{"id":67720,"date":"2020-04-15T00:00:00","date_gmt":"2020-04-15T05:00:00","guid":{"rendered":"https:\/\/www.unmc.edu\/newsroom\/2020\/04\/15\/innovative-device-contains-exhaled-virus-particles\/"},"modified":"2022-09-02T17:08:02","modified_gmt":"2022-09-02T22:08:02","slug":"innovative-device-contains-exhaled-virus-particles","status":"publish","type":"post","link":"https:\/\/www.unmc.edu\/newsroom\/2020\/04\/15\/innovative-device-contains-exhaled-virus-particles\/","title":{"rendered":"Innovative device contains exhaled virus particles"},"content":{"rendered":"<div class=\"panel body-content\"><div class=\"panel__container\"><p>Nebraska Medical Center on April 15 began using a new device, called an Infectious Aerosol Capture Mask (IACM), developed by Steven Lisco, M.D., chair of the UNMC Department of Anesthesiology, to capture exhaled aerosolized particles at their source from patients.<br \/>\n<TABLE border=\"0\" width=\"500\" cellspacing=\"10\" align=\"right\"><br \/>\n<TR><br \/>\n<TD><br \/>\n<img decoding=\"async\" src=\"https:\/\/www.unmc.edu\/newsroom\/wp-content\/uploads\/2022\/08\/Lisco2041520.jpg\" border=\"0\" align=\"right\" alt=\"picture disc.\"><br \/>\n<\/TD><br \/>\n<TD><br \/>\n<img decoding=\"async\" src=\"https:\/\/www.unmc.edu\/newsroom\/wp-content\/uploads\/2022\/08\/Markin041520.jpg\" border=\"0\" align=\"right\" alt=\"picture disc.\"><br \/>\n<\/TD><br \/>\n<\/TR><br \/>\n<TR><br \/>\n<TD><br \/>\n<font face=\"arial\" size=\"1\"><br \/>\nSteven Lisco, M.D.<br \/>\n<\/FONT><br \/>\n<\/TD><br \/>\n<TD><br \/>\n<font face=\"arial\" size=\"1\"><br \/>\nNicholas Markin, M.D.<br \/>\n<\/FONT><br \/>\n<\/TD><br \/>\n<\/TR><br \/>\n<\/TABLE><\/p>\n<p>Approved by Nebraska Medicine&#8217;s Innovation Committee, the hospital is deploying the IACM in the operating room for use with asymptomatic, COVID-unknown patients undergoing monitored anesthesia care, during and following emergence from general endotracheal anesthesia, as well as in the post-anesthesia care units (PACU). <\/p>\n<p>Patients with COVID-19 respiratory illness produce microscopic aerosol particles, which fill a COVID-19 patient&#8217;s environment and increase risk of disease transmission. A small percentage of patients also may produce aerosols when asymptomatic or presymptomatic.  <\/p>\n<p>Such asymptomatic patients are a challenge for providers, as they may unknowingly produce infectious aerosols when coughing, wearing supplemental oxygen or undergoing aerosol-generating procedures such as intubation and extubation &#8212; all common occurrences in operating rooms and the PACU.<br \/>\n<TABLE border=\"0\" width=\"400\" cellspacing=\"10\" align=\"right\"><br \/>\n<TR><br \/>\n<TD><br \/>\n<img decoding=\"async\" src=\"https:\/\/www.unmc.edu\/newsroom\/wp-content\/uploads\/2022\/08\/Tent041520.jpg\" border=\"0\" align=\"right\" alt=\"picture disc.\"><br \/>\n<\/TD><br \/>\n<\/TR><br \/>\n<TR><br \/>\n<TD><br \/>\n<span style=\"font-size:0.85em; line-height:150%;\"><\/span><br \/>\n<\/TD><br \/>\n<\/TR><br \/>\n<\/TABLE><\/p>\n<p>The IACM device developed by Dr. Lisco uses a face tent, positioned upside down with a viral filter attached, connected to wall suction. The apparatus attaches to the vacuum source via standard suction tubing adapted to the device via a plastic piece created with a 3D printer by Nicholas Markin, M.D., director of perioperative imaging.<\/p>\n<p>&#8220;The IACM performed very well in laboratory testing when used with a nasal device used to deliver supplemental oxygen, catching more than 90% of airborne particles expelled in the mask, ultimately preventing the aerosol from entering the patient environment,&#8221; Dr. Lisco said. &#8220;Even when the vacuum wasn&#8217;t turned on, the mask was still 85% effective as a barrier.&#8221; <\/p>\n<p>&#8220;In these areas, patients are often given nasal cannula oxygen, which has been shown to increase the rate and density of aerosolized particles,&#8221; Dr. Lisco said. &#8220;Additionally, work in these areas often mandates that patients and health care workers be in close proximity. While risk of infection transmission is extremely low, efforts to reduce environmental aerosol contamination are still justified. Using this device with COVID-19-positive patients who require supplemental oxygen also will be beneficial for reducing health care worker risk in the intensive care unit.<\/p>\n<p>&#8220;We think it is far superior to put this device on patients in the PACU or ICU versus a surgical mask over a nasal oxygen delivery device,&#8221; Dr. Lisco said. &#8220;This is a game of inches, and we&#8217;re in the red zone. We will do anything we can do protect our health care workers and our community. <\/p>\n<p>&#8220;We&#8217;re grinding it out a yard or two at a time in classic Husker fashion. This is just another way to shave risk.&#8221;<\/p>\n<\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Nebraska Medical Center using new invention to improve health care worker safety.<\/p>\n","protected":false},"author":27,"featured_media":67721,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[1],"tags":[],"class_list":["post-67720","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","department-anesthesiology","department-college-of-medicine","department-covid-19","department-unmc-front-page","department-unmc-today-todays-headlines","author_override-danielle-beebe-unmc-department-of-anesthesiology"],"yoast_head":"<!-- This site is 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