<abstract xmlns="http://www.w3.org/1999/xhtml">

<p>The recent COVID-19 pandemic has made important changes to the everyday practice of anaesthetists. Current research has shown that the virus spreads via respiratory droplets and aerosolisation. The aim of this study was to examine the extent of contact contamination, droplet spread and aerosolisation, which may occur with normal breathing and intubation in a mannequin study. In the first experiment, an Ambu bag was attached to the simulation mannequin’s trachea and an atomiser device was placed into the mannequin’s pharynx. This model simulated normal ventilation as 0.5 ml of luminescent fluid was sprayed through the atomiser. In the second experiment, the mannequin was intubated with a videolaryngoscope while spraying 0.5 ml of luminescent fluid through the atomiser, after which the laryngoscope was removed. The spread of the luminescent aerosol cloud after three full breaths, droplet spread and contact contamination were visualised using ultraviolet light. The extent of spread was evaluated using a 4-point Likert scale (0 to 3) by two observers. Each of the experiments was repeated five times. For the first experiment, aerosol formation, droplet spread and contact contamination were 2.5 (2–3), 1 (0–1), 0 (0–1) points. In the second experiment, aerosol formation, droplet spread and contact contamination were 0.5 (0–1), 1 (0–1), 3 (2–3) points, accordingly. Noticeable contact contamination occurs during laryngoscopy and removal of the laryngoscope, whereas droplet contamination with laryngoscopy and normal breathing is minimal. Normal breathing leads to significant aerosol formation.</p>
</abstract>

The recent COVID-19 pandemic has made important changes to the everyday practice of anaesthetists. Current research has shown that the virus spreads via respiratory droplets and aerosolisation. The aim of this study was to examine the extent of contact contamination, droplet spread and aerosolisation, which may occur with normal breathing and intubation in a mannequin study. In the first experiment, an Ambu bag was attached to the simulation mannequin’s trachea and an atomiser device was placed into the mannequin’s pharynx. This model simulated normal ventilation as 0.5 ml of luminescent fluid was sprayed through the atomiser. In the second experiment, the mannequin was intubated with a videolaryngoscope while spraying 0.5 ml of luminescent fluid through the atomiser, after which the laryngoscope was removed. The spread of the luminescent aerosol cloud after three full breaths, droplet spread and contact contamination were visualised using ultraviolet light. The extent of spread was evaluated using a 4-point Likert scale (0 to 3) by two observers. Each of the experiments was repeated five times. For the first experiment, aerosol formation, droplet spread and contact contamination were 2.5 (2–3), 1 (0–1), 0 (0–1) points. In the second experiment, aerosol formation, droplet spread and contact contamination were 0.5 (0–1), 1 (0–1), 3 (2–3) points, accordingly. Noticeable contact contamination occurs during laryngoscopy and removal of the laryngoscope, whereas droplet contamination with laryngoscopy and normal breathing is minimal. Normal breathing leads to significant aerosol formation.

Aerosol and Droplet Generation During Intubation and Normal Breathing: A Simulation Study

Proceedings of the Latvian Academy of Sciences. Section B. Natural, Exact, and Applied Sciences.

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

The recent COVID-19 pandemic has made important changes to the everyday practice of anaesthetists. Current research has shown that the virus spreads via...

Aerosol and Droplet Generation During Intubation and Normal Breathing: A Simulation Study

Online veröffentlicht: 23. Juli 2022

Seitenbereich: 357 - 360

Eingereicht: 15. Nov. 2021

Akzeptiert: 12. Juni 2022

DOI: https://doi.org/10.2478/prolas-2022-0054

Schlüsselwörter
aerosol generating procedures, COVID-19 airborne transmission, mannequin study

© 2022 Edvards Kalniņš et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Aerosol and Droplet Generation During Intubation and Normal Breathing: A Simulation Study

Online veröffentlicht: 23. Juli 2022

Seitenbereich: 357 - 360

Eingereicht: 15. Nov. 2021

Akzeptiert: 12. Juni 2022

DOI: https://doi.org/10.2478/prolas-2022-0054

Schlüsselwörteraerosol generating procedures, COVID-19 airborne transmission, mannequin study

© 2022 Edvards Kalniņš et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Schlüsselwörter
aerosol generating procedures, COVID-19 airborne transmission, mannequin study