Caution: Nebulisers generate high amounts of aerosolised particles which have the potential to transmit respiratory viruses to healthcare workers and other patients.
Please remember the points below when nebulisers are the most appropriate way to deliver treatment for your patient when they are unwell with an acute respiratory viral illness (including COVID-19).
Additional consideration should be given to the use of nebuliser therapies in conjunction with NIV.
Use of these therapies in combination is potentially much higher risk as they could transfer a high load of infectious aerosols over a greater distance.
If NIV plus nebulised therapies is required, prioritise the use of a negative pressure rooms where possible and ensure the use of contact, droplet and airborne precautions.