Guidance for resumption of routine electrodiagnostic testing during the COVID-19 pandemic

Muscle Nerve. 2020 Aug;62(2):176-181. doi: 10.1002/mus.26990.

Abstract

As the world accommodates to the coronavirus disease 2019 (COVID-19) pandemic, routine in-person medical services are resuming. The resumption of non urgent electrodiagnostic (EDX) testing faces unique challenges due to the long duration of the procedure and direct close contact with patients, including studies with risk of exposure to oropharyngeal secretions. We provide consensus guidance for resumption of EDX testing, addressing scheduling, patient arrival and registration, use of personal protective equipment, COVID-19 screening and testing, the performance of EDX testing in outpatient and inpatient settings, cleaning and maintenance of the EDX equipment and laboratory, balancing trainee safety and training requirements, and patient care issues. These are broad recommendations that need to be adapted to local COVID-19 risks, institutional guidelines and policies, and changing federal, state, and local regulations, and to changes in the pandemic over time.

Keywords: AANEM; COVID-19; electrodiagnosis; electrodiagnostic testing; nerve conduction study; pandemic.

Publication types

  • Practice Guideline

MeSH terms

  • Ambulatory Care
  • Appointments and Schedules*
  • Betacoronavirus
  • COVID-19
  • Coronavirus Infections / diagnosis
  • Coronavirus Infections / epidemiology*
  • Coronavirus Infections / prevention & control
  • Decontamination
  • Electrodiagnosis / methods*
  • Electromyography
  • Equipment Contamination
  • Hand Hygiene*
  • Humans
  • Infection Control
  • Masks
  • Mass Screening
  • Neural Conduction
  • Pandemics / prevention & control
  • Personal Protective Equipment*
  • Pneumonia, Viral / diagnosis
  • Pneumonia, Viral / epidemiology*
  • Pneumonia, Viral / prevention & control
  • SARS-CoV-2
  • United States / epidemiology