COVID-19 and Risks Posed to Personnel During Endotracheal Intubation

Details

• Personal Author:
  De Perio, Marie A. ; Radonovich LJ Jr. ; Weissman, David N.
• Description:
  Health care personnel who care for critically ill patients with suspected or confirmed novel coronavirus disease 2019 (COVID-19) routinely participate in procedures, such as endotracheal intubation, that may create infectious aerosols. Among persons infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus that causes COVID-19, approximately 8% will require endotracheal intubation and mechanical ventilation. Aerosol-generating procedures have been described as "...procedures performed on patients [that] are more likely to generate higher concentrations of infectious respiratory aerosols than coughing, sneezing, talking, or breathing." Health Protection Scotland defines aerosol-generating procedures "as medical and patient care procedures that result in the production of airborne particles (aerosols) that create the potential for airborne transmission of infections that may otherwise only be transmissible by the droplet route." Although there is no generally accepted and comprehensive list of aerosol-generating procedures performed during clinical care, examples include open suctioning of airways, sputum induction, manual ventilation, endotracheal intubation and extubation, noninvasive ventilation, bronchoscopy, and tracheotomy. There is great interest in understanding the hazards posed by the range of potentially hazardous aerosol-generating procedures for the transmission of COVID-19 and other infectious diseases. [Description provided by NIOSH]
• Subjects:
  Aerosols Delivery Of Health Care Environmental Exposure Health Personnel Lung Diseases Occupational Health Respiratory Protective Devices Respiratory Tract Diseases Risk Assessment Risk Factors Safety Ventilation Viral Diseases

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• Keywords:
  Disease Transmission Exposure Levels Hazards Health Care Personnel Medical Care Medical Personnel Medical Treatment Pulmonary System Disorders Respiratory Protection Respiratory Protective Equipment Respiratory System Disorders Risk Factors Safety Measures Viral Diseases Viral Infections

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• ISSN:
  0098-7484
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  Ohio ; OSHA Region 3 ; OSHA Region 5 ; West Virginia
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  RHD - Respiratory Health Division ; OD - Office of the Director
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  323
• Issue:
  20
• NIOSHTIC Number:
  nn:20059568
• Citation:
  JAMA 2020 May; 323(20):2027-2028
• Contact Point Address:
  Lewis J. Radonovich Jr, MD, 1095 Willowdale Rd, Morgantown,WV 26505
• Email:
  mto@cdc.gov
• Federal Fiscal Year:
  2020
• Peer Reviewed:
  False
• Source Full Name:
  Journal of the American Medical Association
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:7aeaad97f7c7ee2fd7281af27e1fc3ee020a27062c1b78da99e0b2029bff14a6b4d30a9ae90525bdd79442a865ff97b8a6e56ff549765dad42363075920e5e0a
• Download URL:
  https://stacks.cdc.gov/view/cdc/223741/cdc_223741_DS1.pdf
• File Type:
  [PDF - 114.35 KB ]