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Mask for staff when performing a LLETZ in Theatre

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  • #75466
    Lee Matthews
    Participant

    Author:
    Lee Matthews

    Position:
    C/N

    Organisation:
    Womens and Childrens Hospital

    State:

    Hi All,

    Can I ask what other hospitals are doing around Australia in regards to whether a normal high filtration surgical mask is sufficient for staff when a LLETZ is being performed.

    Our staff at the moment wear a normal surgical mask but I was asked the question should they need to wear a N95 or fit tested mask as they do for Bronchoscopies.

    Any information would be helpful.

    Lee Matthews
    Clinical Nurse Infection Prevention & Control Unit
    Women’s & Children’s Hospital
    Adelaide

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    #75468
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Position:

    Organisation:

    State:
    NSW

    Hi Lee

    My understanding is that the type of mask needed for those involved in the room will depend on the equipment used. Many of the diathermy and other cutting tools used for LLETZ will now be paired with local extraction kits, so the ‘viral plume’ aerosolised during the procedure will not circulate in the room. If you do a LLETZ without local exhaust being used, it is the same risk in my view of doing a diagnostic brunch on a possible TB patient.

    If we did diagnostic bronchs under fume hoods then those outside the hood would not need an N95 mask, either!

    So, will depend on how your surgeons do the LLETZ, and what equipment they use.

    Cheers
    Michael

    Michael Wishart | Infection Control Coordinator, CICP-E

    St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
    T +61 7 3326 3068 | F +61 7 3607 2226
    E michael.wishart@svha.org.au |
    W https://www.svphn.org.au

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    [2019 conference email signature]

    Hi All,

    Can I ask what other hospitals are doing around Australia in regards to whether a normal high filtration surgical mask is sufficient for staff when a LLETZ is being performed.

    Our staff at the moment wear a normal surgical mask but I was asked the question should they need to wear a N95 or fit tested mask as they do for Bronchoscopies.

    Any information would be helpful.

    Lee Matthews
    Clinical Nurse Infection Prevention & Control Unit
    Women’s & Children’s Hospital
    Adelaide

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