Bronchoscopic procedures during COVID‐19 pandemic: Experiences in Turkey

Background Globally, coronavirus disease‐2019 (COVID‐19) is a new, highly contagious, and life‐threatening virus. We aimed to demonstrate how we proceeded with bronchoscopic procedures without published guidelines at the inception of the pandemic period. Materials and Methods All bronchoscopic proce...

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Bibliographic Details
Published in:	Journal of surgical oncology Vol. 122; no. 6; pp. 1020 - 1026
Main Authors:	Ozturk, Ayperi, Sener, Melahat U., Yılmaz, Aydın
Format:	Journal Article
Language:	English
Published:	United States Wiley Subscription Services, Inc 01-11-2020 John Wiley and Sons Inc
Subjects:	Adult Aged Aged, 80 and over Airway management Bronchoscopy Bronchoscopy - methods Bronchoscopy - standards COVID-19 - complications COVID-19 - virology COVID‐19 Cross-Sectional Studies Delivery of Health Care - standards endobronchial ultrasonography Endoscopic Ultrasound-Guided Fine Needle Aspiration Female Follow-Up Studies Humans interventional bronchoscopy Lung cancer Lung Neoplasms - diagnostic imaging Lung Neoplasms - pathology Lung Neoplasms - surgery Lung Neoplasms - virology Male Middle Aged Pandemics Practice Guidelines as Topic - standards Prognosis Retrospective Studies SARS-CoV-2 - isolation & purification Young Adult Turkey COVID-19 lung cancer endobronchial ultrasonography interventional bronchoscopy bronchoscopy
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Summary:	Background Globally, coronavirus disease‐2019 (COVID‐19) is a new, highly contagious, and life‐threatening virus. We aimed to demonstrate how we proceeded with bronchoscopic procedures without published guidelines at the inception of the pandemic period. Materials and Methods All bronchoscopic procedures applied from the first case seen in Turkey (11 March‐15 May) were evaluated retrospectively. Patient data on indications, diagnosis, types of procedures, and the results of COVID‐19 tests were recorded. Results This study included 126 patients; 36 required interventional bronchoscopic techniques (28.6%), 74 required endobronchial ultrasonography (EBUS; 58.7%), and 16 required flexible fiberoptic bronchoscopy (12.7%). All interventional rigid bronchoscopic techniques were performed for emergent indications: malignant airway obstruction (66.7%), tracheal stenosis (25%), and bronchopleural fistula (8.3%). Malignancy was diagnosed in 59 (79.7%), 12 (50%), and 4 (25%) patients who underwent EBUS, interventional procedures, and fibreoptic bronchoscopy, respectively. All personnel wore personal protective equipment and patients wore a surgical mask, cap, and disposable gown. Of the patients, 31 (24.6%) were tested for COVID‐19 and all the results were negative. COVID‐19 was not detected in any of the patients after a 14‐day follow‐up period. Conclusion This study was based on our experiences and demonstrated that EBUS and/or bronchoscopy should not be postponed in patients with known or suspected lung cancer.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0022-4790 1096-9098
DOI:	10.1002/jso.26164