ArticleThe American journal of emergency medicine2020
N95 filtering facepiece respirators do not reliably afford respiratory protection during chest compression: A simulation study.
Article in The American journal of emergency medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 54 citations in OpenAlex.
- Pooled it
- Pooled it
- Impact of COVID-19-adapted guidelines using different airway management strategies on resuscitation quality in out-of-hospital-cardiac-arrest - a randomised manikin study.BMC emergency medicine · 2023Trial
- Respiratory Protection Effect of Ear-loop-type KF94 Masks according to the Wearing Method in COVID-19 Pandemic: a Randomized, Open-label Study.Journal of Korean medical science · 2021Trial
- Nursing perception and practices in N95 mask reuse in intensive care: a cross-sectional study.Revista brasileira de enfermagem · 2026Article
- Evaluating a rapid fit-testing method for N95 respirators in Chinese healthcare workers: a paired crossover simulation and diagnostic agreement study.Frontiers in public health · 2026Article
- Reuse of N95/PFF2 masks in clinical practice: morphological and structural analysis.Revista latino-americana de enfermagem · 2024Article
- Effectiveness of fit testing versus fit checking for healthcare workers respiratory protective equipment: A systematic review.International journal of nursing sciences · 2023Review
- Overview of tight fit and infection prevention benefits of respirators (filtering face pieces).The Journal of hospital infection · 2023Review
- HALO CleanSpace PAPR evaluation: Communication, respiratory protection, and usability.Infection control and hospital epidemiology · 2023Article
- Impact of Personal Protective Equipment on Cardiopulmonary Resuscitation and Rescuer Safety.Emergency medicine international · 2023Article
- The effect of plastic tape seal to reduce face seal leak in respirator N-95 type 1860.Annals of medicine and surgery (2012) · 2022Article
- P2/N95 filtering facepiece respirators: Results of a large-scale quantitative mask fit testing program in Australian health care workers.American journal of infection control · 2022Article
- Drastic changes in the practice of end-of-life care during the COVID-19 pandemic.Journal of critical care · 2022Article
- What We Are Learning from COVID-19 for Respiratory Protection: Contemporary and Emerging Issues.Polymers · 2021Review
- Quantitative fit testing of filtering face-piece respirators during the COVID-19 pandemic reveals anthropometric deficits in most respirators available in Iran.Journal of environmental health science & engineering · 2021Article
- Effectiveness of Elastomeric Half-Mask Respirators vs N95 Filtering Facepiece Respirators During Simulated Resuscitation: A Nonrandomized Controlled Trial.JAMA network open · 2021Article
- A Personal Respirator to Improve Protection for Healthcare Workers Treating COVID-19 (PeRSo).Frontiers in medical technology · 2021Article
- Respiratory protection among healthcare workers during cardiopulmonary resuscitation in COVID-19 patients.The American journal of emergency medicine · 2021Article
- Powered Respirators Are Effective, Sustainable, and Cost-Effective Personal Protective Equipment for SARS-CoV-2.Frontiers in medical technology · 2021Article
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Authors and funding
11 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundN95 filtering facepiece respirators (N95 respirators) may not provide adequate protection against respiratory infections during chest compression due to inappropriate fitting.
methodsThis was a single-center simulation study performed from December 1, 2016, to December 31, 2016. Each participant underwent quantitative fit test (QNFT) of N95 respirators according to the Occupational Safety and Health Administration protocol. Adequacy of respirator fit was represented by the fit factor (FF), which is calculated as the number of ambient particles divided by the number inside the respirator. We divided all participants into the group that passed the overall fit test but failed at least one individual exercise (partially passed group [PPG]) and the group that passed all exercises (all passed group [APG]). Then, the participants performed three sessions of continuous chest compressions, each with a duration of 2 min, while undergoing real-time fit testing. The primary outcome was any failure (FF < 100) of the fit test during the three bouts of chest compression.
resultsForty-four participants passed the QNFT. Overall, 73% (n = 32) of the participants failed at least one of the three sessions of chest compression; the number of participants who failed was significantly higher in the PPG than in the APG (94% vs. 61%; p = 0.02). Approximately 18% (n = 8) of the participants experienced mask fit failures, such as strap slipping.
conclusionsEven if the participants passed the QNFT, the N95 respirator did not provide adequate protection against respiratory infections during chest compression.
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Registered trials
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.