RT Journal Article SR Electronic T1 International consensus on lung function testing during the COVID-19 pandemic and beyond JF ERJ Open Research JO erjor FD European Respiratory Society SP 00602-2021 DO 10.1183/23120541.00602-2021 VO 8 IS 1 A1 Aisling McGowan A1 Pierantonio Laveneziana A1 Sam Bayat A1 Nicole Beydon A1 P.W. Boros A1 Felip Burgos A1 Matjaž Fležar A1 Monika Franczuk A1 Maria-Alejandra Galarza A1 Adrian H. Kendrick A1 Enrico Lombardi A1 Jellien Makonga-Braaksma A1 Meredith C. McCormack A1 Laurent Plantier A1 Sanja Stanojevic A1 Irene Steenbruggen A1 Bruce Thompson A1 Allan L. Coates A1 Jack Wanger A1 Donald W. Cockcroft A1 Bruce Culver A1 Karl Sylvester A1 Frans De Jongh YR 2022 UL http://openres.ersjournals.com/content/8/1/00602-2021.abstract AB Coronavirus disease 2019 (COVID-19) has negatively affected the delivery of respiratory diagnostic services across the world due to the potential risk of disease transmission during lung function testing. Community prevalence, reoccurrence of COVID-19 surges and the emergence of different variants of SARS-CoV-2 have impeded attempts to restore services. Finding consensus on how to deliver safe lung function services for both patients attending and for staff performing the tests are of paramount importance.This international statement presents the consensus opinion of 23 experts in the field of lung function and respiratory physiology balanced with evidence from the reviewed literature. It describes a robust roadmap for restoration and continuity of lung function testing services during the COVID-19 pandemic and beyond.Important strategies presented in this consensus statement relate to the patient journey when attending for lung function tests. We discuss appointment preparation, operational and environmental issues, testing room requirements including mitigation strategies for transmission risk, requirement for improved ventilation, maintaining physical distance and use of personal protection equipment. We also provide consensus opinion on precautions relating to specific tests, filters, management of special patient groups and alternative options to testing in hospitals.The pandemic has highlighted how vulnerable lung function services are and forces us to re-think how long-term mitigation strategies can protect our services during this and any possible future pandemic. This statement aspires to address the safety concerns that exist and provide strategies to make lung function tests and the testing environment safer when tests are required.International expert consensus statement describing the infection protection control strategies for restoration and continuity of lung function testing services during #COVID19 pandemic and beyond https://bit.ly/3kn47Gy