Recomendaciones de consenso SEPAR y AEER sobre el uso de la broncoscopia y la toma de muestras de la vía respiratoria en pacientes con sospecha o con infección confirmada por COVID-19

Cordovilla, Rosa; Álvarez, Susana; Llanos, Liliana Santo Domingo; Ares, Ana Núñez; Viedma, Enrique Cases; Díaz-Pérez, David; Flandes, Javier

doi:10.1016/j.arbres.2020.03.017

Cited by 37 publications

(49 citation statements)

References 8 publications

(6 reference statements)

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“…Several bronchology societies have issued guidelines regarding bronchoscopy during the COVID‐19 pandemic . However, none are comprehensive and significant uncertainty remains regarding in whom to perform bronchoscopy and how to perform it safely in this rapidly changing clinical environment.…”

Section: Bronchoscopy In Patients Without Known or Suspected Covid‐19mentioning

confidence: 99%

“… †Possible indications: inconclusive non‐invasive COVID‐19 testing; concern for an alternate aetiology of respiratory disease which would change management (especially in immunocompromised); suspicion of superinfection; and lobar or entire lung atelectasis concerning for mucus plugging, facilitate tracheostomy, life‐saving or emergent intervention (significant haemoptysis, severe central airway obstruction or stenosis, foreign body) …”

Section: Bronchoscopy In Patients Without Known or Suspected Covid‐19mentioning

confidence: 99%

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Summarizing societal guidelines regarding bronchoscopy during the COVID‐19 pandemic

2020

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Section: Bronchoscopy In Patients Without Known or Suspected Covid‐19mentioning

confidence: 99%

Section: Bronchoscopy In Patients Without Known or Suspected Covid‐19mentioning

confidence: 99%

Summarizing societal guidelines regarding bronchoscopy during the COVID‐19 pandemic

2020

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“…They highlighted its portability, immediacy to start the procedure and the possibility of storing the images. (8)(9)(10)(11) However, these advantages would be of little value if the bronchoscope did not fulfill its functions with quality.…”

Section: Discussionmentioning

confidence: 99%

“…A disposable bronchoscope could decrease the risk of cross infection and increase accessibility to bronchoscopy in centers of less complexity or with limited resources and has been recommended by most respiratory societies for bronchoscopies during the SARS-COv-2 pandemic. (8)(9)(10)(11) Patients on mechanical ventilation, (12) immunosuppressed or with infectious contagious diseases are those with the highest risk for cross infections and where these devices may have a more relevant role. These bronchoscopes are also desirable for procedures with a high risk of damage the bronchoscope (e.g.…”

Section: )mentioning

confidence: 99%

Bronchoscopist's Perception of the Quality of the Single-use Fiberoptic Bronchoscope (Ambu Ascope4 ™) in Conventional Bronchoscopies. A Multicenter Study in 21 Spanish Pulmonology Services.

Aldeyturriaga

Giraldo

Alfayate

et al. 2020

Preprint

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Background:The disposable bronchoscope is an excellent alternative to face the problem of SARS-CoV-2 and other cross infections, but the bronchoscopist's perception of its quality has not been evaluated. Methods: To evaluate the quality of the Ambu-aScope4 disposable bronchoscope, we carried out a cross-sectional study in 21 Spanish pulmonology services. We use a standardized questionnaire completed by the bronchoscopists at the end of each bronchoscopy. The variables were described with absolute and relative frequencies, measures of central tendency and dispersion depending on their nature. The existence of learning curves was evaluated by CUSUM analysis.Results:The most frequent indications in 300 included bronchoscopies was bronchial aspiration in 69.3% and the median duration of these was 9.1 minutes. The route of entry was nasal in 47.2% and oral in 34.1%. The average score for ease of use, image, and aspiration quality was 80/100. All the planned techniques were performed in 94.9% and the bronchoscopist was satisfied in 96.6% of the bronchoscopies. They highlighted the portability and immediacy of the aScope4TM to start the procedure in 99.3%, the possibility of taking and storing images in 99.3%. The CUSUM analysis showed average scores> 70/100 from the first procedure and from the 9th procedure more than 80% of the scores exceeded the 80/100 score.Conclusions:The aScope4 ™ scored well for ease of use, imaging, and aspiration. We found a learning curve with excellent scores from the 9th procedure. Bronchoscopists highlighted its portability, immediacy of use and the possibility of taking and storing images.

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“…(5)(6)(7) A disposable bronchoscope could decrease the risk of cross infection and increase accessibility to bronchoscopy in centers of less complexity or with limited resources and has been recommended by most respiratory societies for bronchoscopies during the SARS-COv-2 pandemic. (8)(9)(10)(11) Patients on mechanical ventilation, (12) immunosuppressed or with infectious contagious diseases are those with the highest risk for cross infections and where these devices may have a more relevant role. These bronchoscopes are also desirable for procedures with a high risk of damage the bronchoscope (e.g.…”

Section: Introductionmentioning

confidence: 99%

Bronchoscopist's perception of the quality of the single-use bronchoscope (Ambu aScope4 ™) in selected bronchoscopies. A multicenter study in 21 Spanish pulmonology services

Aldeyturriaga

Cadavid

Alfayate

et al. 2020

Preprint

Self Cite

View full text Add to dashboard Cite

Background: The disposable bronchoscope is an excellent alternative to face the problem of SARS-CoV-2 and other cross infections, but the bronchoscopist's perception of its quality has not been evaluated. Methods: To evaluate the quality of the Ambu-aScope4 disposable bronchoscope, we carried out a cross-sectional study in 21 Spanish pulmonology services. We use a standardized questionnaire completed by the bronchoscopists at the end of each bronchoscopy. The variables were described with absolute and relative frequencies, measures of central tendency and dispersion depending on their nature. The existence of learning curves was evaluated by CUSUM analysis.Results: The most frequent indications in 300 included bronchoscopies was bronchial aspiration in 69.3% and the median duration of these was 9.1 minutes. The route of entry was nasal in 47.2% and oral in 34.1%. The average score for ease of use, image, and aspiration quality was 80/100. All the planned techniques were performed in 94.9% and the bronchoscopist was satisfied in 96.6% of the bronchoscopies. They highlighted the portability and immediacy of the aScope4TM to start the procedure in 99.3%, the possibility of taking and storing images in 99.3%. The CUSUM analysis showed average scores> 70/100 from the first procedure and from the 9th procedure more than 80% of the scores exceeded the 80/100 score. Conclusions: The aScope4 ™ scored well for ease of use, imaging, and aspiration. We found a learning curve with excellent scores from the 9th procedure. Bronchoscopists highlighted its portability, immediacy of use and the possibility of taking and storing images.

show abstract

Recomendaciones de consenso SEPAR y AEER sobre el uso de la broncoscopia y la toma de muestras de la vía respiratoria en pacientes con sospecha o con infección confirmada por COVID-19

Cited by 37 publications

References 8 publications

Summarizing societal guidelines regarding bronchoscopy during the COVID‐19 pandemic

Summarizing societal guidelines regarding bronchoscopy during the COVID‐19 pandemic

Bronchoscopist's Perception of the Quality of the Single-use Fiberoptic Bronchoscope (Ambu Ascope4 ™) in Conventional Bronchoscopies. A Multicenter Study in 21 Spanish Pulmonology Services.

Bronchoscopist's perception of the quality of the single-use bronchoscope (Ambu aScope4 ™) in selected bronchoscopies. A multicenter study in 21 Spanish pulmonology services

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