Intubation is one thing, but when the patient is then connected to a vent and the end of the vent tube pings off you get an expiratory breath plus the fluid inside the tubing, it would be hard to deny that is aerosol generating...
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Don't the connections get taped to mitigate/lower this known risk?
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Which is why I'd hope cough risk is considered if anyone is thinking of giving a neb in back of
for anything other than an expiratory wheeze. Some try to justify neb may loosen 'gunk' on someone's chest if none-productive wet cough*. Pts can have 2+resp infections simultaneously -
By which I'm most focused on risk from a cough thats brought on post neb in this scenario. Most pts remove
to cough.
I try to do nebs in pt house. 3m SpO2 leads finally come in handy for monitoring from distance.
*where pulmonary oedema 2ndary to HF ruled out as most likely Dx
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No surprise having assessed Covid 19 patients on home visits- I have felt very exposed & vulnerable in my non WHO standard PPE. Time for @PHE_uk &
@MattHancock to review & update guidelines
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