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Several clinical procedures have been described as aerosol generating procedure (AGP), including nebulization, high-flow nasal cannula oxygen therapy, noninvasive ventilation, and bronchial hygiene treatment, etc. However, the understanding on the transmission risk of these treatments is still unclear, particularly the methods to reduce the airborne particulate concentrations during these treatments are still lacking. This study is aimed to compare different modalities in reducing airborne particulate concentrations during these aerosol generating procedures, in order to find the most effective method to reduce particle concentrations, ultimately to decrease the transmission risk and protect health care providers.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Nebulization without filter or scavenger | No Intervention | Subject will use a standard nebulizer | |
| Nebulization with a filter or scavenger | Experimental | Subject will use a nebulizer with a filter placed at the other end of nebulizer mouthpice or a scavenger outside the nebulizer mask |
|
| High-flow nasal cannula | No Intervention | Subject will use high-flow nasal cannula at 40 L/min | |
| High-flow nasal cannula with a scavenger face tent | Experimental | Subject will use high-flow nasal cannula at 40 L/min, with a scavenger face tent |
|
| High-flow nasal cannula with a surgical mask | Active Comparator | Subject will use high-flow nasal cannula at 40 L/min, with a surgical mask over nasal cannula |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Filter | Device | Filter is used to capture any individual bacteria or viruses that might be suspended within inhaled or exhaled gases |
|
| Measure | Description | Time Frame |
|---|---|---|
| aerosol particle concentrations at 1 foot away from subject's face | aerosol particle concentrations will be recorded continuously for 5 mins during the use of each device at 1 foot away from subject's face | 5 mins |
| aerosol particle concentrations at 3 feet away from subject's face | aerosol particle concentrations will be recorded continuously for 5 mins during the use of each device at 3 feet away from subject's face | 5 mins |
| Measure | Description | Time Frame |
|---|---|---|
| subject's comfort | subject's comfort will be self-evaluated using a visual numerical scale (VNS) ranging between 1 (very uncomfortable) and 5 (very comfortable) | 5 minutes after using the device |
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Inclusion Criteria:
• Ages 18-65, Male or Female
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jie Li, PhD | Rush University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rush University Medical Center | Chicago | Illinois | 60612 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32543913 | Result | Dhand R, Li J. Coughs and Sneezes: Their Role in Transmission of Respiratory Viral Infections, Including SARS-CoV-2. Am J Respir Crit Care Med. 2020 Sep 1;202(5):651-659. doi: 10.1164/rccm.202004-1263PP. No abstract available. | |
| 32299867 | Result | Li J, Fink JB, Ehrmann S. High-flow nasal cannula for COVID-19 patients: low risk of bio-aerosol dispersion. Eur Respir J. 2020 May 14;55(5):2000892. doi: 10.1183/13993003.00892-2020. Print 2020 May. |
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individual participant data would not be shared
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| Scavenger face tent | Device | A face tent is connected to a vacuum resource to continuously suction the exhaled gas from the subject, in order to reduce the transmission risk of virus or bacteria |
|
| 32783675 | Result | Fink JB, Ehrmann S, Li J, Dailey P, McKiernan P, Darquenne C, Martin AR, Rothen-Rutishauser B, Kuehl PJ, Haussermann S, MacLoughlin R, Smaldone GC, Muellinger B, Corcoran TE, Dhand R. Reducing Aerosol-Related Risk of Transmission in the Era of COVID-19: An Interim Guidance Endorsed by the International Society of Aerosols in Medicine. J Aerosol Med Pulm Drug Deliv. 2020 Dec;33(6):300-304. doi: 10.1089/jamp.2020.1615. Epub 2020 Aug 12. |
| 32967700 | Result | Kaur R, Weiss TT, Perez A, Fink JB, Chen R, Luo F, Liang Z, Mirza S, Li J. Practical strategies to reduce nosocomial transmission to healthcare professionals providing respiratory care to patients with COVID-19. Crit Care. 2020 Sep 23;24(1):571. doi: 10.1186/s13054-020-03231-8. |