Evidence map›Paper›PMID 30759879›Full record

ArticlePharmaceutics2019

Investigation of the Quantity of Exhaled Aerosols Released into the Environment during Nebulisation.

James A McGrath, Andrew O'Sullivan, Gavin Bennett, Ciarraí O'Toole, Mary Joyce, Miriam A Byrne, Ronan MacLoughlin

Open access · goldAbstract read
In one paragraph

Article in Pharmaceutics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
6.1field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 55 citations in OpenAlex.

  1. Risk of Transmitting Coronavirus Disease 2019 During Nebulizer Treatment: A Systematic Review.Journal of aerosol medicine and pulmonary drug delivery · 2021
    Pooled it
  2. Guideline
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Respiratory Delivery ofPharmaceutics · 2024
    Article
  9. Review
  10. Nebuliser therapy in critical care: The past, present and future.Journal of the Intensive Care Society · 2024
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Cellular Therapy for the Treatment of Paediatric Respiratory Disease.International journal of molecular sciences · 2021
    Review
  16. Article
  17. Article
  18. Emerging treatment strategies for COVID-19 infection.Clinical and experimental medicine · 2021
    Review
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

James A McGrathSchool of Physics & Centre for Climate and Air Pollution Studies, Ryan Institute, National University of Ireland Galway, Galway, H91 CF50, Ireland. james.a.mcgrath@nuigalway.ie.
Andrew O'SullivanAerogen, IDA Business Park, Dangan, Galway, H91 HE94, Ireland. andrewosullivanjr@gmail.com.
Gavin BennettAerogen, IDA Business Park, Dangan, Galway, H91 HE94, Ireland. GBennett@aerogen.com.
Ciarraí O'TooleSchool of Physics & Centre for Climate and Air Pollution Studies, Ryan Institute, National University of Ireland Galway, Galway, H91 CF50, Ireland. C.OTOOLE9@nuigalway.ie.
Mary JoyceAerogen, IDA Business Park, Dangan, Galway, H91 HE94, Ireland. MJoyce@aerogen.com.
Miriam A ByrneSchool of Physics & Centre for Climate and Air Pollution Studies, Ryan Institute, National University of Ireland Galway, Galway, H91 CF50, Ireland. miriam.byrne@nuigalway.ie.
Ronan MacLoughlinAerogen, IDA Business Park, Dangan, Galway, H91 HE94, Ireland. RMacLoughlin@aerogen.com.
Aerogen (Ireland) · IEOllscoil na Gaillimhe – University of Galway · IE

Funding

Science Foundation Ireland 17/IFB/5399
6 · The paper itself

Abstract

backgroundSecondary inhalation of medical aerosols is a significant occupational hazard in both clinical and homecare settings. Exposure to fugitive emissions generated during aerosol therapy increases the risk of the unnecessary inhalation of medication, as well as toxic side effects.

methodsThis study examines fugitively-emitted aerosol emissions when nebulising albuterol sulphate, as a tracer aerosol, using two commercially available nebulisers in combination with an open or valved facemask or using a mouthpiece with and without a filter on the exhalation port. Each combination was connected to a breathing simulator during simulated adult breathing. The inhaled dose and residual mass were quantified using UV spectrophotometry. Time-varying fugitively-emitted aerosol concentrations and size distributions during nebulisation were recorded using aerodynamic particle sizers at two distances relative to the simulated patient. Different aerosol concentrations and size distributions were observed depending on the interface.

resultsWithin each nebuliser, the facemask combination had the highest time-averaged fugitively-emitted aerosol concentration, and values up to 0.072 ± 0.001 mg m

conclusionsThe results highlight the potential secondary inhalation of exhaled aerosols from commercially available nebuliser facemask/mouthpiece combinations. The results will aid in developing approaches to inform policy and best practices for risk mitigation from fugitive emissions.

Indexed as

aerosolexhaled aerosolfugitive emissionsinhalation therapynebulisersecondary exposure

Identifiers

PMID30759879
PMCPMC6409895
OpenAlexW2913075259

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.