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                  <text>Jurnal Internasional Afrika  vol. 11 issue 4 2021</text>
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                <text>Jurnal internasional Afrika vol.11 issue 4 2021&#13;
African Journal of Emergency Medicine&#13;
Adapted full-face snorkel masks as an alternative for COVID-19 personal protection during aerosol generating procedures in South Africa: A multi-centre, non-blinded in-situ simulation study</text>
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                <text>Full-face snorkel mask&#13;
N95 alternatives&#13;
Personal protective equipment (PPE)&#13;
COVID-19&#13;
SARS-CoV-2</text>
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                <text>Introduction: SARS-CoV-2 has resulted in increased worldwide demand for personal protective equipment (PPE).&#13;
With pressure from ongoing epidemic and endemic episodes, we assessed an adapted snorkel mask that provides&#13;
full-face protection for healthcare workers (HCWs), particularly during aerosol-generating procedures. These&#13;
masks have a custom-made adaptor which allows the fitment of standard medical respiratory filters. The aim of&#13;
this study was to evaluate the fit, seal and clinical usability of these masks.&#13;
Methods: This multicentre, non-blinded in-situ simulation study recruited fifty-two HCWs to don and doff the&#13;
adapted snorkel mask. Negative pressure seal checks and a qualitative fit test were performed. The HCWs&#13;
&#13;
completed intubation and extubation of a manikin in a university skills training laboratory, followed by a web-&#13;
based questionnaire on the clinical usability of the masks.&#13;
&#13;
Results: Whilst fit and usability data were generally satisfactory, two of the 52 participants (3.8%) felt that the&#13;
mask did not span the correct distance from the nose to the chin, and 3 of 34 participants (8.8%) who underwent&#13;
qualitative testing with a Bitrex test failed. The majority of users reported no fogging, humidity or irritation. It&#13;
was reportedly easy to speak while wearing the mask, although some participants perceived that they were not&#13;
always understood. Twenty-one participants (40%) experienced a subjective physiological effect from wearing&#13;
the mask; most commonly a sensation of shortness of breath.&#13;
Discussion: A fit-tested modified full-face snorkel mask may offer benefit as a substitute for N95 respirators and&#13;
face shields. It is, however, important to properly select the correct mask based on size, fit testing, quality of the&#13;
three-dimensional (3D) printed parts and respiratory filter to be used. Additionally, HCWs should be trained in&#13;
the use of the mask, and each mask should be used by a single HCW and not shared.</text>
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                <text>Ronel Herselman , Vidya Lalloo , Veronica Ueckermann , Daniel J. van Tonder ,Edwin de Jager , Sandra Spijkerman , Wanda van der Merwe , Marizane du Pisane ,Fanie Hattingh , David Stanton , Ross Hofmeyr</text>
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                <text>https://doi.org/10.1016/j.afjem.2021.08.002</text>
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            <name>Date</name>
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                <text>4 August 2021</text>
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                <text>peri irawan</text>
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                <text>english</text>
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        <name>Full-face snorkel mask N95 alternatives Personal protective equipment (PPE) COVID-19 SARS-CoV-2</name>
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      <tag tagId="2017">
        <name>Jurnal Internasional Keperawatan</name>
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