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    Covid 19 Aerosol Generating Medical Procedures

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    Abidi Hichem
    This document provides guidance on aerosol generating medical procedures (AGMPs) for patients under investigation for 2019 Novel Coronavirus. It recommends placing patients in airborne infection isolation rooms when performing AGMPs and having healthcare workers use proper personal protective equipment, including N95 respirators. AGMPs that could spread the virus via airborne droplets include intubation, open suctioning, and bronchoscopy. Nasopharyngeal swabs can be done with droplet and contact precautions alone.

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    Covid 19 Aerosol Generating Medical Procedures

    Uploaded by

    Abidi Hichem
    15 views1 page
    This document provides guidance on aerosol generating medical procedures (AGMPs) for patients under investigation for 2019 Novel Coronavirus. It recommends placing patients in airborne infection isolation rooms when performing AGMPs and having healthcare workers use proper personal protective equipment, including N95 respirators. AGMPs that could spread the virus via airborne droplets include intubation, open suctioning, and bronchoscopy. Nasopharyngeal swabs can be done with droplet and contact precautions alone.

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    This document provides guidance on aerosol generating medical procedures (AGMPs) for patients under investigation for 2019 Novel Coronavirus. It recommends placing patients in airborne infection isolation rooms when performing AGMPs and having healthcare workers use proper personal protective equipment, including N95 respirators. AGMPs that could spread the virus via airborne droplets include intubation, open suctioning, and bronchoscopy. Nasopharyngeal swabs can be done with droplet and contact precautions alone.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    15 views1 page

    Covid 19 Aerosol Generating Medical Procedures

    Uploaded by

    Abidi Hichem
    This document provides guidance on aerosol generating medical procedures (AGMPs) for patients under investigation for 2019 Novel Coronavirus. It recommends placing patients in airborne infection isolation rooms when performing AGMPs and having healthcare workers use proper personal protective equipment, including N95 respirators. AGMPs that could spread the virus via airborne droplets include intubation, open suctioning, and bronchoscopy. Nasopharyngeal swabs can be done with droplet and contact precautions alone.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    2019 Novel Coronavirus: Aerosol Generating Medical Procedures in Healthcare Settings

    This document provides details about Aerosol Generating Medical Procedures (AGMPs) specifically with
    regard to patients under investigation (PUI) for 2019 Novel Coronavirus (2019-nCoV). The Public Health
    Agency of Canada has recommended that, in addition to routine precautions, healthcare workers
    (HCWs) follow droplet and contact precautions when caring for patients meeting clinical and exposure
    criteria for 2019-nCoV, unless performing an AGMP.

    Patients with signs, symptoms and exposure criteria consistent with 2019-nCoV should be cared for
    under droplet and contact precautions, unless an AGMP is required.

    AGMPs that generate small droplet nuclei in high concentration present a risk for airborne transmission
    of pathogens not otherwise able to spread by the airborne route (e.g., coronavirus, influenza). When
    performing AGMPs for a PUI including for the purpose of specimen collection, it is recommended to
    observe the following:
     Place patient in an AIIR (airborne infection isolation room) if possible, or in a single room that
    minimizes exposure to healthcare workers and other patients;
     Limit the number of HCWs to only those required for the procedure;
     Ensure HCWs performing or assisting with AGMP wear appropriate personal protective
    equipment (PPE): gown, gloves, a fit tested N95 respirator and eye protection (i.e. face shield);
     Observe appropriate hand hygiene, donning and doffing procedures.

    AGMPs Requiring Respiratory Protection for 2019-nCoV Patients Under Investigation

    Autopsies involving respiratory tissues


    CPR with Bag valve mask ventilation
    Bronchoscopy and bronchoalveolar lavage
    Continuous positive airway pressure (CPAP) or bilevel positive airway pressure (BiPAP)
    Intubation and extubation procedures
    Nasopharyngeal aspirates, washes, and scoping*
    Nebulized therapy
    Open airway suctioning
    Sputum Induction
    * Nasopharyngeal (NP) and throat swabs can be performed using contact and droplet precautions with
    procedural mask and eye protection, and do not require the use of an N95 respirator. See here for more
    details.

    IMPORTANT: this list is not exhaustive and includes common types of AGMPs. For scenarios not
    described, please contact your local Infection Prevention and Control team and/or the Medical Health
    Officer.

    References:
    https://www.cdc.gov/infectioncontrol/basics/transmission-based-precautions.html
    https://www.picnet.ca/wp-content/uploads/Respiratory-Infection-Outbreak-Guidelines-for-Healthcare-
    Facilities_November-2018.pdf

    2019NCOV_AGMP_V2_February 7 2020

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