Particular issues of bronchoscopy in patients with the novel coronavirus (COVID-19) infection

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Abstract

The paper analyzes the experience with 19 flexible bronchoscopies in the prone position in patients with the novel coronavirus (COVID-19) infection, who are on mechanical ventilation. The need for this position is generated by a sharp drop in oxygen saturation when turning the patient from prone to supine that is one of the two traditional patient positions during flexible bronchos-copy. A sharp drop in the body’s oxygen reserves could be avoided in all cases during bronchos-copy. All bronchial interventions (tracheobronchial tree debridement and necessary additional di-agnostic endobronchial manipulations) were performed to the extent required. The biggest tech-nical difficulty was an examination and additional diagnostic manipulations in the upper lobe bronchial basin on the ipsilateral side of an endoscopist.

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About the authors

M. L. Shteiner

Samara City Hospital Four; Samara State Medical University

Author for correspondence.
Email: iishte@yandex.ru

MD

Russian Federation, Samara; Samara

Yu. I. Biktagirov

Samara State Medical University

Email: iishte@yandex.ru

Candidate of Medical Sciences

Russian Federation, Samara

M. I. Bereslavsky

N.I. Pirogov Samara City Clinical Hospital One

Email: iishte@yandex.ru
Russian Federation, Samara

E. A. Korymasov

Samara State Medical University

Email: iishte@yandex.ru

MD, Professor

Russian Federation, Samara

E. P. Krivoshchekov

Samara State Medical University

Email: iishte@yandex.ru

MD, Professor

Russian Federation, Samara

A. V. Zhestkov

Samara State Medical University

Email: iishte@yandex.ru

MD

Russian Federation, Samara

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