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10.1111/anae.15108

http://scihub22266oqcxt.onion/10.1111/anae.15108
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32348561!7267584!32348561
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suck abstract from ncbi


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pmid32348561      Anaesthesia 2020 ; 75 (8): 1022-1027
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  • Adapting re-usable elastomeric respirators to utilise anaesthesia circuit filters using a 3D-printed adaptor - a potential alternative to address N95 shortages during the COVID-19 pandemic #MMPMID32348561
  • Liu DCY; Koo TH; Wong JKK; Wong YH; Fung KSC; Chan Y; Lim HS
  • Anaesthesia 2020[Aug]; 75 (8): 1022-1027 PMID32348561show ga
  • The COVID-19 pandemic has increased the demand for disposable N95 respirators. Re-usable elastomeric respirators may provide a suitable alternative. Proprietary elastomeric respirator filters may become depleted as demand increases. An alternative may be the virus/bacterial filters used in anaesthesia circuits, if they can be adequately fitted onto the elastomeric respirators. In addition, many re-usable elastomeric respirators do not filter exhaled breaths. If used for sterile procedures, this would also require modification. We designed a 3D-printed adaptor that permits elastomeric respirators to interface with anaesthesia circuit filters and created a simple modification to divert exhaled breaths through the filter. We conducted a feasibility study evaluating the performance of our modified elastomeric respirators. A convenience sample of eight volunteers was recruited. Quantitative fit testing, respiratory rate and end-tidal carbon dioxide were recorded during fit testing exercises and after 1 h of wear. All eight volunteers obtained excellent quantitative fit testing throughout the trial. The mean (SD) end-tidal carbon dioxide was 4.5 (0.5) kPa and 4.6 (0.4) kPa at baseline and after 1 h of wear (p = 0.148). The mean (SD) respiratory rate was 17 (4) breaths.min(-1) and 17 (3) breaths.min(-1) at baseline and after 1 h of wear (p = 0.435). Four out of eight subjects self-reported discomfort; two reported facial pressure, one reported exhalation resistance and one reported transient dizziness on exertion. Re-usable elastomeric respirators to utilise anaesthesia circuit filters through a 3D-printed adaptor may be a potential alternative to disposable N95 respirators during the COVID-19 pandemic.
  • |*Betacoronavirus[MESH]
  • |*Ventilators, Mechanical/supply & distribution[MESH]
  • |Adult[MESH]
  • |COVID-19[MESH]
  • |Carbon Dioxide/physiology[MESH]
  • |Coronavirus Infections/epidemiology/*therapy[MESH]
  • |Elastomers[MESH]
  • |Equipment Design[MESH]
  • |Equipment Reuse[MESH]
  • |Feasibility Studies[MESH]
  • |Female[MESH]
  • |Filtration/*instrumentation[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Materials Testing/methods[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/epidemiology/*therapy[MESH]
  • |Printing, Three-Dimensional[MESH]
  • |Respiratory Rate[MESH]


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