Evidence map›Paper›PMID 32361152›Full record

GuidelineChest2020

The Use of Bronchoscopy During the Coronavirus Disease 2019 Pandemic: CHEST/AABIP Guideline and Expert Panel Report.

Momen M Wahidi, Samira Shojaee, Carla R Lamb, David Ost, Fabien Maldonado, George Eapen, Daniel A Caroff, Michael P Stevens, Daniel R Ouellette, Craig Lilly and 4 more

Open access · bronzeAbstract readPractice Guideline
In one paragraph

Guideline in Chest, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 112 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
112citing papers in PubMed, 4 pooled it
22.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

112 citing papers in PubMed, 4 syntheses or guidelines pooled it, 189 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Pooled it
  5. Article
  6. [Expert consensus on airway lavage therapy for adult burn patients (2026 edition)].Zhonghua shao shang yu chuang mian xiu fu za zhi · 2026
    Article
  7. Review
  8. Article
  9. Interprofessional education involving respiratory therapists: A narrative review of implementation models, educational outcomes, and research gaps.Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR · 2026
    Review
  10. Article
  11. COVID-19 and Lung Cancer Interactions: A Literature Review.Medical sciences (Basel, Switzerland) · 2025
    Review
  12. Article
  13. Article
  14. Review
  15. Review
  16. Review
  17. Article
  18. Article
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  20. Article

52 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 10 institutions in 1 country.

Momen M WahidiDepartment of Medicine, Division of Pulmonary, Allergy and Critical Care, Duke University School of Medicine, Durham, NC. Electronic address: momen.wahidi@duke.edu.
Samira ShojaeeDepartment of Medicine, Divisions of Pulmonary and Critical Care and Infectious Disease, Virginia Commonwealth University, Richmond, VA.
Carla R LambDepartment of Medicine, Divisions of Pulmonary and Critical Care and Infectious Disease, Lahey Hospital and Medical Center, Burlington, MA.
David OstDepartment of Medicine, Division of Pulmonary and Critical Care, University of Texas MD Anderson Cancer Center, Houston, TX.
Fabien MaldonadoDepartment of Medicine, Division of Allergy, Pulmonary and Critical Care, Vanderbilt University, Nashville, TN.
George EapenDepartment of Medicine, Division of Pulmonary and Critical Care, University of Texas MD Anderson Cancer Center, Houston, TX.
Daniel A CaroffDepartment of Medicine, Divisions of Pulmonary and Critical Care and Infectious Disease, Lahey Hospital and Medical Center, Burlington, MA.
Michael P StevensDepartment of Medicine, Divisions of Pulmonary and Critical Care and Infectious Disease, Virginia Commonwealth University, Richmond, VA.
Daniel R OuelletteDepartment of Medicine, Division of Pulmonary and Critical Care, Henry Ford Health System, Detroit, MI.
Craig LillyDepartment of Medicine, Division of Pulmonary and Critical Care, University of Massachusetts, Worcester, MA.
Donna D GardnerDepartment of Respiratory Care, Texas State University, Round Rock, TX.
Kristen GlisinskiDepartment of Medicine, Division of Pulmonary, Allergy and Critical Care, Duke University School of Medicine, Durham, NC.
Kelly PenningtonDepartment of Medicine, Division of Pulmonary and Critical Care, Mayo Clinic, Rochester, MN.
Raed AlalawiDepartment of Medicine, Division of Pulmonary and Critical Care, University of Arizona, Phoenix, AZ.
Duke University · USLahey Hospital and Medical Center · USThe University of Texas MD Anderson Cancer Center · USVirginia Commonwealth University · USHenry Ford Health System · USMayo Clinic in Arizona · USTexas State University · USUniversity of Arizona · USUniversity of Massachusetts Chan Medical School · USVanderbilt University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe coronavirus disease 2019 (COVID-19) has swept the globe and is causing significant morbidity and mortality. Given that the virus is transmitted via droplets, open airway procedures such as bronchoscopy pose a significant risk to health-care workers (HCWs). The goal of this guideline was to examine the current evidence on the role of bronchoscopy during the COVID-19 pandemic and the optimal protection of patients and HCWs. STUDY DESIGN AND

methodsA group of approved panelists developed key clinical questions by using the Population, Intervention, Comparator, and Outcome (PICO) format that addressed specific topics on bronchoscopy related to COVID-19 infection and transmission. MEDLINE (via PubMed) was systematically searched for relevant literature and references were screened for inclusion. Validated evaluation tools were used to assess the quality of studies and to grade the level of evidence to support each recommendation. When evidence did not exist, suggestions were developed based on consensus using the modified Delphi process.

resultsThe systematic review and critical analysis of the literature based on six PICO questions resulted in six statements: one evidence-based graded recommendation and 5 ungraded consensus-based statements.

interpretationThe evidence on the role of bronchoscopy during the COVID-19 pandemic is sparse. To maximize protection of patients and HCWs, bronchoscopy should be used sparingly in the evaluation and management of patients with suspected or confirmed COVID-19 infections. In an area where community transmission of COVID-19 infection is present, bronchoscopy should be deferred for nonurgent indications, and if necessary to perform, HCWs should wear personal protective equipment while performing the procedure even on asymptomatic patients.

Indexed as

BetacoronavirusConsensusPandemicsBronchoscopyCoronavirus InfectionsCOVID-19HumansInfectious Disease Transmission, Patient-to-ProfessionalPneumonia, ViralSARS-CoV-2bronchoscopyCOVID-19personal protective equipment

Identifiers

PMID32361152
PMCPMC7252059
OpenAlexW3045013692

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.