston, Massachusetts, USA.
Head Neck. 2020 Jul;42(7):1634-1637. doi: 10.1002/hed.26221. Epub 2020 May 1.
The United States now has the highest death toll due to COVID-19. Many otolaryngology procedures, including laryngoscopy, bronchoscopy, and esophagoscopy, place otolaryngologists at increased risk of coronavirus transmission due to close contact with respiratory droplets and aerosolization from the procedure. The aim of this study is to provide an overview of guidelines on how to perform these procedures during the coronavirus pandemic.
Literature review was performed. Articles citing laryngoscopy, bronchoscopy, esophagoscopy use with regard to COVID-19 were included.
Laryngoscopy, bronchoscopy, and esophagoscopy are all used in both emergent and elective situations. Understanding the risk stratification of cases and the varied necessity of personal protective equipment is important in protecting patients and health care workers.
Summary guidelines based on the literature available at this time are presented in order to decrease transmission of the virus and protect those involved.
美国目前因 COVID-19 而死亡的人数最多。许多耳鼻喉科手术，包括喉镜检查、支气管镜检查和食管镜检查，由于与呼吸道飞沫和手术产生的气溶胶密切接触，使耳鼻喉科医生面临更高的冠状病毒传播风险。本研究旨在概述在冠状病毒大流行期间进行这些手术的指南。
进行文献回顾。纳入了引用喉镜检查、支气管镜检查和食管镜检查在 COVID-19 方面的应用的文章。
喉镜检查、支气管镜检查和食管镜检查均用于紧急和择期情况。了解病例的风险分层和个人防护设备的不同必要性，对于保护患者和医护人员非常重要。
根据目前可用的文献提出了总结性指南，以减少病毒的传播并保护相关人员。
