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.