Asset Details
Do you wish to reserve the book?
Invasive ventilator exhaust in critical care: aerosol transmission risks and management strategies-a narrative review
Hey, we have placed the reservation for you!
By the way, why not check out events that you can attend while you pick your title.
Oops! Something went wrong.
Looks like we were not able to place the reservation. Kindly try again later.
Are you sure you want to remove the book from the shelf?
Invasive ventilator exhaust in critical care: aerosol transmission risks and management strategies-a narrative review
Do you wish to request the book?
Invasive ventilator exhaust in critical care: aerosol transmission risks and management strategies-a narrative review
Please be aware that the book you have requested cannot be checked out. If you would like to checkout this book, you can reserve another copy
We have requested the book for you!
Your request is successful and it will be processed during the Library working hours. Please check the status of your request in My Requests.
Oops! Something went wrong.
Looks like we were not able to place your request. Kindly try again later.
Journal Article
Invasive ventilator exhaust in critical care: aerosol transmission risks and management strategies-a narrative review
2025
Overview
Invasive mechanical ventilation (IMV) is essential in intensive care, yet aerosols released with ventilator exhaust remain an under-recognized source of airborne transmission and occupational exposure. This review outlines how exhaust-borne aerosols are generated and dispersed in clinical workflows, with amplification during airway suctioning, therapeutic nebulization, and inhaled volatile sedation. We compare principal mitigation options-including heat-and-moisture exchanger (HME) devices and high-efficiency particulate air filtration (HEPA), directed discharge, and chemical inactivation-across effectiveness, operational complexity, adaptability, and strength of evidence. Building on a patient-device-environment framework, we propose a scenario-based, three-tier prevention strategy that aligns patient-side filtration, circuit and exhaust-end control, and ICU room-level airflow engineering with context-appropriate monitoring.
Conclusion
: Ventilator-exhaust management is feasible with current technologies, but standardized performance indicators and multicenter studies are needed to quantify reductions in cross-infection and occupational exposure and to inform harmonized technical standards and guidance.
Graphical abstract
Publisher
BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
Subject
/ Bacteria
/ Biofilms
/ COVID-19
/ Emergency communications systems
/ Gases
/ Humans
/ Medicine
/ Multidrug resistant organisms
/ Occupational Exposure - prevention & control
/ Patients
/ Respiration, Artificial - adverse effects
/ Respiration, Artificial - instrumentation
/ Respiration, Artificial - methods
/ Review
/ Severe acute respiratory syndrome coronavirus 2
/ Strategic planning (Business)
/ Ventilators, Mechanical - adverse effects
/ Ventilators, Mechanical - standards
/ VOCs
