Management of aerosol generation during upper gastrointestinal endoscopy

Chawisa Nampoolsuksan; Vitoon Chinswangwatanakul; Asada Methasate; Jirawat Swangsri; Atthaphorn Trakarnsanga; Chainarong Phalanusitthepha; Thammawat Parakonthun; Voraboot Taweerutchana; Nicha Srisuworanan; Tharathorn Suwatthanarak; Thikhamporn Tawantanakorn; Thawatchai Akaraviputh

doi:10.5946/ce.2022.062

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자료유형: 학술저널

저자정보: Chawisa Nampoolsuksan (Department of Surgery Faculty of Medicine Siriraj Hospital Mahidol University Bangkok Thailand) Vitoon Chinswangwatanakul (Department of Surgery Faculty of Medicine Siriraj Hospital Mahidol University Bangkok Thailand) Asada Methasate (Department of Surgery Faculty of Medicine Siriraj Hospital Mahidol University Bangkok Thailand) Jirawat Swangsri (Department of Surgery Faculty of Medicine Siriraj Hospital Mahidol University Bangkok Thailand) Atthaphorn Trakarnsanga (Department of Surgery Faculty of Medicine Siriraj Hospital Mahidol University Bangkok Thailand) Chainarong Phalanusitthepha (Department of Surgery Faculty of Medicine Siriraj Hospital Mahidol University Bangkok Thailand) Thammawat Parakonthun (Department of Surgery Faculty of Medicine Siriraj Hospital Mahidol University Bangkok Thailand) Voraboot Taweerutchana (Department of Surgery Faculty of Medicine Siriraj Hospital Mahidol University Bangkok Thailand) Nicha Srisuworanan (Department of Surgery Faculty of Medicine Siriraj Hospital Mahidol University Bangkok Thailand) Tharathorn Suwatthanarak (Department of Surgery Faculty of Medicine Siriraj Hospital Mahidol University Bangkok Thailand) Thikhamporn Tawantanakorn (Department of Surgery Faculty of Medicine Siriraj Hospital Mahidol University Bangkok Thailand) Thawatchai Akaraviputh (Department of Surgery Faculty of Medicine Siriraj Hospital Mahidol University Bangkok Thailand)

저널정보: 대한소화기내시경학회 Clinical Endoscopy Clinical Endoscopy 제55권 제5호

발행연도: 2022.9

수록면: 588 - 593 (6page)

DOI: 10.5946/ce.2022.062

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In the highly contagious coronavirus disease 2019 pandemic, aerosol-generating procedures (AGPs) are associated with high-risk of transmission. Upper gastrointestinal endoscopy is a procedure with the potential to cause dissemination of bodily fluids. At present, there is no consensus that endoscopy is defined as an AGP. This review discusses the current evidence on this topic with additional management. Prevailing publications on coronavirus related to upper gastrointestinal endoscopy and aerosolization from the PubMed and Scopus databases were searched and reviewed. Comparative quantitative analyses showed a significant elevation of particle num- bers, implying that aerosols were generated by upper gastrointestinal endoscopy. The associated source events have also been reported. To reduce the dispersion, certain protective measures have been developed. Endoscopic unit protocols are recommended for the con- cerned personnel. Therefore, upper gastrointestinal endoscopy should be classified as an AGP. Proper practices should be adopted by healthcare workers and patients.

#Aerosols #COVID-19 #Gastroscopy #Health personnel #Respiratory protective devices

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