Question for Think Tank Nitrous Oxide in birth unit with suspected COVID-19 patient

[Vicki Denyer (Northern NSW LHD)]

Hi All,

I have been asked a question relating to maternity unit and a woman presents and is positive or has risk factors for Covid 19

I am searching evidence for an answer if nitrous oxide for analgesia in labour is an aerosolising procedure.

So far the most credible evidence I have found is;

* ASA Draft 1 caring for patients during COVID – 19 it refers to only Entonox/Inhalation sedation – not Entonox analgesia.
* RCOG UK V3 Has just changed their advice that there is no evidence that Entonox is aerosol-prone procedure and can be used in labour with a microbiological filter.

I would appreciate any assistance or direction to clarify this so thee Maternity Plan can be finalised.

Thank you for your time – Happy to discuss over the phone if you have the time.

Vicki Denyer

Vicki Denyer
Clinical Nurse Consultant | Infection Prevention and Control
Infection Control Unit Lismore Base Hospital
‘ 02 6620 2385 Fax: 02 66 202287
* vicki.denyer@health.nsw.gov.au

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[Elena Donaghy]

HI everyone,
I would like to enquire if the use of Methoxyflurane (green whistle) with the carbon filter attached, would be considered an aerosol risk with Covid19

Thanks,

Elena Donaghy
Manager of Clinical Education & Infection Control
e: Elena.Donaghy@shq.org.au | ph: 08 9227 6177 | f: 08 9227 6871
shq.org.au

Hi All,

I have been asked a question relating to maternity unit and a woman presents and is positive or has risk factors for Covid 19

I am searching evidence for an answer if nitrous oxide for analgesia in labour is an aerosolising procedure.

So far the most credible evidence I have found is;

* ASA Draft 1 caring for patients during COVID – 19 it refers to only Entonox/Inhalation sedation – not Entonox analgesia.
* RCOG UK V3 Has just changed their advice that there is no evidence that Entonox is aerosol-prone procedure and can be used in labour with a microbiological filter.

I would appreciate any assistance or direction to clarify this so thee Maternity Plan can be finalised.

Thank you for your time – Happy to discuss over the phone if you have the time.

Vicki Denyer

Vicki Denyer
Clinical Nurse Consultant | Infection Prevention and Control
Infection Control Unit Lismore Base Hospital
‘ 02 6620 2385 Fax: 02 66 202287
* vicki.denyer@health.nsw.gov.au

[cid:image004.png@01D4EF82.59550CC0]

[Description: Description: Description: http://www.health.nsw.gov.au/images/communications/e-signatures/images/NSW-Health-Northern-NSW-LHD.jpg%5D
The information contained in this electronic message is privileged and confidential, and is intended only for the addressee. If you are not the intended recipient, you are notified that any disclosure, reproduction, distribution or other use of this communication is strictly prohibited. Confidentiality and legal privilege attached to this communication are not waived or lost by reason of mistaken delivery to you. If you have received this communication in error, please notify the sender by reply transmission and delete the message without copying or disclosing it.

This message is intended for the addressee named and may contain confidential information. If you are not the intended recipient, please delete it and notify the sender.

Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au

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MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au

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