Rationale:
Aerosol generation with modes of oxygen therapy such as high-flow nasal cannula and noninvasive positive-pressure ventilation is a concern for healthcare workers during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic. The amount of aerosol generation from the respiratory tract with these various oxygen modalities is unknown.
Objectives:
To measure the size and number concentration of particles and droplets generated from the respiratory tract of humans exposed to various oxygen delivery modalities.
Methods:
Ten healthy participants with no active pulmonary disease were enrolled. Oxygen modalities tested included nonhumidified nasal cannula, face mask, heated and humidified high-flow nasal cannula, and noninvasive positive-pressure ventilation. Aerosol generation was measured with each oxygen mode while participants performed maneuvers of normal breathing, talking, deep breathing, and coughing. Testing was conducted in a negative-pressure room. Particles with a diameter between 0.37 and 20 μm were measured using an aerodynamic particle spectrometer.
Measurements and Main Results:
Median particle concentration ranged from 0.041 to 0.168 particles/cm
3
. Median diameter ranged from 1.01 to 1.53 μm. Cough significantly increased the number of particles measured. Measured aerosol concentration did not significantly increase with the use of either humidified high-flow nasal cannula or noninvasive positive-pressure ventilation. This was the case during normal breathing, talking, deep breathing, and coughing.
Conclusions:
Oxygen delivery modalities of humidified high-flow nasal cannula and noninvasive positive-pressure ventilation do not increase aerosol generation from the respiratory tract in healthy human participants with no active pulmonary disease measured in a negative-pressure room.
Choline-based amino acid ionic liquids with anions glycinate,
β-alaninate,
phenylalaninate, and prolinate were synthesized and mixed with ethylene
glycol to form lower-viscosity benign eutectic solvents for CO2 capture. The highest capacity measured was 0.7 moles of CO2 per mole of ionic liquid (2 moles CO2 per kg solvent)
for a 1 to 2 mole ratio mixture of choline prolinate to ethylene glycol
at 1 bar of CO2 and 25 °C. Under 5000 ppm of CO2, half of this capacity was realized. Through a combined study
of quantitative 13C NMR spectroscopy, molecular dynamics
simulations and density functional theory calculations, we show that
hydrogen bonding in the eutectic solvent prevents proton-transfer
between prolinate anions upon CO2 absorption, which occurs
in the absence of ethylene glycol and deactivates binding sites. Blocking
this proton transfer leads to a higher binding capacity compared to
neat choline prolinate. This work demonstrates the impact of hydrogen
bonding on the CO2 binding mechanism and energetics, as
well as physical and thermal properties in eutectic solvents, thus
addressing an unmet need and informing future studies on the development
of benign sorbents for capturing CO2 from dilute streams.
Background: To mitigate potential exposure of healthcare workers (HCWs) to SARS-CoV-2 via aerosol routes, we have developed a portable hood which not only creates a barrier between HCW and patient, but also utilizes negative pressure with filtration of aerosols by a high-efficiency particulate air filter. Material and Methods: The hood has iris-port openings for access to the patient, and an opening large enough for a patient's head and upper torso. The top of the hood is a high-efficiency particulate air filter connected to a blower to apply negative pressure. We determined the aerosol penetration from outside to inside in laboratory experiments. Results: The penetration of particles from within the hood to the breathing zones of HCWs outside the hood was near 10 -4 (0.01%) in the 200-400 nm size range, and near 10 À3 (0.1%) for smaller particles. Penetration values for particles in the 500 nm-5 mm range were below 10 À2 (1%). Fluorometric analysis of deposited fluorescein particles on the personal protective equipment of an HCW revealed that negative pressure reduces particle deposition both outside and inside the hood. Conclusions: We find that negative pressure hoods can be effective controls to mitigate aerosol exposure to HCWs, while simultaneously allowing access to patients.
Understanding the oxidative and thermal degradation of CO 2 sorbents is essential for assessing long-term sorbent stability in direct air capture (DAC). The potential degradation pathway of imidazolium cyanopyrrolide, an ionic liquid (IL) functionalized for superior CO 2 capacity and selectivity, is evaluated under accelerated degradation conditions to elucidate the secondary reactions that can occur during repetitive absorption-desorption thermal-swing cycles. The combined analysis from various spectroscopic, chromatographic, and thermal gravimetric meas-urements indicated that radical and S N 2 mechanisms in degradation are encouraged by the nucleophilicity of the anion. Thickening of the liquid and gas evolution are accompanied by 50 % reduction in CO 2 capacity after a 7-day exposure to O 2 under 80 °C. To prevent long exposure to conventional thermal heating, microwave (MW) regeneration of the CO 2 -reactive IL is used, where dielectric heating at 80 and 100 °C rapidly desorbs CO 2 and regenerates the IL without any measurable degradation.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.