aerosol
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Introduction
Liquid or particular matter dispersed in air, gas or vapor. It is packaged under pressure & dispersed as a fine mist.
Pathology
- any time air is forced over moist respiratory mucosa, it will generate more virus-laden respiratory particles
Indications
Aerosols are used to deliver:
- pharmaceutical agents, especially for pulmonary conditions
- insecticides
Procedure
WHO identifies aerosol-generating procedures
- intubation
- noninvasive positive pressure ventilation
- tracheotomy, cardiopulmonary resuscitation
- bronchoscopy
- sputum induction[2]
other (potential) aerosol-generating procedures
- nasogastric tube placement
- percutaneous gastric tube placement
- thoracentesis
- esophagogastroduodenoscopy
- colonoscopy
- cardiac catheterization
- exercise tolerance tests
- pulmonary function tests
- facial surgery[2]
Complications
- in contrast with respiratory droplets, aerosols are minute respiratory particles small enough & light enough to remain suspended in the air for long periods, travel > 6 ft from source, & penetrate or circumnavigate surgical masks.
Management
- wear N95 respirators during aerosol-generating procedures
- use airborne infection isolation rooms with >= 12 air changes /hour & negative air flow to minimize infectious aerosols & prevent spread beyond the room
More general terms
More specific terms
Additional terms
References
- ↑ Stedman's Medical Dictionary 27th ed, Williams & Wilkins, Baltimore, 1999.
- ↑ 2.0 2.1 2.2 Klompas M, Baker M, Rhee C What Is an Aerosol-Generating Procedure? JAMA Surg 2020. Dec 15 PMID: https://www.ncbi.nlm.nih.gov/pubmed/33320188 https://jamanetwork.com/journals/jamasurgery/fullarticle/10.1001/jamasurg.2020.6643