Impact of Respirator Use on CO2 Levels and O2 Saturation - FY12
During a pandemic influenza, healthcare workers (HCW) will be utilizing respirators for protracted periods of time (8–12 hr shifts) that could lead to CO2 retention, decreases in O2 saturation, and performance decrements. This study will evaluate transcutaneous CO2 levels and O2 saturation associated with respirator use at workrates typical for HCW.
OSHA standard (29 CFR 1910.134) is 19.5% O2 concentration to altitude of 8,000 feet.
No current standard exists for CO2 levels in filtering facepiece respirators or elastomeric respirators.
Will apply to ISO/TC94/SC15/WG1/PG5 Human Factors O2/CO2 Guidance document currently being developed (N105).
Healthcare workers (medical, dental, veterinary)
Emergency Medical Services (paramedics, firefighters, private ambulance crews)
Conduct human physiologic testing in the NPPTL physiology lab.
Determine CO2 and O2 concentrations in respirator deadspace and simultaneous transcutaneous CO2 levels and O2 saturation while wearing N95FFR, elastomeric, and N95FFR with surgical mask overlay.
Correlate respirator deadspace CO2 and O2 concentrations with transcutaneous CO2 levels and O2 saturation.
Incorporate data from the project into the development of physiologic guidelines for respirator use.
Q1 submit 4th manuscript describing an aspect of the study
Q2 address reviewer comments
Q3 finalize 4th manuscript for publication
Study Complete, February 2012
Manuscripts published in peer-reviewed journals (4)
Presentations at national/international conferences (6)
Introduction of physiologic variables (CO2 levels, O2 saturation) into NIOSH respirator selection logic.
Appropriate mitigation strategies for elevated CO2 and decreased O2 associated with FFR use incorporated into CDC, NIOSH, WHO, and ISO guidance documents.
Effects on respiratory gases of combined N95FFR/surgical mask overlay, used to support/modify CDC, NIOSH, WHO, ISO, etc. standards and guidance documents.
Outputs from the project have been cited 12 times (to date) in the peer-reviewed literature.