Inspiratory flow rates during hard work when breathing through different respirator inhalation and exhalation resistances

Added Inspiratory Resistance Does Not Impair Cognitive Function and Mood State

This study evaluated cognitive function and mood state with inspiratory resistance before and after maximal exercise in hypoxia. Nine healthy men (age = 25 ± 2 years) performed the Automated Neuropsychological Assessment Metrics-4th Edition (ANAM4) of the Stroop color-word test (SCWT) and total mood disturbance (TMD) before and after an incremental cycling exercise until volitional fatigue with four different inspiratory resistances (0, 1.5, 4.5, 7.5 cm H₂O·L^-1·s^-1). There was no significant difference in the interference score of SCWT and TMD at normobaric, hypoxic conditions at four different inspiratory resistances. However, the interference score of SCWT was improved following maximal cycling exercise, whereas TMD was not improved. Inspiratory resistance did not have a deleterious effect on cognitive function and mood state in normobaric hypoxia after maximal cycling exercise. However, following maximal cycling exercise, cognitive function was improved.

The effects of a respiratory training mask on steady-state oxygen consumption at rest and during exercise

No studies have directly measured ventilatory and metabolic responses while wearing a respiratory training mask (RTM) at rest and during exercise. Eleven aerobically fit adults (age: 21 ± 1 years) completed a randomized cross-over study while wearing an RTM or control mask during cycling at 50% Wmax. An RTM was retrofitted with a gas collection tube and set to the manufacturer's "altitude resistance" setting of 6,000 ft (1,800 m). Metabolic gas analysis, ratings of perceived exertion, and oxygen saturation (SpO2) were measured during rest and cycling exercise. The RTM did not affect metabolic, ventilation, and SpO2 at rest compared to the control mask (all, effect of condition: P > 0.05). During exercise, the RTM blunted respiratory rate and minute ventilation (effect of condition: P < 0.05) compared to control. Similar increases in VO2 and VCO2 were observed in both conditions (both, effect of condition: P > 0.05). However, the RTM led to decreased fractional expired O2 and increased fractional expired CO2 (effect of condition: P < 0.05) compared to the control mask. In addition, the RTM decreased SpO2 and increased RPE (both, effect of condition: P < 0.05) during exercise. Despite limited influence on ventilation and metabolism at rest, the RTM reduces ventilation and disrupts gas concentrations during exercise leading to modest hypoxemia.

Respirator masks protect health but impact performance: a review

Respiratory protective masks are used whenever it is too costly or impractical to remove airborne contamination from the atmosphere. Respirators are used in a wide range of occupations, form the military to medicine. Respirators have been found to interfere with many physiological and psychological aspects of task performance at levels from resting to maximum exertion. Many of these limitations have been investigated in order to determine quantitatively how much performance decrement can be expected from different levels of respirator properties. The entire system, including respirator and wearer interactions, must be considered when evaluating wearer performances. This information can help respirator designers to determine trade-offs or managers to plan to compensate for reduced productivity of wearers.

Breathing simulator of workers for respirator performance test

Breathing machines are widely used to evaluate respirator performance but they are capable of generating only limited air flow patterns, such as, sine, triangular and square waves. In order to evaluate the respirator performance in practical use, it is desirable to test the respirator using the actual breathing patterns of wearers. However, it has been a difficult task for a breathing machine to generate such complicated flow patterns, since the human respiratory volume changes depending on the human activities and workload. In this study, we have developed an electromechanical breathing simulator and a respiration sampling device to record and reproduce worker's respiration. It is capable of generating various flow patterns by inputting breathing pattern signals recorded by a computer, as well as the fixed air flow patterns. The device is equipped with a self-control program to compensate the difference in inhalation and exhalation volume and the measurement errors on the breathing flow rate. The system was successfully applied to record the breathing patterns of workers engaging in welding and reproduced the breathing patterns.

Workplace field testing of the pressure drop of particulate respirators using welding fumes

In a previous study, we concluded that respirator testing with a sodium chloride aerosol gave a conservative estimate of filter penetration for welding fume aerosols. A rapid increase in the pressure drop (PD) of some respirators was observed as fumes accumulated on the filters. The present study evaluated particulate respirator PD based on workplace field tests. A field PD tester was designed and validated using the TSI 8130 Automatic Filter Tester, designed in compliance with National Institute for Occupational and Safety and Health regulation 42 CFR part 84. Three models (two replaceable dual-type filters and one replaceable single-type filter) were evaluated against CO(2) gas arc welding on mild steel in confined booths in the workplace. Field tests were performed under four airborne concentrations (27.5, 15.4, 7.9, and 2.1 mg m(-3)). The mass concentration was measured by the gravimetric method, and number concentration was monitored using P-Trak (Model 8525, TSI, USA). Additionally, photos and scanning electron microscopy-energy dispersive X-ray spectroscopy were used to visualize and analyze the composition of welding fumes trapped in the filters. The field PD tester showed no significant difference compared with the TSI tester. There was no significant difference in the initial PD between laboratory and field results. The PD increased as a function of fume load on the respirator filters for all tested models. The increasing PD trend differed by models, and PD increased rapidly at high concentrations because greater amount of fumes accumulated on the filters in a given time. The increase in PD as a function of fume load on the filters showed a similar pattern as fume load varied for a particular model, but different patterns were observed for different models. Images and elemental analyses of fumes trapped on the respirator filters showed that most welding fumes were trapped within the first layer, outer web cover, and second layer, in order, while no fumes were observed beneath the fourth layer of the tested respirators. The current findings contribute substantially to our understanding of respirator PD in the presence of welding fumes.

