This list of Aerosol-Generating Medical Procedures (AGMPs) is based on current evidence. It is subject to an ongoing review process and will be updated accordingly.
This list of Aerosol-Generating Medical Procedures (AGMPs) is based on current evidence. It is subject to an ongoing review process and will be updated accordingly.
As always, a risk assessment is recommended.
1 Patients on contact and droplet precautions may or may not have symptoms and may have not had a positive laboratory test.
Post the AGMP in progress sign on the patient's door/bedspace for the duration of the procedure.
For more information, refer to the following AHS IPC guidance:
To find a procedure and its related N95 use requirement, type a keyword into the filter bar or scan the full list.
Procedure | N95 | Documentation | |
---|---|---|---|
0010, view-all | Aerosol Generating Dental Instruments Such As: 3-In-1 Water / Air Syringe; Polishing Rotary Equipment, Rotary Instruments/Handpieces (All Speeds), Trimming Handpieces | Yes | COVID-19 Scientific Advisory Group Rapid Response Report |
0020, view-all | Any Procedure Done with Regional Anesthesia | No | IPC Recommendations for Suspected or Confirmed COVID-19 Patients requiring Urgent or Emergent Surgery |
0030, view-all | Automated External Defibrillator (AED) | No | - |
0040, view-all | Autopsies | Yes | Aerosol Generation During Bone-Sawing Procedures in Veterinary Autopsies |
0050, view-all | Bag Valve Masks, Includes Where Performed with ECT | Yes | Aerosol Generating Procedures and Risk of Transmission of Acute Respiratory Infections to Healthcare Workers: A Systematic Review |
0055, view-all | Bair Hugger | No | Aerosol Generating Procedures and Risk of Transmission of Acute Respiratory Infections to Healthcare Workers: A Systematic Review |
0060, view-all | Bi-level Positive Airway Pressure (e.g. BiPAP/CPAP, neonatal CPAP in isolette) - Noninvasive ventilation (NIV) | Yes | |
0062, view-all | Blow by Oxygen Administration with Nebulizer / Aersolized Medication | Yes | |
0064, view-all | Breath Hydrogen Test | No | - |
0070, view-all | Bronchial Artery Embolization - Open Procedure, Not Bronchoscopy | No | - |
0080, view-all | Bronchial Challenge (Pulmonary Function Studies) - Provocation with Nebulized Methacholine | Yes | Risk of transmission of respiratory viruses during aerosol-generating medical procedures (AGMPs) revisited in the COVID-19 pandemic: a systematic review |
0090, view-all | Bronchoscopy | Yes | Risk of transmission of respiratory viruses during aerosol-generating medical procedures (AGMPs) revisited in the COVID-19 pandemic: a systematic review |
0110, view-all | Cardiac Stress Tests | No | - |
0120, view-all | Cardiopulmonary Resuscitation (CPR) with Respiratory (BVM, Intubation) | Yes | Risk of transmission of respiratory viruses during aerosol-generating medical procedures (AGMPs) revisited in the COVID-19 pandemic: a systematic review |
0130, view-all | Cardiopulmonary Resuscitation (CPR), Chest Compressions Alone | No | Risk of transmission of respiratory viruses during aerosol-generating medical procedures (AGMPs) revisited in the COVID-19 pandemic: a systematic review |
0140, view-all | Chest Physiotherapy | No | Respiratory Illness Algorithm |
0150, view-all | Chest Tube for Pneumothorax | No | - |
0160, view-all | Cough - Manual Cough Assist (Not Induced Sputum) | No | - |
0170, view-all | Cough - Mechanical Cough Assist, Mechanical Insufflation Exsufflation (MIE) | Yes | - |
0180, view-all | Cough from a Trach | No | - |
0190, view-all | Cutting / Shaving Frozen Sections (cryostat and/or use of propellant freezing spray) | Yes | |
0210, view-all | Directed Spray of Fluid into the Nasal/Oral Mucous Membranes (Includes Non-Aerosol Sprays Lidodan, Xylocaine) | No | - |
0230, view-all | Entonox - Administration of Nitrous Oxide | No | COVID-19 Scientific Advisory Group Rapid Response Report (Similar to Administration of Low Flow Oxygen) |
0232, view-all | Expiratory Muscle Strength Training | No | - |
