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Reusable elastomeric air-purifying respirators: physiologic impact on health care workers.

Authors
Roberge-RJ; Coca-A; Williams-WJ; Powell-JB; Palmiero-AJ
Source
Am J Infect Control 2010 Jun; 38(5):381-386
NIOSHTIC No.
20036526
Abstract
Background: Elastomeric air-purifying respirators offer the benefit of reusability, but their physiological impact on health care workers is unknown. Methods: Ten health care workers exercised at 2 health care-associated work rates wearing an elastomeric air-purifying respirator. Mixed inhalation/exhalation respirator dead space gases (oxygen, carbon dioxide) were sampled, and physiological parameters were monitored (heart rate, breathing rate, tidal volume, minute volume, oxygen saturation, transcutaneous carbon dioxide). Numerical rating scales were used to evaluate comfort and exertion. Results: Compared with controls (no respirator), significant decreases in the breathing rate at both work rates (P , .05) and increases in tidal volume at the lower work rate (P , .01) were noted with respirator use. Approximately half the subjects had transcutaneous carbon dioxide levels above the upper limit of normal after 1 hour of use. Although well tolerated, comfort was negatively impacted by elastomeric air-purifying respirators wear. Conclusion: Reusable elastomeric air-purifying respirators impose little additional physiological burden over the course of 1 hour at usual health care work rates. However, the potential for carbon dioxide retention in a significant proportion of users exists and requires further investigation.
Keywords
Air-filters; Air-quality-control; Air-quality-measurement; Exposure-assessment; Exposure-levels; Exposure-methods; Physiological-effects; Physiological-measurements; Physiological-response; Physiological-testing; Respirators; Respiratory-equipment; Respiratory-protection; Respiratory-protective-equipment; Author Keywords: Elastomeric respirators; reusable; physiological impact
Contact
Raymond Roberge, MD, National Personal Protective Technology Laboratory, B-29, 626 Cochrans Mill Rd, Pittsburgh, PA 16236
CODEN
AJICDC
Publication Date
20100601
Document Type
Journal Article
Email Address
dtn0@cdc.gov
Fiscal Year
2010
NTIS Accession No.
NTIS Price
Issue of Publication
5
ISSN
0196-6553
NIOSH Division
NPPTL
Priority Area
Healthcare and Social Assistance
Source Name
American Journal of Infection Control
State
PA
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