NSW Health established clinical communities of practice to support the NSW Health response to COVID-19.
The ACI is leading 12 of these communities, bringing our networks of clinicians together with representatives from local health districts and specialty health networks in NSW. The ACI has produced the following information to support clinical practices during COVID-19.
Adult and Paediatric ICU
ECMO (extracorporeal membrane oxygenation) during COVID-19
Extracorporeal membrane oxygenation (ECMO) is an advanced form of life support – targeted at the heart and lungs. This document provides the framework to support the provision of ECMO during an escalating pandemic, aimed at informing local policies and procedures.
Paediatric patients requiring ICU during COVID-19
Recommendations for the management of paediatric patients requiring intensive care.
COVID-19 and high flow nasal prong oxygen (HFNPO2)
Make sure that HFNPO2 is the most appropriate intervention for your patient with acute respiratory viral illness (including COVID-19) as HFNPO2 generates aerosolised droplets that spread widely and may increase the risk of transmission of respiratory viruses to healthcare workers.
Nebulisers and COVID-19
Make sure there is no alternative to delivering medication via a nebuliser for your patient with acute respiratory viral illness (including COVID-19) as nebulisers generate a high level of aerosolised particles that spread widely and may infect staff and other patients.
Physiotherapy and COVID-19
Make sure respiratory physiotherapy techniques are the most appropriate intervention for your patient with acute respiratory viral illness (including COVID-19) to protect both patient and the risk of transmission of respiratory viruses to healthcare workers.
Non-invasive ventilation (NIV)
Make sure that non-invasive ventilation is the most appropriate intervention for your patient with acute respiratory viral illness (including COVID-19) as non-invasive ventilation (CPAP/BIPAP) generates a high level of aerosolised droplets that spread widely and may increase the risk of transmission of respiratory viruses to healthcare workers.
Lung function testing in COVID-19
Make sure that lung function testing is needed at this time for your patient. Asymptomatic patients may be infected with acute respiratory viral illnesses (including COVID-19) and may increase the risk of transmission of respiratory viruses to healthcare workers.
Spinal Cord Injury
Information on COVID-19 for people with spinal cord injury
Patient information. If you have a tetraplegia or high-level paraplegia injury and have existing problems with your lungs or reduced breathing capacity, then you may be at higher risk of having more severe problems related to COVID-19. Your spinal clinician or general practitioner (GP) can help assess your personal level of risk.
Inspiratory muscle training in people with spinal cord injury
Patient information. For people with tetraplegia, regular use of a resistance-based inspiratory muscle trainer (IMT) promotes stronger respiratory muscles and improves lung capacity. The training program has been shown to reduce the risk of developing respiratory complications such as pneumonia after spinal cord injury and is easy to complete at home using a lightweight, inexpensive device.
Planning for disruption of supports and services due to COVID-19
If you become unwell and need medical care, your usual doctor and hospital services are still able to help, although they may use other options, such as contact by phone or video consults. If you have an emergency, you can call an ambulance.
Key principles for management of surgery during COVID-19
Guideline with key principles for NSW surgical services during COVID-19 pandemic.
COVID-19 aerosolisation during laparoscopic surgery
Risks and recommendations for clinicians about the safety of laparoscopic surgery given its nature as an aerosol generating procedure (AGP).
Last updated: 13 May 2020