0233, view-all | Extubation | Yes | Risk of transmission of respiratory viruses during aerosol-generating medical procedures (AGMPs) revisited in the COVID-19 pandemic: a systematic review |
0240, view-all | Gastro-Jejunostomy Tube Placement | No | - |
0250, view-all | Gastrostomy | No | - |
0260, view-all | GI Endoscopy | No | - |
0270, view-all | High Frequency Oscillation to Loosen Mucous (Aerobika, Flutter Devices) | No | - |
0280, view-all | High Frequency Oscillatory Ventilation | Yes | Respiratory Illness Algorithm |
0310, view-all | Hyperbaric Therapy | No | - |
0320, view-all | Incentive Spirometry | No | - |
0340, view-all | Intranasal Narcan Administration (If No BVM) | No | - |
0350, view-all | Intubation & Related Procedures (e.g., Manual Ventilation) | Yes |
|
0370, view-all | Jejunostomy | No | - |
0380, view-all | Labour & Delivery (All Stages) | No | - |
0390, view-all | Live Attenuated Influenza Vaccine | No | - |
0410, view-all | Lung Ablation - Open Procedure, not via Bronchoscopy | No | - |
0420, view-all | Lung Biopsy | No | - |
0430, view-all | Lung Testing (Pulmonary Function Studies) - with Filter (e.g. Spirometry, DLCO, Peak Flow Testing) | No | - |
0440, view-all | Lung Testing (Pulmonary Function Studies) - with NO Filter (e.g. Spirometry, DLCO, Peak Flow Testing) | No | - |
0450, view-all | Lung Volume Recruitment Maneuvers (LVRM) | Yes | - |
0460, view-all | Lung Volume Testing (Pulmonary Function Studies) - Body Box Door Closed, Filter in Place | No | - |
0462, view-all | Manual resuscitator (Includes Bag Valve Mask, T-piece, Flow Inflating) | Yes | - |
0470, view-all | Mechanical Ventilation Using Physical Proning - Closed System | No | - |
0480, view-all | Mechanical Ventiliation, Filtered Air and Cuffed Tube - closed system | No | Surviving Sepsis Campaign: Guidelines on the Management of Critically Ill Adults with Coronavirus Disease 2019 (COVID-19) - Alhazzani et al. (2020) |
0490, view-all | Mechanical ventiliation, unfiltered air, uncuffed tube - open system | Yes | - |
0492, view-all | Metered Dose Inhalers (MDI) With or Without Spacer (e.g. "Puffers") | No | Nebule to Metered Dose Inhaler Therapeutic Interchange – Respiratory Medications |
0500, view-all | Nasoendoscopic Procedures Including Fiberoptic Endoscopic Evaluation (FEE) of Swallowing | No | - |
0510, view-all | Nasopharyngeal (NP) Aspirates using Manual Technique or using Wall-mount Suction | No | Respiratory Illness Algorithm |
0520, view-all | Nasopharyngeal (NP) Swabs | No | Risk of dispersion or aerosol generation and infection transmission with nasopharyngeal and oropharyngeal swabs for detection of COVID-19: a systematic review |
0530, view-all | Nasopharyngoscopy or Flexible Laryngoscopy Procedures - with High Pressure Irrigation or Suction | Yes | Risk of transmission of respiratory viruses during aerosol-generating medical procedures (AGMPs) revisited in the COVID-19 pandemic: a systematic review |
0540, view-all | Nasopharyngoscopy or Flexible Laryngoscopy Procedures - without High Pressure Irrigation or Suction | No | Aerosol Generating Procedures & Risk of Transmission of Acute Respiratory Infections to Healthcare Workers: A Systematic Review |
0570, view-all | NG & NJ Tube Placement | No | - |
0580, view-all | Suctioning of Open Respiratory or Airway; or Deep Tracheal Suctioning | Yes | Risk of transmission of respiratory viruses during aerosol-generating medical procedures (AGMPs) revisited in the COVID-19 pandemic: a systematic review |
0590, view-all | Open Tracheostomy or Laryngectomy Tube, with procedure or manipulation performed; Tracheostomy care | Yes | COVID-19 Scientific Advisory Group Rapid Evidence Report |
0600, view-all | Open Tracheostomy or Laryngectomy Tube, without Procedure or Manipulation Performed | No | - |
0610, view-all | Opthalmology - Lacrimal Gland/Duct Manipulation Including Tear Films on Conjunctiva | No | - |
0620, view-all | Oral Suctioning or Suctioning of the Oropharynx | No | Respiratory Illness Algorithm |
