Aerosol Generating Procedures (AGPs) within the ENT clinic
ENT UK (2020)
Expert advice on how to perform safe endoscopy in ENT outpatient clinics, including that "nasal and/or laryngeal endoscopy should, if possible, be observed on a separate video screen to allow the operator to maintain distance between himself/herself and the patient" and "single-use endoscopes are disposable and do not need decontamination".
Speech and language therapist-led endoscopic procedures in the COVID-19 pandemic
Interim guidance to support the delivery of urgent and essential SLT-led endoscopy in the context of COVID-19, including advising that “consideration should be given to the use of disposable nasendoscopes".
Multidisciplinary guidance for safe tracheostomy care during the COVID-19 pandemic: the NHS National Patient Safety Improvement Programme (NatPatSIP)
McGrath et al (2020)
Consensus guidelines providing tracheostomy guidance for front-line staff, modified for COVID-19. Amongst more, it says that “bronchoscopic guidance of tracheal punctures makes aerosol generation more likely”; and if using bronchoscopy during percutaneous tracheostomy in a patient with COVID-19, “single-use bronchoscopes with a sealed ventilator circuit are recommended”.
A Graduated Return to Elective Activities for Laryngology within the COVID-19 Pandemic
BLA, ENT UK & RCSLT (2020)
Guidance recommending a staged re-introduction of therapist-led endoscopic procedures. It comments on the increasing use of single-use endoscopes, as well as the portable monitors that are used with them that “form an essential part of the clinical record and provide data for teaching and training material”.
Thoracic Anesthesia of Patients with Suspected or Confirmed 2019 Novel Coronavirus Infection: Preliminary Recommendations for Airway Management by the EACTA Thoracic Subspecialty Committee
Şentürk et al (2020)
Management of patients with suspected or confirmed coronavirus infection who must undergo thoracic surgery will be a challenge for anesthesiologists. The thoracic subspecialty committee of EACTA has created recommendations for the anesthetic approach at this time, including for the use of single-use bronchoscopes as well as ETTs and DLTs with embedded cameras.
Management of the airway and lung isolation for thoracic surgery during the COVID-19 pandemic
Thornton et al (2020)
Recommendations for clinical practice endorsed by ACTACC and SCTS, including comment on how double lumen tubes with an embedded light source and camera may “reduce the incidence of bronchoscopy for double-lumen tube adjustments and the risk of exposure during lung isolation”.
Consensus guidelines for managing the airway in patients with COVID-19
Cook et al (2020)
Guidelines from the Difficult Airway Society, the Association of Anaesthetists the Intensive Care Society, the Faculty of Intensive Care Medicine and the Royal College of Anaesthetists.
Consensus guidelines for managing the airway in children with COVID-19; Highlighting differences in practice from adult guidelines
Cook et al (2020)
Guidelines from the Association of Anaesthetists, the Difficult Airway Society, the Intensive Care Society, the Faculty of Intensive Care Medicine and the Royal College of Anaesthetists, Paediatric Intensive Care Society and Association of Paediatric Anaesthetists.
Infection prevention and control for COVID-19 in healthcare settings
European Centre for Disease Prevention and Control (2020)
This document aims to provide guidance to EU/EEA healthcare facilities and healthcare providers on infection prevention and control measures for the management of suspected and confirmed cases of COVID-19 infection in healthcare settings.
Irish Thoracic Society Statement on Bronchoscopy and SARS COVID-19
Irish Thoracic Society (2020)
Guidance from the Irish Thoracic Society on infection prevention and control and recommendations for bronchoscopies where patients are and are not suspected of having COVID-19.
Safety Recommendations for Evaluation and Surgery of the Head and Neck During the COVID-19 Pandemic
Givi et al (2020)
A set of safety recommendations based on a review of the literature and communications with physicians with first-hand knowledge of safety procedures during the COVID-19 pandemic.
Society for Advanced Bronchoscopy (SAB) Consensus Statement and Guidelines for bronchoscopy and airway management amid the COVID-19 pandemic
Pritchett et al (2020)
The SAB has formulated guidelines regarding bronchoscopy and airway management for healthcare systems as the COVID-19 pandemic evolves worldwide, to summarize the currently available information and provide practical, evidence-based recommendations for those caring for or being asked to consider performing these high-risk procedures.
Exiting the pandemic: guidance for resuming ENT services
ENT UK (2020)
The aim of this paper is to support ENT departments and colleagues as discussions take place regarding resumption of elective activity. Amongst more, ENT UK now recommend video nasoendoscopes to distance clinicians from their patients & minimise repetition of procedures, and that departments will need to ensure they’re available “to deliver safe and effective care, especially for aerosol generating procedures”.