A quantitative evaluation of aerosol generation during manual facemask ventilation

SummaryManual facemask ventilation, a core component of elective and emergency airway management, is classified as an aerosol generating procedure. This designation is based on a single epidemiological study suggesting an association between facemask ventilation and transmission from the SARS 2003 outbreak. There is no direct evidence to indicate whether facemask ventilation is a high-risk procedure for aerosol generation. We conducted aerosol monitoring during routine facemask ventilation, and facemask ventilation with an intentionally generated leak, in anaesthetised patients with neuromuscular blockade. Recordings were made in ultraclean theatres and compared against the aerosol generated by the patient’s own tidal breathing and coughs. Respiratory aerosol from tidal breathing was reliably detected above the very low background particle concentrations (191 (77-486 [3.8-1313]) versus 2.1 (0.7-4.6 [0-12.9] particles.l-1 median(IQR)[range], n=11, p=0.002). The average aerosol concentration detected during facemask ventilation both without a leak (3.0 particles.l-1 (0 – 9 [0-43])) and with an intentional leak (11 particles.l-1 (7.0 – 26 [1-62])) was 64-fold and 17-fold lower than that of tidal breathing (p=0.001 and p=0.002 respectively). The peak particle concentration during facemask ventilation both without a leak (60 particles.l-1 (0 – 60 [0-120])) and with a leak (120 particles.l-1 (60 – 180 [60-480]) were respectively 20-fold and 10-fold lower than a cough (1260 particles (800 – 3242 [100-3682]), p=0.002 and p=0.001 respectively). This study demonstrates that facemask ventilation, even performed with an intentional leak, does not generate high levels of bioaerosol. On the basis of this evidence, facemask ventilation should not be considered an aerosol generating procedure.

Assessment of Himawari-8 AHI Aerosol Optical Depth Over Land

This study conducted the first comprehensive assessment of the aerosol optical depth (AOD) product retrieved from the observations by the Advanced Himawari Imager (AHI) onboard the Himawari-8 satellite. The AHI Level 3 AOD (Version 3.0) was evaluated using the collocated Aerosol Robotic Network (AERONET) level 2.0 direct sun AOD measurements over the last three years (May 2016–December 2018) at 58 selected AERONET sites. A comprehensive comparison between AHI and AERONET AOD was carried out, which yielded a correlation coefficient (R) of 0.82, a slope of 0.69, and a root mean square error (RMSE) of 0.16. The results indicate a good agreement between AHI and AERONET AOD, while revealing that the AHI aerosol retrieval algorithm tends to underestimate the atmospheric aerosol load. In addition, the expected uncertainty of AHI Level 3 AOD (Version 3.0) is ± (0.1 + 0.3 × AOD). Furthermore, the performance of the AHI aerosol retrieval algorithm exhibits regional variation. The best performance is reported over East Asia (R 0.86), followed by Southeast Asia (R 0.79) and Australia (R 0.35). The monthly and seasonal comparisons between AHI and AERONET show that the best performance is found in summer (R 0.93), followed by autumn (R 0.84), winter (R 0.82), and spring (R 0.76). The worst performance was observed in March (R 0.75), while the best performance appeared in June (R 0.94). The variation in the annual mean AHI AOD on the scale of hours demonstrates that AHI can perform continuous (no less than ten hours) aerosol monitoring.

Evaluation of Landsat-8 and Sentinel-2A Aerosol Optical Depth Retrievals across Chinese Cities and Implications for Medium Spatial Resolution Urban Aerosol Monitoring

In urban environments, aerosol distributions may change rapidly due to building and transport infrastructure and human population density variations. The recent availability of medium resolution Landsat-8 and Sentinel-2 satellite data provide the opportunity for aerosol optical depth (AOD) estimation at higher spatial resolution than provided by other satellites. AOD retrieved from 30 m Landsat-8 and 10 m Sentinel-2A data using the Land Surface Reflectance Code (LaSRC) were compared with coincident ground-based Aerosol Robotic Network (AERONET) Version 3 AOD data for 20 Chinese cities in 2016. Stringent selection criteria were used to select contemporaneous data; only satellite and AERONET data acquired within 10 min were considered. The average satellite retrieved AOD over a 1470 m × 1470 m window centered on each AERONET site was derived to capture fine scale urban AOD variations. AERONET Level 1.5 (cloud-screened) and Level 2.0 (cloud-screened and also quality assured) data were considered. For the 20 urban AERONET sites in 2016 there were 106 (Level 1.5) and 67 (Level 2.0) Landsat-8 AERONET AOD contemporaneous data pairs, and 118 (Level 1.5) and 89 (Level 2.0) Sentinel-2A AOD data pairs. The greatest AOD values (>1.5) occurred in Beijing, suggesting that the Chinese capital was one of the most polluted cities in China in 2016. The LaSRC Landsat-8 and Sentinel-2A AOD retrievals agreed well with the AERONET AOD data (linear regression slopes > 0.96; coefficient of determination r2 > 0.90; root mean square deviation < 0.175) and demonstrate that the LaSRC is an effective and applicable medium resolution AOD retrieval algorithm over urban environments. The Sentinel-2A AOD retrievals had better accuracy than the Landsat-8 AOD retrievals, which is consistent with previously published research. The implications of the research and the potential for urban aerosol monitoring by combining the freely available Landsat-8 and Sentinel-2 satellite data are discussed.

Performance stabilization of scintillation spectrometers for aerosol monitoring

The article presents the results of the development of the scintillation gamma spectrometers, based on NaI(Tl), LaBr3 or SrI2(Eu) scintillators, intended for aerosol monitoring over a wide temperature range. The stabilization of the characteristics is provided by applying various stabilization methods of the spectrometric chain. The estimation of the impact of those methods on the stability of the characteristics of the developed radiation spectrometer is provided.

Optimization of the lidar optical design for measurement of the aerosol extinction vertical profile

A lidar for aerosol monitoring with conventional optical design can provide good quality signals from several hundred meters up to tens of kilometres above the ground, but the aerosol load is mainly contained (up to 80%) in the planetary boundary layer that can have a height of only hundreds of meters above the ground level. Therefore, the measurement of the complete aerosol extinction profile is generally a very difficult challenge. In this paper, we proposed an optical design of lidar systems able of producing signals starting from a few tens of meters above the ground. The overlap profiles obtained from an optimized lidar was compared with ray tracing simulations and further conventional lidar apparatuses.