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PHE COVID infection control guidance updated today
You’ll likely love them or loathe them https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control
You’ll likely love them or loathe them https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control
High medium and low risk pathways created.
Elective surgical patients who have followed last weeks NICE guidance will enter the low risk path. https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/care-pathways
Elective surgical patients who have followed last weeks NICE guidance will enter the low risk path. https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/care-pathways
The NICE guidance means 14d self isolation is no longer routine. Rather isolation is to be from day of PCR test - which is to be up to 3d before admission
So routine isolation is max 3d but may be shorter
https://www.nice.org.uk/guidance/ng179/chapter/3-Minimising-the-risks-associated-with-COVID-19#all-planned-procedures-needing-anaesthesia-general-regional-and-local-or-sedation
So routine isolation is max 3d but may be shorter
https://www.nice.org.uk/guidance/ng179/chapter/3-Minimising-the-risks-associated-with-COVID-19#all-planned-procedures-needing-anaesthesia-general-regional-and-local-or-sedation
As an aside remember
- incubation up to 5d
- period of viable viral shedding up to 9d
-5+ 9 = 14
- most infective & most transmission (including asymptomatic) in first week https://www.medrxiv.org/content/10.1101/2020.07.25.20162107v2
- incubation up to 5d
- period of viable viral shedding up to 9d
-5+ 9 = 14
- most infective & most transmission (including asymptomatic) in first week https://www.medrxiv.org/content/10.1101/2020.07.25.20162107v2
In the high and medium risk pathways transmission based precautions (TBPs) persist with little change from current practice https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-infection-prevention-and-control-guidance-high-risk-pathway-key-principles
In the low risk pathway TBPs are out snd standard infection control practices are relied on. https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-infection-prevention-and-control-guidance-low-risk-pathway
This includes for all AGPs
Which now no longer justify additional PPE
Which now no longer justify additional PPE
Of note the AGP list is unchanged and continues to conflate airway procedures with modes of ventilation
(Is manual ventilation via a FM, SGA or TT?)
Similarly for other ventilation modes
(Is manual ventilation via a FM, SGA or TT?)
Similarly for other ventilation modes
Sadly the AGP list makes no mention of SGAs
An important omission as it is the commonest airway use in anaesthesia and a matter of great discussion and controversy at present https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-infection-prevention-and-control-guidance-aerosol-generating-procedures
An important omission as it is the commonest airway use in anaesthesia and a matter of great discussion and controversy at present https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-infection-prevention-and-control-guidance-aerosol-generating-procedures
The Anaesthesia-ICM hub offers this advice re SGAs https://icmanaesthesiacovid-19.org/use-of-supraglottic-airways-during-the-covid-19-pandemic
And this advice re SGAs and other airway matters https://icmanaesthesiacovid-19.org/airway-gudiance-endemic
The new PHE guidance is predicated on the ‘declining’ rate of COVID-19 infection
The actual trend is reported by ONS here today
https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/conditionsanddiseases/bulletins/coronaviruscovid19infectionsurveypilot/englandandwales21august2020
The actual trend is reported by ONS here today
https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/conditionsanddiseases/bulletins/coronaviruscovid19infectionsurveypilot/englandandwales21august2020
PHE & NICE has to navigate a narrow path to promote increased healthcare/theatre throughput while ensuring our hospitals don’t admit patients carrying COVID19 who risk patient harm, HCW infection/harm and hospital outbreaks
An unenviable task.
The guidance will be debated.
An unenviable task.
The guidance will be debated.
