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re: CDC head slammed for blaming nurse infected with Ebola
Posted on 10/14/14 at 8:54 am to NC_Tigah
Posted on 10/14/14 at 8:54 am to NC_Tigah
quote:From the CDC:
Right.
The problem being Intubation/Ventilation is not only NOT an AGP, it generates a sealed system preventing aerosol production/distribution. IOW it eliminates aerosol risk as compared to an unsecured airway.
quote:I don't know about the dialysis, but I guess it could depend on the type and what procedures were followed. I would go with what the CDC says on it.
Although there are limited data available to definitively define a list of AGPs, procedures that are usually included are Bilevel Positive Airway Pressure (BiPAP), bronchoscopy, sputum induction, intubation and extubation, and open suctioning of airways.
While knowing that intubation can be life saving, I can see why the CDC recommends against it. By that point an Ebola victim is probably too far gone anyway.
1
Posted on 10/14/14 at 9:08 am to mmcgrath
quote:Just as you would "go with" an astrophysicist who says gravity on the Earth and Moon are the same. It's understandable on your part, but it doesn't make the answer any more right.
I would go with what the CDC says on it.
Observations made here regarding aerosolization in intubated vs nonintubated patients are not controversial. They aren't even debatable. I'd happily explain further when I've got more time, if you're interested.
The fact there is reference to OPEN suctioning at all in an ID setting is also interesting. I haven't seen open suctioning done in a US ICU setting under those circumstances in 15yrs.
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