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Coronavirus staff guidance University Hospitals Birmingham NHS Foundation Trust

Aerosol generating procedures

Last updated: 28 October 2021 at 09:57

Procedures that produce aerosols of respiratory secretions have been agreed to include:

  • Intubation, extubation and related procedures
  • Tracheotomy/tracheostomy procedures
  • Manual ventilation
  • Open suctioning
  • Bronchoscopy and upper ENT airway procedures that involve suctioning
  • Non-invasive ventilation (NIV) e.g. Bi-level Positive Airway Pressure (BiPAP) and Continuous Positive Airway Pressure ventilation (CPAP)
  • Surgery and post-mortem procedures in which high-speed devices are used
  • High-frequency oscillating ventilation (HFOV)
  • High-flow Nasal Oxygen (HFNO) (NOT standard Nasal Specs)
  • Induction of sputum
  • Some dental procedures (e.g. high speed drilling)
  • If you are unsure if a procedure is aerosol-generating please ask before carrying it out
  • Upper gastro-intestinal endoscopy where there is open suctioning of the upper respiratory tract

The following are not aerosol generating procedures:

  • Administration of pressurised humidified oxygen
  • Administration of medication via nebulization

For up-to-date information on aerosol generating procedures, please refer to PHE’s website.

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