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Facemask ventilation of patients for surgery does not increase the risk of spread of COVID-19

Press release issued: 26 October 2021

New research published in Anaesthesia (a journal of the Association of Anaesthetists) says that the use of facemask ventilation during routine surgery should not be classed as an aerosol-generating procedure and does not increase the risk of COVID-19 transmission compared with normal breathing/coughing of patients.

Thus this procedure is not high risk and can be performed confidently for both routine surgery and emergency airway management. Its use should neither slow down operations or necessitate the use of extra personal protective equipment for medical teams.

In this new study, the authors conducted aerosol monitoring in anaesthetised patients during standard facemask ventilation, and facemask ventilation with an intentionally generated air leak – to mimic the worst-case scenario where aerosol might spread into the air. Recordings were made in ultraclean operating theatres (at Southmead Hospital, North Bristol NHS Trust) and compared against the aerosol generated by each patient’s normal breathing and coughing.

Read the full University of Bristol press release.

Further information

Paper: Quantitative evaluation of aerosol generation during manual facemask ventilation’ by A. J. Shrimpton et al. in Anaesthesia

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