Clinical Guidelines

Infection Control & Testing

Aerosol-generating procedures

  1. For healthcare workers performing aerosol-generating procedures* on patients with COVID-19 in the ICU, we recommend using fitted respirator masks (N95 respirators, FFP2, or equivalent), as opposed to surgical/medical masks, in addition to other personal protective equipment (i.e., gloves, gown, and eye protection, such as a face shield or safety goggles)
  2. We recommend performing aerosol-generating procedures on ICU patients with COVID-19 in a negative pressure room
  3. For healthcare workers providing usual care for non-ventilated COVID-19 patients, we suggest using surgical/medical masks, as opposed to respirator masks, in addition to other personal protective equipment (i.e., gloves, gown, and eye protection, such as a face shield or safety goggles).


Non-aerosol generating procedures

  1. For healthcare workers who are performing non-aerosol-generating procedures on mechanically ventilated (closed circuit) patients with COVID-19, we suggest using surgical/medical masks, as opposed to respirator masks, in addition to other personal protective equipment (i.e., gloves, gown, and eye protection, such as a face shield or safety goggles). 


Endotracheal intubation

  1. For healthcare workers performing endotracheal intubation on patients with COVID- 19, we suggest using video-guided laryngoscopy, over direct laryngoscopy, if available.
  2. For COVID-19 patients requiring endotracheal intubation, we recommend that endotracheal intubation be performed by the healthcare worker who is most experienced with airway management in order to minimize the number of attempts and risk of transmission


Mechanical Ventilation

  1. For intubated and mechanically ventilated adults with suspicion of COVID-19: For diagnostic testing, we suggest obtaining lower respiratory tract samples in preference to upper respiratory tract (nasopharyngeal or oropharyngeal) samples. 
  2. For intubated and mechanically ventilated adults with suspicion of COVID-19: With regard to lower respiratory samples, we suggest obtaining endotracheal aspirates in preference to bronchial wash or bronchoalveolar lavage samples. 

The CCEPP team has worked to have the content of this site informally peer-reviewed. However, it does not constitute official advice or guidance unless otherwise indicated. Please use your own discretion and judgement when applying information from this site to your practice.