Pandemic Flu and Anesthesia. Proper use of personal protection equipment during intubation inside and outside the operating room. Overview . History of Pandemic Influenza Modes of Transmission for Infectious Disease Personal Protection Equipment Review Donning/Doffing a PAPR
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Proper use of personal protection equipment during intubation inside and outside the operating room
credit: Office of the Public Health Service Historian
Courtesy: The Gerald R. Ford Library
Estimates of an Avian Flu pandemic three months after the arrival of 10 infected people to Los Angeles.
Blue color: 1 or fewer cases per 1000 people
Red color: 100 or more cases per 1000 people
Courtesy: Los Alamos National Laboratory News
April 4, 2006
Pandemic Influenza Preparedness and Response Guidelines for Healthcare Workers and Healthcare Employerswww.osha.gov/Publications/OSHA_pandemic_health.pdfaccessed 8/18/08
1Szeinuk J et al Am Jour Indust Med (2000) 37:142-157
Breathing Tube and airflow indicator
Tyvek Head Cover--Rascal
Doffing a PAPR
1. Put on shoe covers and hair cover
1. Inside the room take off shoe covers, gown and gloves. Wash hands and put on new gloves
2. Check the HEPA filter on the Airmate blower unit
3. Check air flow out of the blower hose using the bullet
2. Outside the room, your assistant holds the Airmate while you unsnap the belt
3. Disconnect the hose from the inside of the PAPR headpiece
4. Snap the blower hose into the PAPR hood; attach the Airmate belt securely on your waist
4. Place PAPR headpiece, hose and Airmate in Red Bag for cleaning
5. Put on PAPR headpiece or hood; verify adequate air flow
5. Waste gloves; WASH HANDS!
6. Put on gown and gloves; remember the gown goes over the inner shroud of a PAPR hood
1Cooper A et al.
1Cooper et al.