UK consensus statement on the diagnosis of inducible laryngeal obstruction in light of the COVID-19 pandemic.
Clin Exp Allergy
; 50(12): 1287-1293, 2020 12.
Article
in En
| MEDLINE
| ID: mdl-33034142
ABSTRACT
Prior to the COVID-19 pandemic, laryngoscopy was the mandatory gold standard for the accurate assessment and diagnosis of inducible laryngeal obstruction. However, upper airway endoscopy is considered an aerosol-generating procedure in professional guidelines, meaning routine procedures are highly challenging and the availability of laryngoscopy is reduced. In response, we have convened a multidisciplinary panel with broad experience in managing this disease and agreed a recommended strategy for presumptive diagnosis in patients who cannot have laryngoscopy performed due to pandemic restrictions. To maintain clinical standards whilst ensuring patient safety, we discuss the importance of triage, information gathering, symptom assessment and early review of response to treatment. The consensus recommendations will also be potentially relevant to other future situations where access to laryngoscopy is restricted, although we emphasize that this investigation remains the gold standard.
Key words
Full text:
1
Database:
MEDLINE
Main subject:
Laryngeal Diseases
/
Critical Pathways
/
Airway Obstruction
/
COVID-19
Type of study:
Diagnostic_studies
/
Guideline
Limits:
Humans
Country/Region as subject:
Europa
Language:
En
Journal:
Clin Exp Allergy
Journal subject:
ALERGIA E IMUNOLOGIA
Year:
2020
Type:
Article
Affiliation country:
United kingdom