Bronchoscopy COVID-19 SOP

Bronchoscopy is procedure which results in aerosolization of respiratory droplets; therefore, it is

a high-risk procedure. For this reason, careful consideration of risks and benefits should be
taken before performing bronchoscopy.

Bronchoscopies can be done on intubated and non-intubated patients. In non-intubated patients,

nebulization with topical anesthetics should be avoided.

If the decision is made to proceed with bronchoscopy, it is important to:

1. Only do bronchoscopies at bedside in a negative pressure room (or, cohorted ward)

• Any bronchoscopy to be done in the suite/OR requires prior discussion between
the Primary Attending, Bronchoscopy Attending, and Infection Control

2. Minimize the number of people in the room

• In room:
i. Attending physician to perform bronchoscopy
ii. RT to assist with procedure
• Ideally, the nurse is not in the room (e.g., full sedation is provided prior to
initiating the procedure); the nurse should be directly outside of the patient’s room
in full PPE ready to enter to assist if needed

3. Minimize the equipment in the room

• Use only disposable bronchoscopes in the COVID units.
• Prepare equipment prior to room entry
• Only bring in pieces of equipment which will be used for this procedure
• Pieces of equipment which may be used should be readily available immediately
outside of the room

4. Have all personnel who will be in the room don appropriate PPE (N95, bunny suit, gown,
gloves, face shield) prior to room entry; doffing to occur under observation at the end of
the procedure.

5. Leave all used equipment in the room for cleaning by EVS as per protocol.

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Reviewed February 2021