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Lung India Official publication of Indian Chest Society  
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GUIDELINES
Year : 2021  |  Volume : 38  |  Issue : 7  |  Page : 105-115

Conventional flexible bronchoscopy during the COVID pandemic: A consensus statement from the Indian Association for Bronchology


1 Lung Care and Sleep Centre; Institute of Pulmonology, Medical Research and Development, Mumbai, Maharashtra, India
2 Department of Respiratory Medicine, Bombay Hospital Institute of Medical Sciences, Mumbai, Maharashtra, India
3 Department of Respiratory Medicine, Poona Hospital, Pune, Maharashtra, India
4 Department of Respiratory Medicine, Virinchi Hospital, Hyderabad, Telangana, India
5 Department of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India
6 Batra Hospital and Medical Centre, New Delhi, India
7 Board of Doctors, New Delhi, India
8 Department of Respiratory Medicine, Jaipur Golden Hospital, New Delhi, India
9 Department of Pulmonary Medicine, Christian Medical College, Vellore, Tamil Nadu, India
10 Department of Respiratory Medicne, Apollo Gleaneagles Hospital, Kolkata, West Bengal, India
11 Department of Pulmonary Medicine, Fortis Hospital, Kolkata, West Bengal, India
12 Department of Respiratory Medicine, Jaipur Golden Hospital and Rajiv Gandhi Cancer Hospital, New Delhi, India
13 Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India
14 Department of Pulmonary Medicine, KMCT Medical College, Kozhikode, Kerala, India
15 Department of Pulmonary Medicine, All India Institute of Medical Sciences, New Delhi, India
16 Department of Pulmonary, Critical Care and Sleep Medicine, Army Institute of Cardiothoracic Sciences (AICTS), Pune, Maharashtra, India
17 Department of Respiratory Medicine, Apollo Hospitals, Bengaluru, Karnataka, India
18 Institute of Respiratory, Critical Care and Sleep Medicine, Max Hospital, Saket Complex, New Delhi, India
19 City Clinic and Bhailal Amin General Hospital, Vadodara, Gujarat, India
20 Department of Respiratory Medicine, Royal Care Hospital, Coimbatore, Tamil Nadu, India
21 Department of Chest and Tuberculosis, Institute of Respiratory Disease, Jaipur, Rajasthan, India
22 Department of Respiratory Medicine, Getwell Hospital and Research Institute, Nagpur, Maharashtra, India

Correspondence Address:
Dr. Amita Nene
Department of Respiratory Medicine, Bombay Hospital Institute of Medical Sciences, 12, New Marine Lines, Mumbai - 400 020, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/lungindia.lungindia_953_20

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During the times of the ongoing COVID pandemic, aerosol-generating procedures such as bronchoscopy have the potential of transmission of severe acute respiratory syndrome coronavirus 2 to the healthcare workers. The decision to perform bronchoscopy during the COVID pandemic should be taken judiciously. Over the years, the indications for bronchoscopy in the clinical practice have expanded. Experts at the Indian Association for Bronchology perceived the need to develop a concise statement that would assist a bronchoscopist in performing bronchoscopy during the COVID pandemic safely. The current Indian Association for Bronchology Consensus Statement provides specific guidelines including triaging, indications, bronchoscopy area, use of personal protective equipment, patient preparation, sedation and anesthesia, patient monitoring, bronchoscopy technique, sample collection and handling, bronchoscope disinfection, and environmental disinfection concerning the coronavirus disease-2019 situation. The suggestions provided herewith should be adopted in addition to the national bronchoscopy guidelines that were published recently. This statement summarizes the essential aspects to be considered for the performance of bronchoscopy in COVID pandemic, to ensure safety for both for patients and healthcare personnel.


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