Document Detail


Physiological impact of the N95 filtering facepiece respirator on healthcare workers.
MedLine Citation:
PMID:  20420727     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To assess the physiological impact of the N95 filtering facepiece respirator (FFR) on healthcare workers. METHODS: Ten healthcare workers each conducted multiple 1-hour treadmill walking sessions, at 1.7 miles/h, and at 2.5 miles/h, while wearing FFR with exhalation valve, FFR without exhalation valve, and without FFR (control session). We monitored heart rate, respiratory rate, tidal volume, minute volume, blood oxygen saturation, and transcutaneously measured P(CO2). We also measured user comfort and exertion, FFR moisture retention, and the carbon dioxide and oxygen concentrations in the FFR's dead space. RESULTS: There were no significant differences between FFR and control in the physiological variables, exertion scores, or comfort scores. There was no significant difference in moisture retention between FFR with and without exhalation valve. Two subjects had peak P(CO2) > or = 50 mm Hg. The FFR with exhalation valve offered no benefit in physiological burden over the FFR without valve. The FFR dead-space oxygen and carbon dioxide levels did not meet the Occupational Safety and Health Administration's ambient workplace standards. CONCLUSIONS: In healthy healthcare workers, FFR did not impose any important physiological burden during 1 hour of use, at realistic clinical work rates, but the FFR dead-space carbon dioxide and oxygen levels were significantly above and below, respectively, the ambient workplace standards, and elevated P(CO2) is a possibility. Exhalation valve did not significantly ameliorate the FFR's P(CO2) impact.
Authors:
Raymond J Roberge; Aitor Coca; W Jon Williams; Jeffrey B Powell; Andrew J Palmiero
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Respiratory care     Volume:  55     ISSN:  0020-1324     ISO Abbreviation:  Respir Care     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-04-27     Completed Date:  2010-07-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7510357     Medline TA:  Respir Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  569-77     Citation Subset:  IM    
Affiliation:
Technology Research Branch, National Personal Protective Technology Laboratory, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, 626 Cochrans Mill Road, Pittsburgh, PA 15236, USA. dtn0@cdc.gov
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MeSH Terms
Descriptor/Qualifier:
Adult
Equipment Design
Equipment Safety
Exercise Test
Female
Follow-Up Studies
Health Personnel*
Heart Rate / physiology*
Humans
Male
Masks / standards*
Middle Aged
Occupational Exposure / prevention & control*
Oxygen Consumption / physiology
Reference Values
Respiratory Protective Devices / standards*
Tidal Volume / physiology
Work of Breathing / physiology*
Workplace / standards
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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