Imperial College London
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Professor Justin Roe

Faculty of Medicine, Department of Surgery & Cancer

Professor of Practice (Speech and Swallowing Rehabilitation)
 
 
 
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Contact

 

justin.roe

 
 
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Location

 

Charing Cross HospitalCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Loizidou:2021:rs.3.rs-673407/v1,
author = {Loizidou, A and Tatla, TS and Harvey, I and Aibibula, M and Roe, J and Sethi, N and Schilder, AGM},
doi = {rs.3.rs-673407/v1},
title = {COVID-VU an ENT UK National Survey of Flexible Nasendoscopy in the Upper Aerodigestive Tract Amidst the COVID-19 Pandemic},
url = {http://dx.doi.org/10.21203/rs.3.rs-673407/v1},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - <jats:title>Abstract</jats:title>        <jats:p><jats:underline>Background</jats:underline>Flexible nasendoscopy (FNE) is an invaluable multi-disciplinary tool for upper aerodigestive tract (UADT) examination. During the COVID-19 pandemic concerns were raised that FNE had the potential of generating aerosols resulting in human cross-contamination when performed on SARS-COV2 carriers. In the UK, and other European countries, national guidelines were issued restricting FNE to essential cases. We surveyed ENT UK members and Royal College of Speech and Language Therapists (RCSLT) members to determine the impact of the COVID-19 pandemic (first peak) on FNE practice in the UK.<jats:underline>Methods</jats:underline>An observational internet-based survey constructed in accordance to the CHERRIES checklist and setup in SurveyMonkeyof FNE practice amongst UK-based ENT surgeons and speech and language therapists in community clinics, the outpatient department, inpatient wards, ICU, emergency department and operating theatres (through the NHS and private sector) prior to, during and following the first COVID-19 wave in the UK. <jats:underline>Results </jats:underline>314 responses collected (24% response rate), 82% from ENT clinicians, 17% from SLTs and 1% from other allied healthcare professionals. Overall, there has been a large reduction in the volume and indications for FNE during the first peak of the COVID-19 pandemic with limited recovery by mid-August 2020. Cancer and airway assessments were impacted less. A wide range of FNE protocols influenced by local factors are reported, varying in endoscope preference, Personal Protective Equipment (PPE) and sterilization methods. Where dedicated Aerosol Generating Procedure (AGP) rooms were unavailable, clinicians resorted to window opening and variable room “down-time” between patients. Endoscope preference reflected availability and user familiarity, ENT train
AU  - Loizidou,A
AU  - Tatla,TS
AU  - Harvey,I
AU  - Aibibula,M
AU  - Roe,J
AU  - Sethi,N
AU  - Schilder,AGM
DO  - rs.3.rs-673407/v1
PY  - 2021///
TI  - COVID-VU an ENT UK National Survey of Flexible Nasendoscopy in the Upper Aerodigestive Tract Amidst the COVID-19 Pandemic
UR  - http://dx.doi.org/10.21203/rs.3.rs-673407/v1
ER  -
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