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本文引用的文献

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Laboratory Diagnosis and Monitoring the Viral Shedding of SARS-CoV-2 Infection.严重急性呼吸综合征冠状病毒2感染的实验室诊断与病毒载量监测
Innovation (Camb). 2020 Nov 25;1(3):100061. doi: 10.1016/j.xinn.2020.100061. Epub 2020 Nov 4.
2
Society for Advanced Bronchoscopy Consensus Statement and Guidelines for bronchoscopy and airway management amid the COVID-19 pandemic.高级支气管镜检查学会关于COVID-19大流行期间支气管镜检查和气道管理的共识声明及指南
J Thorac Dis. 2020 May;12(5):1781-1798. doi: 10.21037/jtd.2020.04.32.
3
Guidelines for diagnostic flexible bronchoscopy in adults: Joint Indian Chest Society/National College of chest physicians (I)/Indian association for bronchology recommendations.成人诊断性可弯曲支气管镜检查指南:印度胸科协会/国家胸科医师学院(I)/印度支气管学协会联合推荐意见
Lung India. 2019 Jul;36(Supplement):S37-S89. doi: 10.4103/lungindia.lungindia_108_19.
4
Airborne precautions recommended in Wuhan, China for bedside fiberoptic bronchoscopy examination of patients with COVID-19.中国武汉针对新型冠状病毒肺炎(COVID-19)患者进行床旁纤维支气管镜检查推荐的空气传播预防措施。
J Infect. 2020 Jul;81(1):e75-e77. doi: 10.1016/j.jinf.2020.03.055. Epub 2020 Apr 10.
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Summarizing societal guidelines regarding bronchoscopy during the COVID-19 pandemic.总结关于COVID-19大流行期间支气管镜检查的社会指南。
Respirology. 2020 Jun;25(6):574-577. doi: 10.1111/resp.13824. Epub 2020 Apr 11.
6
Diagnosis of the Coronavirus disease (COVID-19): rRT-PCR or CT?冠状病毒病(COVID-19)的诊断:实时 RT-PCR 还是 CT?
Eur J Radiol. 2020 May;126:108961. doi: 10.1016/j.ejrad.2020.108961. Epub 2020 Mar 25.
7
Stability issues of RT-PCR testing of SARS-CoV-2 for hospitalized patients clinically diagnosed with COVID-19.SARS-CoV-2 的 RT-PCR 检测在临床上诊断为 COVID-19 的住院患者中的稳定性问题。
J Med Virol. 2020 Jul;92(7):903-908. doi: 10.1002/jmv.25786. Epub 2020 Apr 5.
8
American Association for Bronchology and Interventional Pulmonology (AABIP) Statement on the Use of Bronchoscopy and Respiratory Specimen Collection in Patients With Suspected or Confirmed COVID-19 Infection.美国支气管学与介入肺病学协会(AABIP)关于疑似或确诊新型冠状病毒肺炎(COVID-19)感染患者支气管镜检查及呼吸道标本采集应用的声明
J Bronchology Interv Pulmonol. 2020 Oct;27(4):e52-e54. doi: 10.1097/LBR.0000000000000681.
9
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JAMA. 2020 May 12;323(18):1843-1844. doi: 10.1001/jama.2020.3786.
10
Presumed Asymptomatic Carrier Transmission of COVID-19.新冠病毒无症状感染者的传播。
JAMA. 2020 Apr 14;323(14):1406-1407. doi: 10.1001/jama.2020.2565.

新冠疫情期间的传统柔性支气管镜检查:印度支气管学协会的共识声明

Conventional flexible bronchoscopy during the COVID pandemic: A consensus statement from the Indian Association for Bronchology.

作者信息

Chhajed Prashant Nemichand, Nene Amita, Abhyankar Nitin, Akkaraju Jayachandra, Agarwal Ritesh, Arora Suninder, Bhat Rajani, Chawla Rakesh, Christopher D J, Chowdhary Sushmita Roy, Dhar Raja, Dhooria Sahajal, Goyal Rajiv, Gupta Richa, James Prince, Koul Parvaiz A, Khader A K Abdul, Madan Karan, Marwah Vikas, Mehta Ravindra, Mohan Anant, Nangia Vivek, Patel Dharmesh, Pattabhiraman V R, Sehgal Inderpaul Singh, Singh Sheetu, Srinivasan Arjun, Swarnakar Rajesh, Tampi Shyamsunder

机构信息

Lung Care and Sleep Centre; Institute of Pulmonology, Medical Research and Development, Mumbai, Maharashtra, India.

Department of Respiratory Medicine, Bombay Hospital Institute of Medical Sciences, Mumbai, Maharashtra, India.

出版信息

Lung India. 2021 Mar;38(Supplement):S105-S115. doi: 10.4103/lungindia.lungindia_953_20.

DOI:10.4103/lungindia.lungindia_953_20
PMID:33686993
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8104343/
Abstract

During the times of the ongoing COVID pandemic, aerosol-generating procedures such as bronchoscopy have the potential of transmission of severe acute respiratory syndrome coronavirus 2 to the healthcare workers. The decision to perform bronchoscopy during the COVID pandemic should be taken judiciously. Over the years, the indications for bronchoscopy in the clinical practice have expanded. Experts at the Indian Association for Bronchology perceived the need to develop a concise statement that would assist a bronchoscopist in performing bronchoscopy during the COVID pandemic safely. The current Indian Association for Bronchology Consensus Statement provides specific guidelines including triaging, indications, bronchoscopy area, use of personal protective equipment, patient preparation, sedation and anesthesia, patient monitoring, bronchoscopy technique, sample collection and handling, bronchoscope disinfection, and environmental disinfection concerning the coronavirus disease-2019 situation. The suggestions provided herewith should be adopted in addition to the national bronchoscopy guidelines that were published recently. This statement summarizes the essential aspects to be considered for the performance of bronchoscopy in COVID pandemic, to ensure safety for both for patients and healthcare personnel.

摘要

在持续的新冠疫情期间,诸如支气管镜检查等产生气溶胶的操作有可能将严重急性呼吸综合征冠状病毒2传播给医护人员。在新冠疫情期间进行支气管镜检查的决定应谨慎做出。多年来,支气管镜检查在临床实践中的适应证有所扩展。印度支气管学协会的专家们意识到有必要制定一份简明声明,以协助支气管镜检查医师在新冠疫情期间安全地进行支气管镜检查。当前的印度支气管学协会共识声明提供了具体指南,包括分诊、适应证、支气管镜检查区域、个人防护装备的使用、患者准备、镇静与麻醉、患者监测、支气管镜检查技术、样本采集与处理、支气管镜消毒以及针对2019冠状病毒病情况的环境消毒。除了最近发布的国家支气管镜检查指南外,还应采用此处提供的建议。本声明总结了在新冠疫情期间进行支气管镜检查时应考虑的基本方面,以确保患者和医护人员的安全。