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2020 ; 163
(1
): 151-155
Nephropedia Template TP
gab.com Text
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English Wikipedia
Aerosolized Particle Reduction: A Novel Cadaveric Model and a Negative Airway
Pressure Respirator (NAPR) System to Protect Health Care Workers From COVID-19
#MMPMID32423338
Khoury T
; Lavergne P
; Chitguppi C
; Rabinowitz M
; Nyquist G
; Rosen M
; Evans J
Otolaryngol Head Neck Surg
2020[Jul]; 163
(1
): 151-155
PMID32423338
show ga
OBJECTIVES: This study aimed to identify escape of small-particle aerosols from a
variety of masks using simulated breathing conditions. This study also aimed to
evaluate the efficacy of a negative-pressure environment around the face in
preventing the escape of small aerosolized particles. STUDY DESIGN: This study is
an evaluation study with specific methodology described below. SETTING: This
study was performed in our institution's fresh tissue laboratory. SUBJECTS AND
METHODS: A fixed cadaver head was placed in a controlled environment with a black
background, and small-particle aerosols were created using joss incense sticks
(mass-median aerosol diameter of 0.28 µ). Smoke was passed through the cadaver
head, and images were taken with a high-resolution camera in a standardized
manner. Digital image processing was used to calculate relative amounts of
small-particle escape from a variety of masks, including a standard surgical
mask, a modified Ambu mask, and our negative airway pressure respirator (NAPR).
RESULTS: Significant amounts of aerosolized particles escaped during the trials
with no mask, a standard surgical mask, and the NAPR without suction. When
suction was applied to the NAPR, creating a negative-pressure system, no particle
escape was noted. CONCLUSION: We present a new and effective method for the study
of small-particle aerosols as a step toward better understanding the spread of
these particles and the transmission of coronavirus disease 2019. We also present
the concept of an NAPR to better protect health care workers from aerosols
generated from the upper and lower airways.