COVID-19: minimising contaminated aerosol spreading during CPAP treatment.
Arch Dis Child Fetal Neonatal Ed
; 105(6): 669-671, 2020 Nov.
Article
in English
| MEDLINE | ID: covidwho-646314
ABSTRACT
BACKGROUND:
The COVID-19 pandemic has raised concern for healthcare workers getting infected via aerosol from non-invasive respiratory support of infants. Attaching filters that remove viral particles in air from the expiratory limb of continuous positive airway pressure (CPAP) devices should theoretically decrease the risk. However, adding filters to the expiratory limb could add to expiratory resistance and thereby increase the imposed work of breathing (WOB).OBJECTIVE:
To evaluate the effects on imposed WOB when attaching filters to the expiratory limb of CPAP devices.METHODS:
Two filters were tested on three CPAP systems at two levels of CPAP in a mechanical lung model. Main outcome was imposed WOB.RESULTS:
There was a minor increase in imposed WOB when attaching the filters. The differences between the two filters were small.CONCLUSION:
To minimise contaminated aerosol generation during CPAP treatment, filters can be attached to expiratory tubing with only a minimal increase in imposed WOB in a non-humidified environment. Care has to be taken to avoid filter obstruction and replace filters as recommended.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Pneumonia, Viral
/
Infection Control
/
Coronavirus Infections
/
Continuous Positive Airway Pressure
/
Pandemics
/
Filtration
Type of study:
Experimental Studies
/
Prognostic study
Limits:
Humans
/
Infant, Newborn
Language:
English
Journal:
Arch Dis Child Fetal Neonatal Ed
Journal subject:
Pediatrics
/
Perinatology
Year:
2020
Document Type:
Article
Affiliation country:
Archdischild-2020-319431
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