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Review
. 2023 Jun;44(2):215-226.
doi: 10.1016/j.ccm.2022.11.005. Epub 2022 Nov 22.

What Have We Learned About Transmission of Coronavirus Disease-2019: Implications for Pulmonary Function Testing and Pulmonary Procedures

David A Kaminsky  1 , Shaikh M Noor Husnain  2 , Danai Khemasuwan  3
Affiliations
Review

What Have We Learned About Transmission of Coronavirus Disease-2019: Implications for Pulmonary Function Testing and Pulmonary Procedures

David A Kaminsky et al. Clin Chest Med. 2023 Jun.

Abstract

Because of the potential for high aerosol transmission during pulmonary function testing and pulmonary procedures, performing these tests and procedures must be considered carefully during the coronavirus disease-2019 (COVID-19) pandemic. Much has been learned about the transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) by aerosols and the potential for such transmission through pulmonary function tests and pulmonary procedures, and subsequently preventative practices have been enhanced and developed to reduce the risk of transmission of virus to patients and personnel. This article reviews what is known about the potential for transmission of SARS-CoV-2 during pulmonary function testing and pulmonary procedures and the recommended mitigation steps to prevent the spread of COVID-19.

Keywords: Aerosol transmission; Bronchoscopy; COVID-19; Pleural procedures; Pulmonary function testing; SARS-CoV-2; Tracheostomy.

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Figures

Fig. 1
Fig. 1
Overview of aerosol generation and transport. Aerosols and droplets are emitted during exhalation, including breathing, speaking, and coughing/sneezing. Larger droplets will settle out quickly to surfaces, whereas smaller aerosols may travel significant distances.
Fig. 2
Fig. 2
A clear plastic coverage is used to provide an additional barrier to contamination during percutaneous dilatational tracheostomy. Shown are the positions of the bronchoscopist at the side of a surgical field.
See this image and copyright information in PMC

References

    1. Harber P., MC T., Levine M. Occupational spirometry and fit testing in the COVID-19 era: 2021 interim recommendations from the american college of occupational and environmental medicine. https://acoem.org/Guidance-and-Position-Statements/Guidance-and-Position... Available from:
    1. American thoracic society. May 18, 2022. https://www.thoracic.org/professionals/clinical-resources/disease-relate... Available from:
    1. Association for respiratory technology and physiology and british thoracic society. org.uk/write/MediaUploads/Standards/COVID19/Respiratory_Function_Testing... May 18, 2022. Available from:
    1. Canadian society of respiratory therapists. May 18, 2022. https://www.csrt.com/csrt-novel-coronavirus-resources/ Available from:
    1. European respiratory society. May 18, 2022. https://ers.app.box.com/s/zs1uu88wy51monr0ewd990itoz4tsn2h Available from:

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