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10.1016/j.bja.2020.09.047

http://scihub22266oqcxt.onion/10.1016/j.bja.2020.09.047
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33213833!ä!33213833

suck abstract from ncbi


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pmid33213833      Br+J+Anaesth 2021 ; 126 (2): 544-549
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  • Minimising exposure to droplet and aerosolised pathogens: a computational fluid dynamics study #MMPMID33213833
  • Perella P; Tabarra M; Hataysal E; Pournasr A; Renfrew I
  • Br J Anaesth 2021[Feb]; 126 (2): 544-549 PMID33213833show ga
  • BACKGROUND: Hazardous pathogens are spread in either droplets or aerosols produced during aerosol-generating procedures (AGP). Adjuncts minimising exposure of healthcare workers to hazardous pathogens released during AGP may be beneficial. We used state-of-the-art computational fluid dynamics (CFD) modelling to optimise the performance of a custom-designed shield. METHODS: We modelled airflow patterns and trajectories of particles (size range 1-500 mum) emitted during a typical cough using CFD (ANSYS Fluent software, Canonsburg, PA, USA), in the presence and absence of a protective shield enclosing the head of a patient. We modelled the effect of different shield designs, suction tube position, and suction flow rate on particle escape from the shield. RESULTS: Use of the shield prevented escape of 99.1-100% of particles, which were either trapped on the shield walls (16-21%) or extracted via suction (79-82%). At most, 0.9% particles remained floating inside the shield. Suction flow rates (40-160 L min(-1)) had no effect on the final location of particles in a closed system. Particle removal from within the shield was optimal when a suction catheter was placed vertically next to the head of the patient. Addition of multiple openings in the shield reduced the purging performance from 99% at 160 L min(-1) to 67% at 40 L min(-1). CONCLUSION: CFD modelling provides information to guide optimisation of the efficient removal of hazardous pathogens released during AGP from a custom-designed shield. These data are essential to establish before clinical use, pragmatic clinical trials, or both.
  • |*Hydrodynamics[MESH]
  • |*Models, Theoretical[MESH]
  • |*Personal Protective Equipment[MESH]
  • |Aerosols[MESH]
  • |COVID-19/*transmission[MESH]
  • |Cough/virology[MESH]
  • |Equipment Design[MESH]
  • |Health Personnel[MESH]
  • |Humans[MESH]
  • |Infectious Disease Transmission, Patient-to-Professional/*prevention & control[MESH]


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