Table 3

Modifications to AGPs

ExamplesQuotation
Wearing full PPEHP28: We would use keyhole surgery and we use various adaptations for the keyhole …we did everything with PPE at the time we saw the patient, full PPE in theatre (…) We went against guidance and used keyhole surgery because we felt that there was no evidence to suggest that it’s any more risky.
Use of smoke-filter evaporatorsHP21: We use filters to avoid aerosols, every port is connected to a filter so no aerosol comes through the port… We fix the port to the skin to avoid accidental removal, apply a stitch to the port and fix it to the skin, so the chances of the port being accidentally removed is really decreased.
Plastic sheetsHP12: We cover the head and the drill with this plastic sheet that aerosols are not going into the air, and not going everywhere, to protect the environment and to protect the surgeons.
DrapesHP18: We’re using some simple things like some plastic drapes over the top of the really aerosol generating stuff that we’re doing, making some holes in those drapes so that we can still use our normal instruments.
Adopting a combination of approachesHP20: Tracheostomies were done percutaneously … They have done some modification, doing some combination between open and percutaneous tracheostomy…to minimise as much as possible the risk of leaking aerosol in the operative field to the operative team.
  • AGPs, aerosol-generating procedures; PPE, personal protective equipment.