
| 10.1177/01945998211029184
http://scihub22266oqcxt.onion/10.1177/01945998211029184
 34311614!8978456!34311614
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Otolaryngol+Head+Neck+Surg 2022 ; 166 (4): 669-675 Nephropedia Template TP
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COVID-19 in the Clinic: Human Testing of an Aerosol Containment Mask for Endoscopic Clinic Procedures #MMPMID34311614Ference EH; Kim W; Oghalai JS; Walker CB; Kim JH; Gallagher T; Ma HJ; Applegate BEOtolaryngol Head Neck Surg 2022[Apr]; 166 (4): 669-675 PMID34311614show ga
OBJECTIVE: To create an aerosol containment mask (ACM) for common otolaryngologic endoscopic procedures that also provides nanoparticle-level protection to patients. STUDY DESIGN: Prospective feasibility study . SETTING: In-person testing with a novel ACM. METHODS: The mask was designed in Solidworks and 3D printed. Measurements were made on 10 healthy volunteers who wore the ACM while reading the Rainbow Passage repeatedly and performing a forced cough or sneeze at 5-second intervals over 1 minute with an endoscope in place. RESULTS: There was a large variation in the number of aerosol particles generated among the volunteers. Only the sneeze task showed a significant increase compared with normal breathing in the 0.3-microm particle size when compared with a 1-tailed t test (P = .013). Both the 0.5-microm and 2.5-microm particle sizes showed significant increases for all tasks, while the 2 largest particle sizes, 5 and 10 microm, showed no significant increase (both P < .01). With the suction off, 3 of 30 events (2 sneeze events and 1 cough event) had increases in particle counts, both inside and outside the mask. With the suction on, 2 of 30 events had an increase in particle counts outside the mask without a corresponding increase in particle counts inside the mask. Therefore, these fluctuations in particle counts were determined to be due to random fluctuation in room particle levels. CONCLUSION: ACM will accommodate rigid and flexible endoscopes plus instruments and may prevent the leakage of patient-generated aerosols, thus avoiding contamination of the room and protecting health care workers from airborne contagions. LEVEL OF EVIDENCE: 2.|*COVID-19/prevention & control[MESH]|Aerosols[MESH]|Endoscopy[MESH]|Humans[MESH]|Personal Protective Equipment[MESH]
  
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