Interventional Pulmonology and COVID-19: Experience from a Malaysian
Tertiary Hospital

Huan, Nai Chien; Ng, Khai Lip; Tang, Jeat Thong; Kua, Han Nee; Daut, Ummi Nadira; Muhammad, Noorul Afidza; Nasaruddin, Mona Zaria; Rahman, Jamalul Azizi Abdul

doi:10.47102/annals-acadmedsg.2020364

Cited by 1 publication

(1 citation statement)

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“…A commentary from the respiratory team at a tertiary hospital in Malaysia found that the number of procedures they were carrying out had significantly fallen. They postulated this may be due to reduced movement due to their interstate travel restrictions, avoidance of healthcare services from patients and seeking alternative measures to obtain diagnoses to avoid spread ( 22 ). They also reported anxiety amongst the staff initially regarding the potential spread during AGPs; they found with formal guidelines and information regarding donning/doffing and social distancing eased some concerns.…”

Section: Discussionmentioning

confidence: 99%

The use of aerosol generating procedures (AGPs) during the COVID-19 pandemic in the diagnosis of lung cancer: a narrative review

Vythilingam¹,

Quint²,

Newsom³

et al. 2021

Mediastinum

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Objective In this article we discuss the current evidence for these concerns and highlight where further work is required to understand the risk from these procedures and how it can be mitigated for. Background The COVID-19 (coronavirus-19 or SARS-CoV-2) pandemic has impacted on many aspects of patient care both for those with the virus and those with other illnesses. Of particular concern has been the risk to staff and patients from the spread of the virus in health care settings. This has led to changes in guidelines and practice in community and hospital settings that has implications on patient diagnostic pathways in lung cancer, with a specific emphasis on aerosol generating procedures (AGPs). Methods A literature search was carried out and 44 abstracts were initially found. Given the novel status of COVID-19, we included severe acute respiratory syndrome (SARS) and Middle East Respiratory Syndrome (MERS) in our search. Five papers were selected for further analysis. An additional paper was highlighted during our research and therefore included in our review. Conclusions The papers selected assessed the risk of transmission during AGPs. The six articles selected assessed the risk of aerosol transmission during various AGPs (bronchoscopy, pleural procedures and pulmonary function tests) and each found that the risk of viral transmission via aerosol was low. As mentioned above, at the time the paper was written, there was a paucity of evidence regarding AGPs in the era of COVID-19. There is emerging evidence that our understanding of these procedures may be outdated and the risk of transmission maybe lower than previously anticipated. However, we need further reliable evidence to change practice going forward.

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Section: Discussionmentioning

confidence: 99%