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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.

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。

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