Evidence map›Paper›PMID 36137079›Full record

ArticlePloS one2022

Preventing spread of aerosolized infectious particles during medical procedures: A lab-based analysis of an inexpensive plastic enclosure.

Luke W Monroe, Jack S Johnson, Howard B Gutstein, John P Lawrence, Keith Lejeune, Ryan C Sullivan, Coty N Jen

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 49% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
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.

Luke W MonroeCenter for Atmospheric Particle Studies, Carnegie Mellon University, Pittsburgh, PA, United States of America.ORCID 0000-0002-1504-3113
Jack S JohnsonCenter for Atmospheric Particle Studies, Carnegie Mellon University, Pittsburgh, PA, United States of America.
Howard B GutsteinAnesthesiology Institute, Allegheny Health Network, Pittsburgh, PA, United States of America.
John P LawrenceAnesthesiology Institute, Allegheny Health Network, Pittsburgh, PA, United States of America.
Keith LejeuneAnesthesiology Institute, Allegheny Health Network, Pittsburgh, PA, United States of America.
Ryan C SullivanCenter for Atmospheric Particle Studies, Carnegie Mellon University, Pittsburgh, PA, United States of America.ORCID 0000-0003-0701-7158
Coty N JenCenter for Atmospheric Particle Studies, Carnegie Mellon University, Pittsburgh, PA, United States of America.
Carnegie Mellon University · USAllegheny Health Network · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Severe viral respiratory diseases, such as SARS-CoV-2, are transmitted through aerosol particles produced by coughing, talking, and breathing. Medical procedures including tracheal intubation, extubation, dental work, and any procedure involving close contact with a patient's airways can increase exposure to infectious aerosol particles. This presents a significant risk for viral exposure of nearby healthcare workers during and following patient care. Previous studies have examined the effectiveness of plastic enclosures for trapping aerosol particles and protecting health-care workers. However, many of these enclosures are expensive or are burdensome for healthcare workers to work with. In this study, a low-cost plastic enclosure was designed to reduce aerosol spread and viral transmission during medical procedures, while also alleviating issues found in the design and use of other medical enclosures to contain aerosols. This enclosure is fabricated from clear polycarbonate for maximum visibility. A large single-side cutout provides health care providers with ease of access to the patient with a separate cutout for equipment access. A survey of medical providers in a local hospital network demonstrated their approval of the enclosure's ease of use and design. The enclosure with appropriate plastic covers reduced total escaped particle number concentrations (diameter > 0.01 μm) by over 93% at 8 cm away from all openings. Concentration decay experiments indicated that the enclosure without active suction should be left on the patient for 15-20 minutes following a tracheal manipulation to allow sufficient time for >90% of aerosol particles to settle upon interior surfaces. This decreases to 5 minutes when 30 LPM suction is applied. This enclosure is an inexpensive, easily implemented additional layer of protection that can be used to help contain infectious or otherwise potentially hazardous aerosol particles while providing access into the enclosure.

Indexed as

COVID-19Infectious Disease Transmission, Patient-to-ProfessionalAerosolized Particles and DropletsHumansPlasticsRespiratory Aerosols and DropletsSARS-CoV-2Aerosolized Particles and DropletsPlastics

Identifiers

PMID36137079
PMCPMC9499281
OpenAlexW4296608941

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.