Table 1.
Procedure | Odds ratio (95% confidence interval) | Risk | PPE |
---|---|---|---|
Tracheal intubation | 6.6 (2.3 to 18.9) | high | high-risk AGMP |
Bag-mask manual ventilation before tracheal intubation | 2.8 (1.3 to 6.4) | high | high-risk AGMP |
Tracheotomy (and by extension, cricothyrotomy) | 4.2 (1.5 to 11.5) | high | high-risk AGMP |
Placement of supraglottic airway device (SGA) | Unknown | assumed high based on bag-mask manual ventilation, no studies | high-risk AGMP |
Tracheal extubation or SGA removal | Unknown | assumed high, perhaps higher than tracheal intubation due to lack of paralysis and potential coughing during emergence | high-risk AGMP |
Chest compressions | 1.4 (0.2 to 11.2) | unknown, may depend on tracheal intubation status of patient* | unclear |
Defibrillation | 2.5 (0.1 to 43.9) | unknown, may depend on tracheal intubation status of patient* | unclear |
Manipulation of BiPAP mask | 6.2 (2.2 to 18.1) | high (based on single cohort study) | high-risk AGMP |
Manipulation of oxygen mask | 4.6 (0.6 to 32.5) | unclear (2 cohort studies) | unclear |
All odds ratios are from Tran et. al. AGMP and risk of transmission of acute respiratory infections in healthcare workers: a systematic review. PLoS ONE 2012; DOI: 10.1371/journal.pone.0035797.29
AGMP = aerosol-generating medical procedure; BiPAP = bi-level positive airway pressure; PPE = personal protective equipment SARS = severe acute respiratory syndrome
*Based on current knowledge of tracheal intubation effect on AGMP