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CONSENSUS
Year : 2020  |  Volume : 9  |  Issue : 4  |  Page : 211-219

Expert panel consensus statement on the applications and precaution strategies of bronchoscopy in patients with COVID-19


1 Department of Respiratory and Critical Care Medicine, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, Zhengzhou, Henan Province; Department of Respiratory Endoscopy and Respiratory and Critical Care Medicine, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai, China
2 Department of Respiratory Endoscopy, Jinyintan Hospital of Wuhan, Wuhan, Hubei Province, China
3 Institute of Respiratory Disease, China Three Gorges University, Yichang Central Hospital, Yichang, Sichuan Province, China
4 Department of Respiratory and Critical Care Medicine, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
5 Department of Respiratory and Critical Care Medicine, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, Zhengzhou, Henan Province, China
6 Department of Medicine, University of Chicago Medicine, Chicago, IL, USA
7 Department of Respiratory Endoscopy and Respiratory and Critical Care Medicine, Shanghai Chest Hospital, Shanghai Jiao Tong University; Shanghai Engineering Research Center of Respiratory Endoscopy, Shanghai, China
8 Department of Respiratory Centre, The second Affiliated Hospital of Xiamen Medical College, Xiamen, Fujian Province, China
9 Department of Pneumology and Critical Care Medicine, Thoraxklinik, University of Heidelberg, Heidelberg, Germany

Correspondence Address:
Felix J. F. Herth
Department of Pneumology and Critical Care Medicine, Thoraxklinik, University of Heidelberg, No. 1 Röntgenstr Street, Heidelberg 69126
Germany
Jiayuan Sun
Department of Respiratory Endoscopy and Respiratory and Critical Care Medicine, Shanghai Chest Hospital, Shanghai Jiao Tong University, No. 241 West Huaihai Road, Shanghai 200030
China
Mingyao Ke
Respiratory Centre, The Second Affiliated Hospital of Xiamen Medical College, 566 Shengguang Road, Xiamen 361000
China
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/eus.eus_45_20

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Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a novel coronavirus with higher transmissibility compared with SARS coronavirus (SARS-CoV) and Middle East respiratory distress syndrome coronavirus. Coronavirus disease 2019 (COVID-19) caused by SARS-CoV-2 is an unprecedented global crisis that has not been experienced, which is still disrupting health systems, economies, and societies around the world by the rapid spread. Bronchoscopy plays an important role in diagnosis and therapy of pulmonary diseases, especially in patients with severe pulmonary infection, however, application of bronchoscopy in patients suspected or confirmed SARS-CoV-2 infection is extremely limited for the potential airborne transmission from aerosol generated during the procedure. This consensus statement was completed by expert panel of Interventional & Minimally Invasive Respiratory Committee of China Medical Education Association, and the issues were summarized as seven key topics to define the indications of bronchoscopy and matters needing attentions on the bronchoscopy procedures in patients with COVID-19, as well as the protective precaution strategies to avoid nosocomial SARS-CoV-2 infection.


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