0630, view-all | Orogastric Tube Placement | No | - |
0634, view-all | Oxygen, Bubble-Humidified, Flow Less Than & Including 6 LPM (e.g., Nasal Cannula) | No | - |
0632, view-all | Oxygen Devices with Total Delivered Flow Greater Than 30 LPM, Including Flush Flow (e.g. Venturi Devices, Or Combination of Interfaces) | Yes | Flush flow: when flow is not precisely known by a numerical value displayed on a flowmeter, flowrates must be assumed to be in excess of 30 LPM |
0640, view-all | Oxygen, Flush Flow, Regardless of Device Used | Yes | Flush flow: when flow is not precisely known by a numerical value displayed on a flowmeter, flowrates must be assumed to be in excess of 30 LPM |
0642, view-all | Oxygen, Heated Humidified High Flow (HHHFO) (e.g. AIRVO, Optiflow or Vapotherm) | Yes | Scientific Advisory Group Rapid Response Report: Oxygen Therapy |
0644, view-all | Oxygen, Less Than & Including 15 LPM, Filtered Mask (e.g. FLO2max) - with nebulizer/aerosolized medication administration | Yes | |
0646, view-all | Oxygen / Medical Gas, Nebulized, Producing Visible Mist (Aerosols) (e.g. Cold, Medication, Small Volume, or Vibrating Mesh Nebulizers, i.e., Aerogen) | Yes | Risk of transmission of respiratory viruses during aerosol-generating medical procedures (AGMPs) revisited in the COVID-19 pandemic: a systematic review |
0648, view-all | Oxygen Dry or Bubble Humidified, Flow Less Than & Including 15 LPM, (e.g. nasal cannula, simple mask, blow by). Note: do not exceed the flow of the humidification device. | No | Pediatric Oxygen Therapy: A Review & Update |
0649, view-all | Oxygen, Non-Humidified (Dry), Less Than & Including 15 LPM, Filtered Mask (e.g. FLO2max) - Without Nebulizer | No | Risk of transmission of respiratory viruses during aerosol-generating medical procedures (AGMPs) revisited in the COVID-19 pandemic: a systematic review |
0650, view-all | Oxygen / Oxygen Systems (dry) with Total Flow Greater Than 30 LPM including Flush Flow (e.g. venturi devices, mask over nasal cannula, dry cold nebulizer) | Yes |
|
0652, view-all | Oxygen / Oxygen Systems (dry, non-humidified) Output Less Than & Including 30 LPM, any single (e.g. nasal cannula or non-rebreather mask) or combined devices (e.g. non-rebreather over nasal cannula) | No | - |
0654, view-all | Oxygen / Oxygen Systems (dry, non-humidified) Output Less Than & Including 30 LPM, any single (e.g. nasal cannula or non-rebreather mask) or combined devices (e.g. non-rebreather over nasal cannula) | No | - |
0656, view-all | Pediatric Chest Tube Placement | No | - |
0658, view-all | Phlebotomy | No | - |
0660, view-all | Pleural Drains | No | - |
0670, view-all | PleurX Catheter Insertions, Removals, & Drainage Procedures | No | - |
0680, view-all | Sawing Off Casts/Splints | No | - |
0690, view-all | Sputum Induction | Yes | Risk of transmission of respiratory viruses during aerosol-generating medical procedures (AGMPs) revisited in the COVID-19 pandemic: a systematic review |
0700, view-all | Supraglottic Airways (i.e., LMA, King LT, iGel Used Pre-Hospital) | Yes | - |
0710, view-all | Throat Swab | No | - |
0720, view-all | Thoracentesis | No | - |
0740, view-all | Transesophageal Echocardiography (TEE) | No | - |
0750, view-all | Transsphenoidal Surgery | Yes | Safety Recommendations for Evaluation and Surgery of the Health & Neck During the COVID-19 Pandemic - Givi et al. |
0760, view-all | Use of Propellant (e.g. Compressed Gas Delivery Method) Anesthetic Freezing Sprays on Mucosal Surfaces, such as Oral Lidocaine | Yes | Tuberculous infection Associated with Tissue Processing - California |
0780, view-all | Video Flurographic Swallowing Study (VFSS) | No | - |
0782, view-all | Vocal Exercises, Increased Loudness | No | - |
0784, view-all | VQ Scan with Aerosol-Based Ventilation Agents | Yes | Risk of transmission of respiratory viruses during aerosol-generating medical procedures (AGMPs) revisited in the COVID-19 pandemic: a systematic review |
0786, view-all | VQ Scan with Technegas | No | - |
0790, view-all | Gargle Liquid | No | - |