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用于COVID-19外科气管切开术的气溶胶提取装置的计算建模

Computational modelling of an aerosol extraction device for use in COVID-19 surgical tracheotomy.

作者信息

Calmet Hadrien, Bertomeu Pablo Ferrer, McIntyre Charlotte, Rennie Catherine, Gouder Kevin, Houzeaux Guillaume, Fletcher Christian, Still Robert, Doorly Denis

机构信息

Barcelona Supercomputing Center (BSC-CNS), Department of Computer Applications in Science and Engineering, Edificio NEXUS I, Gran Capitán 2-4, 08034 Barcelona, Spain.

Imperial College London, Department of Aeronautics, Exhibition Road, London SW7 2AZ, UK.

出版信息

J Aerosol Sci. 2022 Jan;159:105848. doi: 10.1016/j.jaerosci.2021.105848. Epub 2021 Jul 27.

Abstract

In view of the ongoing COVID-19 pandemic and its effects on global health, understanding and accurately modelling the propagation of human biological aerosols has become crucial. Worldwide, health professionals have been one of the most affected demographics, representing approximately 20% of all cases in Spain, 10% in Italy and 4% in China and US. Methods to contain and remove potentially infected aerosols during Aerosol Generating Procedures (AGPs) near source offer advantages in reducing the contamination of protective clothing and the surrounding theatre equipment and space. In this work we describe the application of computational fluid dynamics in assessing the performance of a prototype extraction hood as a means to contain a high speed aerosol jet. Whilst the particular prototype device is intended to be used during tracheotomies, which are increasingly common in the wake of COVID-19, the underlying physics can be adapted to design similar machines for other AGPs. Computational modelling aspect of this study was largely carried out by Barcelona Supercomputing Center using the high performance computational mechanics code Alya. Based on the high fidelity LES coupled with Lagrangian frameworks the results demonstrate high containment efficiency of generated particles is feasible with achievable air extraction rates.

摘要

鉴于持续的新冠疫情及其对全球健康的影响,了解并准确模拟人类生物气溶胶的传播变得至关重要。在全球范围内,医护人员是受影响最严重的人群之一,在西班牙约占所有病例的20%,在意大利占10%,在中国和美国占4%。在源头附近的气溶胶生成操作(AGP)过程中控制和去除潜在感染气溶胶的方法,对于减少防护服以及周围手术室设备和空间的污染具有优势。在这项工作中,我们描述了计算流体动力学在评估原型抽气罩性能方面的应用,该抽气罩旨在抑制高速气溶胶射流。虽然该特定原型设备旨在用于气管切开术(在新冠疫情后越来越常见),但其基本物理原理可用于为其他AGP设计类似机器。本研究的计算建模部分主要由巴塞罗那超级计算中心使用高性能计算力学代码Alya进行。基于高保真大涡模拟(LES)与拉格朗日框架,结果表明以可实现的抽气速率实现对生成颗粒的高抑制效率是可行的。

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