Adapting the modified barium swallow: modifications to improve safety in the setting of airborne respiratory illnesses like COVID-19.

Barium COVID-19 Fluoroscopy Humans Pandemics SARS-CoV-2
Airborne respiratory illnesses COVID-19 Fluoroscopy Modified barium swallow SARS-CoV-2

Journal

Abdominal radiology (New York)
ISSN: 2366-0058
Titre abrégé: Abdom Radiol (NY)
Pays: United States
ID NLM: 101674571

Informations de publication

Date de publication:
07 2021
Historique:
received: 25 11 2020
accepted: 25 02 2021
revised: 16 02 2021
pubmed: 28 3 2021
medline: 24 6 2021
entrez: 27 3 2021
Statut: ppublish

Résumé

No guidance exists on how to safely perform modified barium swallows (MBS) in the midst of the COVID-19 pandemic or other communicable airborne respiratory infections (C-ARI). MBS has the potential to become an aerosol generating procedure (AGP) as it may trigger a cough or necessitate suctioning which may result in transmission of C-ARI putting patients and health care workers at risk. Regulations and best practices from international and US governmental and commercial agencies were reviewed. This review led to the multidisciplinary development of best practices of the safety measures and structural requirements to avoid transmission of SARS-CoV-2 or other C-ARIs when performing MBS. Implementation of these best practices resulted in structural changes to the fluoroscopy suite and protocol workflows. This enabled patients with COVID-19 to undergo MBS while maintaining patient and staff safety including mitigation of potential risk of onward transmission of SARS-CoV-2 to other patients. With proper modifications, MBS can be safely performed on patients with C-ARI such as COVID-19 while maintaining patient and health care worker (HCW) safety.

Identifiants

DOI: 10.1007/s00261-021-03025-8 PMID: 33772613 PMC: PMC7998084
pubmed: 33772613
doi: 10.1007/s00261-021-03025-8
pii: 10.1007/s00261-021-03025-8
pmc: PMC7998084
doi:

Substances chimiques

Barium 24GP945V5T

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

3058-3065

Références

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Auteurs

Alice R Goldman (AR)

Russell H. Morgan Department of Radiology and Radiologic Sciences, Johns Hopkins University School of Medicine, 1800 Orleans St, Zayed 4030B, Baltimore, MD, 21287, USA. Alice.goldman@jhmi.edu.
ORCID: 0000-0002-8886-9418

Jay K Pahade (JK)

Yale Department of Radiology and Biomedical Imaging, Yale University School of Medicine, 333 Cedar St., New Haven, CT, 06510, USA.

Nicole A Langton-Frost (NA)

Speech-Language Pathology, Department of Physical Medicine and Rehabilitation, Johns Hopkins Hospital, 600 North Wolfe Street, Osler 425, Baltimore, MD, 21287, USA.

Chiquacta A Hodges (CA)

Hospital Epidemiology and Infection Control, Johns Hopkins Hospital, 600 North Wolfe Street, Baltimore, MD, 21287, USA.

Amy M Taylor (AM)

Russell H. Morgan Department of Radiology and Radiologic Sciences, Johns Hopkins University School of Medicine, 1800 Orleans St, Zayed 4030B, Baltimore, MD, 21287, USA.

Gregory Bova (G)

Department of Commissioning, Johns Hopkins Health System, 600 North Wolfe Street, Phipps Basement, Baltimore, MD, 21287, USA.

Javad R Azadi (JR)

Russell H. Morgan Department of Radiology and Radiologic Sciences, Johns Hopkins University School of Medicine, 1800 Orleans St, Zayed 4030B, Baltimore, MD, 21287, USA.

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Classifications MeSH

questionsmedicales.fr › Produits chimiques inorganiques › Métaux › Métaux lourds › Baryum › Adapting the modified barium swallow:...
questionsmedicales.fr › Maladies de l'appareil respiratoire › Infections de l'appareil respiratoire › Pneumopathie infectieuse › Pneumopathie virale › COVID-19 › Adapting the modified barium swallow:...
questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Imagerie diagnostique › Radiographie › Radioscopie › Adapting the modified barium swallow:...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Adapting the modified barium swallow:...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Épidémies de maladies › Épidémies › Pandémies › Adapting the modified barium swallow:...
questionsmedicales.fr › Virus › Virus à ARN › Virus à ARN à brin positif › Nidovirales › Coronaviridae › Coronavirus › Betacoronavirus › Virus du SRAS › SARS-CoV-2 › Adapting the modified barium swallow:...