Experience of using an adapted snorkel mask as personal protective equipment in the COVID-19 pandemic
DOI:
https://doi.org/10.17533/udea.iatreia.185Palabras clave:
Containment of Biohazards, Coronavirus, Disease Prevention, Masks, Personal Protective Equipment, Respiratory Protective DevicesResumen
Introduction: During the COVID-19 pandemic and the cases of shortages of personal protective equipment (PPE), the utilization of modified snorkel masks has been documented, seeking to provide respiratory and facial protection against SARS-CoV-2 aerosols. However, there is no report of changes in vital signs that can occur with its use, along with the perception of its wear by health personnel.
Methods: A case series was performed. Equipment: Snorkel mask®, 3D adapter, and antimicrobial filter. CO2 level, respiratory rate, oximetry, pulse, and blood pressure were monitored for one hour. During the time of use, activities related to patient care were simulated. At the end, the usage characteristics were evaluated through a survey.
Results: 14 volunteers were included in the study. After 1 hour of continuous use, the clinical parameters were predominantly normal. 85% of the participants preferred this modified snorkel mask instead of personal protective equipment established for COVID-19 (goggles, N95 mask and visor).
Conclusions: The adapted snorkel mask could be an alternative to PPE equipment in situations of scarce resources. This is only considered within the framework of its acceptability by a group of health professionals, in addition to the few effects on the vital signs evaluated in this case series. Further objective evaluations of usability and effectiveness are required.
Descargas
Citas
(1) Burki T. Global shortage of personal protective equipment. Lancet Infect Dis [Internet]. 2020;20(7):785–6. DOI 10.1016/S1473-3099(20)30501-6.
(2) Loeb M, Dafoe N, Mahony J, John M, Sarabia A, Glavin V, et al. Surgical mask vs N95 respirator for preventing influenza among health care workers: a randomized trial. JAMA. 2009;302(17):1865–71. DOI 10.1001/jama.2009.1466.
(3) Blachere FM, Lindsley WG, McMillen CM, Beezhold DH, Fisher EM, Shaffer RE, et al. Assessment of influenza virus exposure and recovery from contaminated surgical masks and N95 respirators. J Virol Methods [Internet]. 2018;260:98–106. DOI 10.1016/j.jviromet.2018.05.009.
(4) Bauchner H, Fontanarosa PB, Livingston EH. Conserving Supply of Personal Protective Equipment—A Call for Ideas. JAMA [Internet]. 2020;323(19):1911. DOI 10.1001/jama.2020.4770.
(5) Sharma A. How an Italian start-up turned snorkelling masks into ventilators [Internet]. The National: 2020 [citado el 3 de agosto de 2022]. Disponible en: https://www.thenationalnews.com/business/technology/how-an-italian-start-up-turned-snorkelling-masks-into-ventilators-1.997624
(6) Coronavirus: Hospitals turn to snorkel masks to ease respirator overload. The
Straits Times [Internet]. 2020 [citado el 3 de agosto de 2022]. Disponible en:
https://www.straitstimes.com/world/europe/coronavirus-hospitals-turn-to-snorkel-masks-
to-ease-respirator-overload
(7) Respirator Projects Around the World [Internet]. Pandemija.info [citado el 3 de agosto de 2022]. Disponible en: https://pandemija.info/related-projects/
(8) Profili J, Dubois EL, Karakitsos D, Hof LA. Overview of the User Experience for Snorkeling Mask Designs during the COVID-19 Pandemic. Healthcare (Basel) [Internet]. 2021;9(2):204. DOI 10.3390/healthcare9020204
(9) Pneumask is a reusable full-face snorkel mask PPE. [Internet]. The Pneumask Project. [citado el 3 de agosto de 2022]. Disponible en: https://www.pneumask.org
(10) Garnick D. PTC Engineers Design Masks From Snorkel Gear [Internet] [citado el 3 de agosto de 2022]. Disponible en: https://www.onshape.com/en/blog/ptc-engineers-design-masks-from-snorkel-gear
(11) Food and Drug Administration. Enforcement Policy for Face Masks and Respirators During the Coronavirus Disease (COVID-19) Public Health Emergency (Revised): Guidance for Industry and Food and Drug Administration [Internet]. 2021. Disponible en: https://www.fda.gov/media/136449/download
(12) Rivory J, Beaugendre É, Yvon C, Ploteau F, Condat B, Rostain F, et al. Why not use the Easybreath snorkeling mask to prevent COVID-19 transmission during endoscopy procedures when FFP2 are lacking? Endoscopy [Internet]. 2020;52(8):E306–7. DOI 10.1055/a-1178-9125.
