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  1. Aerosol generating procedures

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Aerosol Generating Procedures (AGPs) - Guidance from Gov.uk

Risk and Protective Measures

Learn about Aerosol Generating Procedures (AGPs) and recommended protective measures:

Transmission Risk and PPE

Key points from gov.uk:

  • Highest risk of transmission occurs during aerosol-generating procedures (AGPs) of the respiratory tract.
  • Health and social care workers performing or assisting in AGPs should use enhanced respiratory protective equipment.
  • Recommended PPE during AGPs on possible and confirmed cases includes a long-sleeved disposable fluid repellent gown, FFP3 respirator, full-face shield or visor, and gloves.
  • PPE should be single-use and disposed of after each patient contact or procedure.

Identified AGPs for COVID-19

Potentially infectious AGPs include:

  • Intubation, extubation, and related procedures.
  • Tracheotomy or tracheostomy procedures.
  • Bronchoscopy, upper ENT airway procedures with suctioning.
  • Upper gastro-intestinal endoscopy with open suctioning.
  • Surgery, post mortem procedures involving high-speed devices.
  • High-speed dental procedures, non-invasive ventilation, CPAP.
  • Induction of sputum, high flow nasal oxygen.

Procedure Guidelines

For patients with possible or confirmed COVID-19:

  • Only carry out AGPs when essential.
  • Preferably conduct procedures in a single room with closed doors.
  • Limit presence to necessary healthcare staff.

Other Considerations

Additional procedures not considered significant infectious risks:

  • Administration of pressurised humidified oxygen, Entonox, or medication via nebulisation.
  • Chest compressions and defibrillation during resuscitation.