5
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: not found

      Implementation of a 3D Printed Custom Mask Fitter in an Ophthalmology Setting during the COVID-19 Pandemic

      research-article

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Objective

          To assess the effectiveness of a 3D printed custom mask fitter in lieu of N95 respirators among ophthalmologists and other eye care professionals (ECPs) who may not be prioritized to receive N95 respirators amidst the COVID-19 pandemic.

          Methods

          This was a proof-of-concept study from a tertiary eye care center in Oakville, Canada. All participants underwent the N95 Qualitative Fit Test with a custom mask fitter secured over an ASTM Level 3 facemask. Participants answered a 1 to 10 Likert scale questionnaire on comfort, ease of use, and feasibility of the custom mask fitter, as well as comfort of a regular facemask.

          Results

          A total of 20 participants were recruited of whom 90% (18/20) successfully passed the Fit Test. The median scores for comfort, ease of use, and everyday feasibility for the custom mask fitter were 3.5, 4.5, and 3.0, respectively, while the median score for comfort of a regular facemask was 8.5.

          Conclusion

          A reusable, low-cost, 3D printed custom mask fitter is a potential effective alternative to an N95 respirator amongst ECPs but may require improvement in its design and comfort. This is especially relevant in the context of a limited supply of N95 respirators amidst a global pandemic.

          Related collections

          Most cited references8

          • Record: found
          • Abstract: found
          • Article: found
          Is Open Access

          A randomised clinical trial to evaluate the safety, fit, comfort of a novel N95 mask in children

          Children are more vulnerable to the risks of air pollution, including susceptibility to acquiring chronic diseases in their developing lungs. Despite these, there are no specific masks designed for and tested in children that are available to protect our young from the common particulate air pollutants today. We evaluated safety, fit and comfort of a specially designed paediatric N95 mask with an optional micro ventilator (micro fan, MF) in healthy children aged 7–14 years, in a randomized, two-period crossover design. The subjects’ cardiorespiratory physiological measurements were assessed in different states of physical activity under different interventions (mask without and with MF). A total of 106 subjects were recruited between July-August 2016. The use of the mask without MF increased the End-Tidal CO2 (ETCO2) and Fractional concentration of Inspired CO2 (FICO2) at rest and on mild exertion, as expected. The use of the mask with MF brought FICO2 levels comparably closer to baseline levels without the mask for both activities. The mask, with or without the MF, was found to be well fitting, comfortable and safe for use in children at rest and on mild exertion. The N95 mask tested offers a promising start for more studies in the paediatric population.
            Bookmark
            • Record: found
            • Abstract: not found
            • Article: not found

            Aerosol and Surface Stability of SARS-CoV-2 as Compared with SARS-CoV-1.

              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Respirator-Fit Testing: Does It Ensure the Protection of Healthcare Workers Against Respirable Particles Carrying Pathogens?

              Respiratory protection programs, including fit testing of respirators, have been inconsistently implemented; evidence of their long-term efficacy is lacking. We undertook a study to determine the short- and long-term efficacy of training for fit testing of N95 respirators in both untrained and trained healthcare workers (HCWs). Prospective observational cohort study. A group of at-risk, consenting HCWs not previously fit-tested for a respirator were provided with a standard fit-test protocol. Participants were evaluated after each of 3 phases, and 3 and 14 months afterward. A second group of previously fit-tested nurses was studied to assess the impact of regular respirator use on performance . Of 43 untrained fit-tested HCWs followed for 14 months, 19 (44.2%) passed the initial fit test without having any specific instruction on respirator donning technique. After the initial test, subsequent instruction led to a pass for another 13 (30.2%) of the 43 HCWs, using their original respirators. The remainder required trying other types of respirators to acheive a proper fit. At 3 and 14 months' follow-up, failure rates of 53.5% (23 of 43 HCWs) and 34.9% (15 of 43 HCWs), respectively, were observed. Pass rates of 87.5%-100.0% were observed among regular users. Without any instruction, nearly 50% of the HCWs achieved an adequate facial seal with the most commonly used N95 respirator. Formal fit testing does not predict future adequacy of fit, unless frequent, routine use is made of the respirator. The utility of fit testing among infrequent users of N95 respirators is questionable.
                Bookmark

                Author and article information

                Journal
                Can J Ophthalmol
                Can J Ophthalmol
                Canadian Journal of Ophthalmology. Journal Canadien D'Ophtalmologie
                Canadian Ophthalmological Society. Published by Elsevier Inc.
                0008-4182
                1715-3360
                19 March 2021
                19 March 2021
                Affiliations
                [0001]Department of Ophthalmology and Vision Sciences, Faculty of Medicine, University of Toronto, Toronto, ON, Canada
                Author notes
                [* ]Corresponding author. Tel.: 905-456-3937.
                Article
                S0008-4182(21)00096-X
                10.1016/j.jcjo.2021.03.004
                7972674
                a76fe5ba-422e-4525-ae98-100a9f1b26b5
                © 2021 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

                History
                : 3 January 2021
                : 19 February 2021
                : 10 March 2021
                Categories
                Article

                Comments

                Comment on this article