Bronchoscopy in icu

Anyone performing bronchoscopy patients with covid in ICU? Any advice on how to minimize aerosolization?

At our institution we try to avoid bronchoscopy in confirm COVID patients, but we did one bronchoscopy in a patient who was suspected to be COVID but negative nasopharyngeal swab twice later on confirmed COVID with BAL sample. We did bronchoscopy in negative pressure room with PPE including PAPR hood, with N95 to prevent exposure to healthcare providers. To minimize aerosolization in room we covered ETT entry site for brochoscope with transparent plastic drape and try to finish bronchoscopy with minimal time in and out of ETT. Hope this helps.

Hi thank you. This is very helpful. Does everyone in the room uses PAPR as well? Such as the nurse to help with pushing the lavage solution.

We did the bronchoscopy on a covid positive patient who is on the ventilator in our ICU, to rule out suprainfection, fungal, etc. Due to persistent fever, secretions, and worsening hypoxia.

Yes everyone in room use PAPR. 1 MD, 1 RT and 1 nurse.

Thank you for your help!

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