Increase of lung function usage bronchoscopy in COVID-19 patients: Three case series in Indonesian adult

• Main Authors: Christa Graziella Muljono, -, Isnin Anang Marhana, -, Irmi Syafaah, -, Herley Windo Setiawan, -, Bambang Pujo Semedi, -, Kun Arifi Abbas, -
• Format: Article PeerReviewed
• Language: English; English; English; English
• Published: Elsevier BV 2022
• Subjects: R Medicine (General); RC705-779 Diseases of the respiratory system
• Online Access: https://repository.unair.ac.id/119960/1/Karil%203.pdf; https://repository.unair.ac.id/119960/2/Artikel%203.pdf; https://repository.unair.ac.id/119960/3/Similarity%203.pdf; https://repository.unair.ac.id/119960/4/Bukti%20Korespondensi%203.pdf; https://repository.unair.ac.id/119960/; https://www.sciencedirect.com/science/article/pii/S2210261221011251?via%3Dihub; https://doi.org/10.1016/j.ijscr.2021.106623
• Institution: Universitas Airlangga

Background COVID-19 is a virus that is spread by aerosol which can cause worsening of hypoxia and bronchoscopy procedures in COVID-19 patients may be considered. Method The design of this study is a case series reported using the Preferred Reporting of Case Series in Surgery (PROCESS) 2020 Guideline. Data collection was carried out in the period January–April 2021. All participants underwent X-ray examination and blood gas analysis as well as signs of infection before and after bronchoscopy. Result Three intubated patients with COVID-19 were confirmed from PCR nasopharyngeal swab present with worsening on chest X-ray. All three patients had a normal bronchial wall with some inflammation and thick mucus resulting in lung atelectasis and massive inhomogeneous opacity on chest X-ray. Patients showed improvement on chest X-ray after bronchoscopy intervention. Conclusion The bronchoscopy procedure can improve the lung function of COVID-19 patients and if it is carried out by medical personnel who pay attention to universal precautions, it will minimize the occurrence of transmission.