Objective
All respiratory care represents some risk of becoming an aerosol‐generating procedure (AGP) during COVID‐19 patient management. Personal protective equipment (PPE) and environmental control/engineering is advised. High velocity nasal insufflation (HVNI) and high flow nasal cannula (HFNC) deliver high flow oxygen (HFO) therapy, established as a competent means of supporting oxygenation for acute respiratory distress patients, including that precipitated by COVID‐19. Although unlikely to present a disproportionate particle dispersal risk, AGP from HFO continues to be a concern. Previously, we published a preliminary model. Here, we present a subsequent highresolution simulation (higher complexity/reliability) to provide a more accurate and precise particle characterization on the effect of surgical masks on patients during HVNI, low‐flow oxygen therapy (LFO2), and tidal breathing.
Methods
This in silico modeling study of HVNI, LFO2, and tidal breathing presents ANSYS fluent computational fluid dynamics simulations that evaluate the effect of Type I surgical mask use over patient face on particle/droplet behavior.
Results
This in silico modeling simulation study of HVNI (40 L min−1) with a simulated surgical mask suggests 88.8% capture of exhaled particulate mass in the mask, compared to 77.4% in LFO2 (6 L min−1) capture, with particle distribution escaping to the room (> 1 m from face) lower for HVNI+Mask versus LFO2+Mask (8.23% vs 17.2%). The overwhelming proportion of particulate escape was associated with mask‐fit designed model gaps. Particle dispersion was associated with lower velocity.
Conclusions
These simulations suggest employing a surgical mask over the HVNI interface may be useful in reduction of particulate mass distribution associated with AGPs.
A moving-deforming grid study was carried out using a commercial computational fluid dynamics (CFD) solver, FLUENT® 6.2.16. The goal was to quantify the level of mixing of a lower-viscosity additive (at a mass concentration below 10%) into a higher-viscosity process fluid for a large-scale metering gear pump configuration typical in plastics manufacturing. Second-order upwinding and bounded central differencing schemes were used to reduce numerical diffusion. A maximum solver progression rate of 0.0003 revolutions per time step was required for an accurate solution. Fluid properties, additive feed arrangement, pump scale, and pump speed were systematically studied for their effects on mixing. For each additive feed arrangement studied, the additive was fed in individual stream(s) into the pump-intake. Pump intake additive variability, in terms of coefficient of spatial variation (COV), was >300% for all cases. The model indicated that the pump discharge additive COV ranged from 45% for a single centerline additive feed stream to 5.5% for multiple additive feed streams. It was found that viscous heating and thermal/shear-thinning characteristics in the process fluid slightly improved mixing, reducing the outlet COV to 3.2% for the multiple feed-stream case. The outlet COV fell to 2.0% for a half-scale arrangement with similar physics. Lastly, it was found that if the smaller unit’s speed were halved, the outlet COV was reduced to 1.5%.
Unsteady flow features of a plant-scale (>1.5 m diameter) cyclone-ejector system have been studied numerically and validated experimentally. Complexity arises from the fact that the transient pressure field within the Lapple cyclone governs the operation of the annular ejector, and vice versa. Eight geometric configurations for improving the system operation were evaluated. Simple geometric changes were shown numerically to make operational improvements while incrementally improving particle collection efficiency. It was also found that compressible, time-dependent CFD results were extremely sensitive to the pressure discretisation approach and to the differential Reynolds Stress pressure strain formulation.
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