Both assisted breathing methods produced little measurable air or surface viral contamination, and not more than simple oxygen therapy, while coughing produced far more aerosol than either method, the studies show.
The findings prompt the researchers to call for a thorough reassessment of the infection control measures deployed for these respiratory support methods, both of which have been categorized as ‘aerosol generating procedures’ that expose healthcare staff and other patients to a heightened infection risk.
Continuous positive airways pressure or CPAP for short, delivers a steady level of pressurized air and oxygen through a hose and mask to assist breathing; high-flow nasal oxygen or HFNO for short, pumps oxygen at a high flow rate through two small tubes in the nose.
Unlike mechanical ventilation, which requires intubation and sedation, CPAP and HFNO aren’t invasive. But they are thought to generate viral particles capable of contaminating the air and surfaces nearby, necessitating additional infection control precautions.