Crimi, Claudia
Impellizzeri, Pietro
Campisi, Raffaele
Nolasco, Santi
Spanevello, Antonio
Crimi, Nunzio
2020-08-12T14:31:24Z
2020-08-12T14:31:24Z
2020
2531-0437
https://doi.org/10.1016/j.pulmoe.2020.07.011
http://hdl.handle.net/20.500.12010/11858
Background: As the Coronavirus disease 2019 (COVID-19) is spreading worldwide,
countries are dealing with different phases of the pandemic.
Lately, scientific evidence has been growing about the measures for reopening respiratory
outpatient services during the COVID-19 pandemic. We aim to summarize the key
differences and similarities among recommendations by different national and international
organizations.
Methods: We searched on Google and Pubmed for recently published National and
International Recommendations/Guidelines/Position Papers from professional
organizations and societies, offering a guidance to physicians on how to safely perform
pulmonary function testing during COVID-19 pandemic. We also searched for spirometry
manufacturers' operational indications.
Results: Indications on spirometry were released by the Chinese Task force, the
American Thoracic Society, the European Respiratory Society, the Thoracic Society of
Australia and New Zealand, the Société de Pneumologie de Langue Française, the
Spanish Societies (Sociedad Espanola de Neumologia y Cirugia Toracica, Sociedad
Espanola de Alergologia e Inmunologia Clinica, Asociacion de Especialistas en
Enfermeria del trabajo, Asociacion de Enfermeria Comunitaria), the Sociedade Portuguesa
de Pneumologia, the British Thoracic Society/Association for Respiratory Technology &
Physiology, the Irish Thoracic Society, the Sociedad Uruguaya de Neumologia, the Italian
Thoracic Society and the Italian Respiratory Society, Cleveland Clinic and Nebraska
Medical Center. Detailed technical recommendations were found on manufacturers’
websites.
We found several similarities across available guidelines for safely resuming pulmonary
function services, as well as differences in criteria for selecting eligible patients for which spirometry is deemed essential and advice which was not homogenous on room
ventilation precautions.
Conclusions: This study shows a synthesis of national/international guidelines allowing
practicing physicians to adapt and shape the way to organize their outpatient services
locally. There is generally good agreement on the importance of limiting pulmonary
function testing to selected cases only. However, significant differences concerning the
subsets of candidate patients, as well as on the management of adequate room
ventilation, were observed.
30 páginas
application/pdf
Pulmonology
reponame:Expeditio Repositorio Institucional UJTL
instname:Universidad de Bogotá Jorge Tadeo Lozano
COVID-19
SARS-CoV-2
Pulmonary function test
Spirometry
Outpatient clinic
Safety
Guidelines
Practical considerations for spirometry during the COVID-19 outbreak: Literature review and insights
Artículo
Síndrome respiratorio agudo grave
COVID-19
SARS-CoV-2
Coronavirus
info:eu-repo/semantics/openAccess
info:eu-repo/semantics/acceptedVersion
Abierto (Texto Completo)
https://doi.org/10.1016/j.pulmoe.2020.07.011