(13) 3D Printed Adapters for Decathlon Snorkel Mask Conversion to Emergency PPE [Internet]. Formlabs. [citado el 3 de agosto de 2022]. Disponible en: https://formlabs.com/covid-19-response/snorkel-mask-emergency-ppe-adapters/
(14) Profili J, Brunet R, Dubois ÉL, Groenhuis V, Hof LA. Use of 3D printed connectors to redesign full face snorkeling masks in the COVID-19 era: A preliminary technical case-study. Annals of 3D Printed Medicine [Internet]. 2021;3:100023. DOI 10.1016/j.stlm.2021.100023.
(15) Sleiwah A [email] Protect our healthcare workers. “Take back control: improve your Covid 19 personal protection equipment with a self-assembled, reusable, cheap viral filter and repurposed full-face snorkel mask combination”. 2020 [citado el 3 de agosto de 2022]. Disponible en: https://www.bmj.com/content/369/bmj.m1324/rr-12
(16) Consultas, registros y documentos asociados - Instituto Nacional de Vigilancia de Medicamentos y Alimentos [Internet] [citado el 3 de agosto de 2022]. Disponible en: https://www.invima.gov.co/consultas-registros-y-documentos-asociados
(17) MD JAD, MD SED. A Practical Approach to Anesthesia Equipment. Philadelphia: LWW; 2010. 750 p.
(18) Rengasamy S, Eimer BC. Nanoparticle penetration through filter media and leakage through face seal interface of N95 filtering facepiece respirators. Ann Occup Hyg [Internet]. 2012;56(5):568–80. DOI 10.1093/annhyg/mer122.
(19) Lefkowitz EJ, Dempsey DM, Hendrickson RC, Orton RJ, Siddell SG, Smith DB. Virus taxonomy: the database of the International Committee on Taxonomy of Viruses (ICTV). Nucleic Acids Research [Internet]. 2018;46(D1):D708–17. DOI 10.1093/nar/gkx932.
(20) Greig PR, Carvalho C, El-Boghdadly K, Ramessur S. Safety testing improvised COVID-19 personal protective equipment based on a modified full-face snorkel mask. Anaesthesia [Internet]. 2020;75(7):970–1. DOI 10.1111/anae.15085.
(21) ICONTEC. Criterios para la selección y uso de los equipos de protección respiratoria. Parte 1. Definiciones [Internet]. Bogotá: ICONTEC; 2009. Disponible en: https://tienda.icontec.org/gp-criterios-para-la-seleccion-y-uso-de-los-equipos-de-proteccion-respiratoria-parte-1-definiciones-ntc3851-1996.html
(22) Thierry B, Célérier C, Simon F, Lacroix C, Khonsari RH. How and why use the EasyBreath® surface snorkeling mask as a personal protective equipment during the COVID-19 pandemic? Eur Ann Otorhinolaryngol Head Neck Dis [Internet]. 2020 Sep;137(4):329–31. DOI 10.1016/j.anorl.2020.05.006.
(23) Kechli MK, Lerman J, Ross MM. Modifying a Full-Face Snorkel Mask to Meet N95 Respirator Standards for Use With Coronavirus Disease 2019 Patients. A Pract [Internet]. 2020 May;14(7):e01237. DOI 10.1213/XAA.0000000000001237.
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2022 Iatreia

Esta obra está bajo una licencia internacional Creative Commons Atribución-CompartirIgual 4.0.
Los artículos publicados en la revista están disponibles para ser utilizados bajo la licencia Creative Commons, específicamente son de Reconocimiento-NoComercial-CompartirIgual 4.0 Internacional.
Los trabajos enviados deben ser inéditos y suministrados exclusivamente a la Revista; se exige al autor que envía sus contribuciones presentar los formatos: presentación de artículo y responsabilidad de autoría completamente diligenciados.