Bronchoscopy in children with COVID‐19 : a case series

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dc.contributor.authorGoussard, Pierreen_ZA
dc.contributor.authorVan Wyk, Lizelleen_ZA
dc.contributor.authorBurke, Jonathanen_ZA
dc.contributor.authorMalherbe, Annemieen_ZA
dc.contributor.authorRetief, Francoisen_ZA
dc.contributor.authorAndronikou, Savvasen_ZA
dc.contributor.authorMfingwana, Lungaen_ZA
dc.contributor.authorRuttens, Driesen_ZA
dc.contributor.authorVan der Zalm, Mariekeen_ZA
dc.contributor.authorDramowski, Angelaen_ZA
dc.contributor.authorDa Costa, Aishahen_ZA
dc.contributor.authorRabie, Helenaen_ZA
dc.date.accessioned2021-02-02T08:12:20Z
dc.date.available2021-02-02T08:12:20Z
dc.date.issued2020
dc.descriptionCITATION: Goussard, P. et al. 2020. Bronchoscopy in children with COVID‐19 : a case series. Pediatric Pulmonology, 55:2816–2822, doi:10.1002/ppul.25015.
dc.descriptionThe original publication is available at https://onlinelibrary.wiley.com
dc.description.abstractIntroduction: The coronavirus disease‐2019 (COVID‐19) era is a challenging time for respiratory teams to protect their patients and staff. COVID‐19 is predominantly transmitted by respiratory droplets; in the clinical setting, aerosol generating procedures pose the greatest risk for COVID‐19 transmission. Bronchoscopy is associated with increased risk of patient‐to‐health care worker transmission, owing to aerosolized viral particles which may be inhaled and also result in environmental contamination of surfaces. Methods: We describe our experience with the use of modified full‐face snorkeling masks for pediatric bronchoscopy procedures in four COVID‐19 infected children when filtering facepieces/respirators were in limited supply. Results: Bronchoscopy was urgently required in four children, and could not be delayed until COVID‐19 test results were available. During the pandemic peak, when respirators were in short supply, modified full‐face snorkel masks (SEAC Libera, SEAC, Italy) were worn by the bronchoscopy team. Each mask was fitted with an O‐ring, adapter, and heat and moisture exchanger filter. To date, there have been no COVID‐19 infections among the bronchoscopy team staff, whereas the overall Hospital staff COVID‐19 prevalence rate has exceeded 13.5% (667/4949). Conclusion: Emergency bronchoscopy procedures on COVID‐19 infected patients or patients with unknown infection status can be safely performed using modified full‐ face snorkel masks.en_ZA
dc.description.urihttps://onlinelibrary.wiley.com/doi/full/10.1002/ppul.25015
dc.description.versionPublisher's version
dc.format.extent7 pagesen_ZA
dc.identifier.citationGoussard, P. et al. 2020. Bronchoscopy in children with COVID‐19 : a case series. Pediatric Pulmonology, 55:2816–2822, doi:10.1002/ppul.25015.
dc.identifier.issn1099-0496 (online)
dc.identifier.otherdoi:10.1002/ppul.25015
dc.identifier.urihttp://hdl.handle.net/10019.1/109491
dc.language.isoen_ZAen_ZA
dc.publisherJohn Wiley & Sonsen_ZA
dc.rights.holderJohn Wiley & Sonsen_ZA
dc.subjectCOVID-19 (Disease)en_ZA
dc.subjectBronchoscopyen_ZA
dc.subjectLungs -- Diseases -- Childrenen_ZA
dc.subjectCoronavirus disease 2019 -- Childrenen_ZA
dc.titleBronchoscopy in children with COVID‐19 : a case seriesen_ZA
dc.typeArticleen_ZA
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