The purpose of this document is to provide interim guidance on procedures surrounding the performance of outpatient flexible transnasal endoscopy (FNE) during the COVID-19 pandemic, in order to maximize protection of patients and staff against the risk of disease transmission in the Healthcare setting.
Otolaryngologists (ENT Surgeons), other clinicians who perform FNE or nasal endoscopy (Maxillofacial surgeons, Radiation Oncologists, Neurosurgeons), Speech and Language Therapists, ENT Advanced Nurse Practitioners
Standard Precautions + Mask
Patients should have a pre-procedural assessment to establish if they are:
The requirement for PPE is based on general guidance and an individual assessment of risk for each procedure (examining factors relating to patient, procedure and staff). The exact level of PPE can be guided by the risk categorisation
Patients referred with anosmia or ageusia.
ENT Emergency Procedures
1. Workman AD, Jafari A, Welling DB, Varvares MA, Gray ST, Holbrook EH, Scangas GA, Xiao R, Carter BS, Curry WT, Bleier BS. Airborne Aerosol Generation During Endonasal Procedures in the Era of COVID-19: Risks and Recommendations
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