Pre- and post-COVID practice of interventional pulmonology in adults in Portugal

Detalhes bibliográficos
Autor(a) principal: Guedes, F.
Data de Publicação: 2022
Outros Autores: Ferreira, A. J., Dionísio, J., Rodrigues, L. V., Bugalho, A.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/136402
Resumo: Funding Information: We thank Prime Focus for providing language help and writing assistance to this article. Publisher Copyright: © 2022 Sociedade Portuguesa de Pneumologia
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spelling Pre- and post-COVID practice of interventional pulmonology in adults in PortugalBronchoscopyCOVID-19PulmonologyQuestionnaireSurveyPulmonary and Respiratory MedicineFunding Information: We thank Prime Focus for providing language help and writing assistance to this article. Publisher Copyright: © 2022 Sociedade Portuguesa de PneumologiaIntroduction and objectives: There is a lack of information regarding bronchoscopy practice in adults in Portugal. Our objective was to obtain an overview of the characteristics, resources, techniques and behaviors in national interventional pulmonology (IP) units, before and after SARS-CoV-2 outbreak. Materials and Methods: An online survey was developed by an expert panel with a total of 46 questions comprising the specifications of each unit, namely physical space, equipment, staff, procedure planning, monitoring, technical differentiation, and numbers pre- and post-COVID-19. Forty-one interventional pulmonology centers were invited to participate between April and May 2021. Results: 37 units (90.2%) responded to the survey. The majority (64.9%) have a fully dedicated space with a weekly presence of ≥3 chest physicians (82.1%) and support of an anesthesiologist on specific days (48.6%). There is marked heterogeneity in the IP unit's equipment, and 56.8% acquired disposable bronchoscopes after COVID-19 pandemics. Pre-bronchoscopy hemogram, platelet count and coagulation tests are regularly asked by more than 90% of the units, even when deep sedation or biopsies are not planned. In 97.3% of cases, topical anesthesia and midazolam are utilized. Propofol (21.6%) and fentanyl (29.7%) are occasionally employed in some institutions. Most units use ancillary sampling techniques to diagnose central or peripheral lesions, with radial EBUS being used for guidance of distal procedures in 37.8% of centers, linear EBUS and EUS-B-FNA for mediastinal diagnosis and/or staging in 45.9% and 27.0% of units, respectively. Cryobiopsies are used by 21.6% of respondents to diagnose diffuse lung diseases. Rigid bronchoscopy is performed in 37.8% of centers. There was a decrease in the number of flexible (p < 0.001) and rigid (p = 0.005) bronchoscopies and an upscale of personal protective equipment (PPE) during the COVID-19 outbreak. Conclusions: IP units have variable bronchoscopic practices, but during the COVID-19 pandemic, they complied with most international recommendations, as elective procedures were postponed and PPE levels increased.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)RUNGuedes, F.Ferreira, A. J.Dionísio, J.Rodrigues, L. V.Bugalho, A.2022-04-13T22:43:44Z2022-03-232022-03-23T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/136402eng2531-0429PURE: 43146401https://doi.org/10.1016/j.pulmoe.2022.02.009info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:14:34Zoai:run.unl.pt:10362/136402Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:48:43.119315Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Pre- and post-COVID practice of interventional pulmonology in adults in Portugal
title Pre- and post-COVID practice of interventional pulmonology in adults in Portugal
spellingShingle Pre- and post-COVID practice of interventional pulmonology in adults in Portugal
Guedes, F.
Bronchoscopy
COVID-19
Pulmonology
Questionnaire
Survey
Pulmonary and Respiratory Medicine
title_short Pre- and post-COVID practice of interventional pulmonology in adults in Portugal
title_full Pre- and post-COVID practice of interventional pulmonology in adults in Portugal
title_fullStr Pre- and post-COVID practice of interventional pulmonology in adults in Portugal
title_full_unstemmed Pre- and post-COVID practice of interventional pulmonology in adults in Portugal
title_sort Pre- and post-COVID practice of interventional pulmonology in adults in Portugal
author Guedes, F.
author_facet Guedes, F.
Ferreira, A. J.
Dionísio, J.
Rodrigues, L. V.
Bugalho, A.
author_role author
author2 Ferreira, A. J.
Dionísio, J.
Rodrigues, L. V.
Bugalho, A.
author2_role author
author
author
author
dc.contributor.none.fl_str_mv NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
RUN
dc.contributor.author.fl_str_mv Guedes, F.
Ferreira, A. J.
Dionísio, J.
Rodrigues, L. V.
Bugalho, A.
dc.subject.por.fl_str_mv Bronchoscopy
COVID-19
Pulmonology
Questionnaire
Survey
Pulmonary and Respiratory Medicine
topic Bronchoscopy
COVID-19
Pulmonology
Questionnaire
Survey
Pulmonary and Respiratory Medicine
description Funding Information: We thank Prime Focus for providing language help and writing assistance to this article. Publisher Copyright: © 2022 Sociedade Portuguesa de Pneumologia
publishDate 2022
dc.date.none.fl_str_mv 2022-04-13T22:43:44Z
2022-03-23
2022-03-23T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/136402
url http://hdl.handle.net/10362/136402
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2531-0429
PURE: 43146401
https://doi.org/10.1016/j.pulmoe.2022.02.009
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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