Physiologically acceptable resistance of an air purifying respirator

Physiologically acceptable limits of inspiratory impediment for air purifying respirators (APRs) were sought.Measurements on 30 subjects included pressure in, and flow through, an APR, and respiratory and cardiovascular variables. Exercise with and without APR included ladder climbing, load lift and transfer, incremental running and endurance running, with endurance at 85% peak oxygen uptake. Resistance that did not alter minute ventilation (VE) was judged acceptable long-term. Acceptable short-term impediments were deduced from end exercise conditions. Proposed long-term limits are inspiratory work of breathing per tidal volume (WOBi/VT) ≤ 0.9 kPa and peak inspiratory pressure (P (i) peak) ≤1.2 kPa. Proposed short-term limits are: for VE ≤110 L min(-1), WOBi/VT ≤1.3 kPa and P (i) peak ≤ 1.8 kPa; and for VE >130 L min(-1), WOBi/VT ≤1.6 kPa. A design relation among VE, pressure–flow coefficients of an APR, and WOBi/VT is proposed. STATEMENT OF RELEVANCE: This work generalises results from one APR by considering the altered physiological parameters related to factors inhibiting exercise. Simple expressions are proposed to connect bench-test parameters to the relation between ventilation and work of breathing. Population-based recommendations recognise that those who need more air flow can also generate higher pressures.

Using CO(2) to determine inhaled contaminant volumes and blower effectiveness in several types of respirators

This experiment was conducted to determine how much contaminant could be expected to be inhaled when overbreathing several different types of respirators. These included several tight-fitting and loose-fitting powered air-purifying respirators (PAPRs) and one air-purifying respirator (APR). CO₂ was used as a tracer gas in the ambient air, and several loose-and tight-fitting respirators were tested on the head form of a breathing machine. CO₂ concentration in the exhaled breath was monitored as well as CO₂ concentration in the ambient air. This concentration ratio was able to give a measurement of protection factor, not for the respirator necessarily, but for the wearer. Flow rates in the filter/blower inlet and breathing machine outlet were also monitored, so blower effectiveness (defined as the blower contribution to inhaled air) could also be determined. Wearer protection factors were found to range from 1.1 for the Racal AirMate loose-fitting PAPR to infinity for the 3M Hood, 3M Breath-Easy PAPR, and SE 400 breath-responsive PAPR. Inhaled contaminant volumes depended on tidal volume but ranged from 2.02 L to 0 L for the same respirators, respectively. Blower effectiveness was about 1.0 for tight-fitting APRs, 0.18 for the Racal, and greater than 1.0 for two of the loose-fitting PAPRs. With blower effectiveness greater than 1.0, some blower flow during the exhalation phase contributes to the subsequent inhalation. Results from this experiment point to different ways to measure respirator efficacy.

Respirator physiological effects under simulated work conditions

This study compared the physiological impacts of two respirator types in simulated work conditions. Fifty-six subjects included normal volunteers and persons with mild respiratory impairments (chronic rhinitis, mild COPD, and mild asthma). Respiratory parameters and electrocardiogram were measured using respiratory inductive plethysmography while performing eight work tasks involving low to moderate exertion using two respirators: (1) a dual cartridge half face mask (HFM) respirator, and (2) the N95. Mixed model regression analyses evaluating the effect of task and respirator type showed that task affected tidal volume, minute ventilation, breathing frequency and heart rate; all were greater in heavier tasks. Although respirator type did not affect respiratory volume parameters and flow rates, the HFM led to increase in the inspiratory time, reduction of the expiratory time, and increase in the duty cycle in comparison with the N95. The magnitude of differences was relatively small. The results suggest that most individuals, including persons with mild respiratory impairments, will physiologically tolerate either type of respirator at low to moderate exertion tasks. However, because effective protection depends on proper use, differences in subjective effect may have greater impact than physiological differences. Using respirators may be feasible on a widespread basis if necessary for maintaining essential services in the face of widespread concern about an infectious or terrorist threat.