PT  - JOURNAL ARTICLE
AU  - Thomas R. Gildea
AU  - Basem B. Abdelmalak
TI  - Bronchoscopy challenges during the COVID-19 pandemic
AID  - 10.3949/ccjm.87a.ccc054
DP  - 2020 Aug 05
TA  - Cleveland Clinic Journal of Medicine
4099  - http://www.ccjm.org/content/early/2020/07/29/ccjm.87a.ccc054.short
4100  - http://www.ccjm.org/content/early/2020/07/29/ccjm.87a.ccc054.full
AB  - Bronchoscopy is an aerosol-generating procedure that creates unique challenges for healthcare providers to reduce the potential spread of the COVID-19 respiratory pathogen. As part of the initial response, Cleveland Clinic postponed elective surgeries including bronchoscopy. We established a 5-tier system for prioritizing the urgency of bronchoscopy procedures. When elective bronchoscopies were resumed, we established protocols to reduce aerosolization and potential virus transmission risks such as using an airborne infection-isolation room and changing to total intravenous anesthesia. Also, we established guidelines for periprocedural care and use of personal protective equipment including requirements for wearing N95 masks for all bronchoscopy procedures.