Dispersal of Respiratory Droplets With Open vs Closed Oxygen Delivery Masks: Implications for the Transmission of Severe Acute Respiratory Syndrome

Somogyi, Ron; Vesely, Alex E.; Azami, Takafumi; Preiss, David; Fisher, Joseph; Correia, Joe; Fowler, Robert A.

Nosocomial transmission of droplet-borne respiratory infections such as severe acute respiratory syndrome (SARS) may be influenced by the choice of oxygen face mask. A subject inhaled saline mist and exhaled through three oxygen masks to illustrate the pattern of dispersal of pulmonary gas. In two commonly used masks, exhaled gas formed a plume emanating from the side vents, while a third mask with a valved manifold, which was modified by adding a respiratory filter, retained the droplets. Maintaining respiratory isolation during the administration of oxygen may reduce the risk of the nosocomial transmission of respiratory infections such as SARS.