Pulmonary function testing precautions in a time of COVID-19

Ramos, José A

doi:10.3949/ccjm.87a.ccc006

Cited by 1 publication

(4 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The latest released IRS/SIP Recommendations, 20 provide more broad indications, including the diagnosis of COPD and asthma and interstitial lung diseases, the follow-up and the antifibrotic drugs prescription. Cleveland 21 is the only Organization that also mentions patients with pulmonary hypertension, while SUNEUMO 18 also takes into account patients with pneumoconiosis and respiratory drug toxicity. Finally, the SEPAR/AEC/AET/SEAIC 10 Recommendations suggest performing PFTs in negative rooms and postponing them unless urgently needed.…”

Section: Resultsmentioning

confidence: 99%

“…Disposable cleaning wipes were strongly recommended by SEPAR/AEC/AET/SEAIC 10 BTS/ARTP, 12 ITS, 11 and Cleveland Clinic 21 Guidelines, but only TSANZ/ANZSRS 14 and SEPAR/AEC/AET/SEAIC 10 Guidelines expressly recommend the presence of minimal furnishings that can be easily cleaned and disinfected. 14…”

Section: Resultsmentioning

confidence: 99%

“…The Guidelines agreed about prioritizing patients with urgent need to initiate treatment and pre-operative assessment, except Cleveland, 21 which takes into account also pulmonary hypertension patients, IRS/SIP, 20 which also considered patients with a diagnosis of pulmonary fibrosis and follow-up and for therapy prescription, as well as patients with a diagnosis of asthma and COPD, and Uruguayans 18 Guidelines, providing indications also for pneumoconiosis and drug toxicity.…”

Section: Discussionmentioning

confidence: 99%

“…To date, several official Recommendations/Guidelines from National and International Societies, hospitals or professional organizations have been released on this topic with operational indications during the COVID-19 surge. 5 , 6 , 7 , 8 , 9 , 10 , 11 , 13 Some Organizations updated their own documents, 14 , 15 , 16 and other Societies, such as the European Respiratory Society (ERS), 17 the British Thoracic Society/Association for Respiratory Technology & Physiology (BTS/ARTP), 12 the Sociedad Uruguaya de Neumologia (SUNEUMO), 18 the Italian Thoracic Society (ITS/AIPO), 19 and the Italian Respiratory Society (IRS/SIP), 20 as well as renowned medical centers such as Cleveland Clinic, 21 recently published statements.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Practical considerations for spirometry during the COVID-19 outbreak: Literature review and insights

et al. 2021

View full text Add to dashboard Cite

Background As the Coronavirus disease 2019 (COVID-19) is spreading worldwide, countries are dealing with different phases of the pandemic. Lately, scientific evidence has been growing about the measures for reopening respiratory outpatient services during the COVID-19 pandemic. We aim to summarize the key differences and similarities among recommendations by different national and international organizations. Methods We searched on Google and Pubmed for recently published National and International Recommendations/Guidelines/Position Papers from professional organizations and societies, offering a guidance to physicians on how to safely perform pulmonary function testing during COVID-19 pandemic. We also searched for spirometry manufacturers' operational indications. Results Indications on spirometry were released by the Chinese Task force, the American Thoracic Society, the European Respiratory Society, the Thoracic Society of Australia and New Zealand, the Société de Pneumologie de Langue Française, the Spanish Societies (Sociedad Espanola de Neumologia y Cirugia Toracica, Sociedad Espanola de Alergologia e Inmunologia Clinica, Asociacion de Especialistas en Enfermeria del trabajo, Asociacion de Enfermeria Comunitaria), the Sociedade Portuguesa de Pneumologia, the British Thoracic Society/Association for Respiratory Technology & Physiology, the Irish Thoracic Society, the Sociedad Uruguaya de Neumologia, the Italian Thoracic Society and the Italian Respiratory Society, Cleveland Clinic and Nebraska Medical Center. Detailed technical recommendations were found on manufacturers’ websites. We found several similarities across available guidelines for safely resuming pulmonary function services, as well as differences in criteria for selecting eligible patients for which spirometry is deemed essential and advice which was not homogenous on room ventilation precautions. Conclusions This study shows a synthesis of national/international guidelines allowing practicing physicians to adapt and shape the way to organize their outpatient services locally. There is generally good agreement on the importance of limiting pulmonary function testing to selected cases only. However, significant differences concerning the subsets of candidate patients, as well as on the management of adequate room ventilation, were observed.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations