Reducing the Risk of Coronavirus

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COVID 19

In previous outbreaks (SARS, H1N1 and MERS) the World Health Organisation highlighted that aerosol generating procedures increased risk of pathogen transmission.

The Intensive Care society have issued similar advice in their COVID-19 communication stating aerosol generating procedures should be avoided: 2019-nCOV – Critical Care Society advice.

The World Federation of Societies of Anaesthesiologists (WFSA) list nebulisation amongst aerosol generating procedures:

“Aerosol generating procedures include intubation, extubating, bronchoscopy, airway suction, high frequency oscillatory ventilation, tracheostomy, chest physiotherapy, nebulizer treatment. These procedures should be performed on the COVID-19 patient only when the benefits outweigh the risks, and when adequate PPE and staff preparation is available.”