Surfactant Partitioning Dynamics in Freshly Generated Aerosol Droplets.

Aerosol droplets are unique microcompartments with relevance to areas as diverse as materials and chemical synthesis, atmospheric chemistry, and cloud formation. Observations of highly accelerated and unusual chemistry taking place in such droplets have challenged our understanding of chemical kinetics in these microscopic systems. Due to their large surface-area-to-volume ratios, interfacial processes can play a dominant role in governing chemical reactivity and other processes in droplets. Quantitative knowledge about droplet surface properties is required to explain reaction mechanisms and product yields. However, our understanding of the compositions and properties of these dynamic, microscopic interfaces is poor compared to our understanding of bulk processes. Here, we measure the dynamic surface tensions of 14-25 µm radius (11-65 pL) droplets containing a strong surfactant (either sodium dodecyl sulfate or octyl-ß-D-thioglucopyranoside) using a stroboscopic imaging approach, enabling observation of the dynamics of surfactant partitioning to the droplet-air interface on time scales of 10s to 100s of microseconds after droplet generation. The experimental results are interpreted with a state-of-the-art kinetic model accounting for the unique high surface-area-to-volume ratio inherent to aerosol droplets, providing insights into both the surfactant diffusion and adsorption kinetics as well as the time-dependence of the interfacial surfactant concentration. This study demonstrates that microscopic droplet interfaces can take up to many milliseconds to reach equilibrium. Such time scales should be considered when attempting to explain observations of accelerated chemistry in microcompartments.

The surface tension of surfactant-containing, finite volume droplets.

Surface tension influences the fraction of atmospheric particles that become cloud droplets. Although surfactants are an important component of aerosol mass, the surface tension of activating aerosol particles is still unresolved, with most climate models assuming activating particles have a surface tension equal to that of water. By studying picoliter droplet coalescence, we demonstrate that surfactants can significantly reduce the surface tension of finite-sized droplets below the value for water, consistent with recent field measurements. Significantly, this surface tension reduction is droplet size-dependent and does not correspond exactly to the macroscopic solution value. A fully independent monolayer partitioning model confirms the observed finite-size-dependent surface tension arises from the high surface-to-volume ratio in finite-sized droplets and enables predictions of aerosol hygroscopic growth. This model, constrained by the laboratory measurements, is consistent with a reduction in critical supersaturation for activation, potentially substantially increasing cloud droplet number concentration and modifying radiative cooling relative to current estimates assuming a water surface tension. The results highlight the need for improved constraints on the identities, properties, and concentrations of atmospheric aerosol surfactants in multiple environments and are broadly applicable to any discipline where finite volume effects are operative, such as studies of the competition between reaction rates within the bulk and at the surface of confined volumes and explorations of the influence of surfactants on dried particle morphology from spray driers.

Identification of the source events for aerosol generation during oesophago-gastro-duodenoscopy.

OBJECTIVE: To determine if oesophago-gastro-duodenoscopy (OGD) generates increased levels of aerosol in conscious patients and identify the source events. DESIGN: A prospective, environmental aerosol monitoring study, undertaken in an ultraclean environment, on patients undergoing OGD. Sampling was performed 20 cm away from the patient's mouth using an optical particle sizer. Aerosol levels during OGD were compared with tidal breathing and voluntary coughs within subject. RESULTS: Patients undergoing bariatric surgical assessment were recruited (mean body mass index 44 and mean age 40 years, n=15). A low background particle concentration in theatres (3 L-1) enabled detection of aerosol generation by tidal breathing (mean particle concentration 118 L-1). Aerosol recording during OGD showed an average particle number concentration of 595 L-1 with a wide range (3-4320 L-1). Bioaerosol-generating events, namely, coughing or burping, were common. Coughing was evoked in 60% of the endoscopies, with a greater peak concentration and a greater total number of sampled particles than the patient's reference voluntary coughs (11 710 vs 2320 L-1 and 780 vs 191 particles, n=9 and p=0.008). Endoscopies with coughs generated a higher level of aerosol than tidal breathing, whereas those without coughs were not different to the background. Burps also generated increased aerosol concentration, similar to those recorded during voluntary coughs. The insertion and removal of the endoscope were not aerosol generating unless a cough was triggered. CONCLUSION: Coughing evoked during OGD is the main source of the increased aerosol levels, and therefore, OGD should be regarded as a procedure with high risk of producing respiratory aerosols. OGD should be conducted with airborne personal protective equipment and appropriate precautions in those patients who are at risk of having COVID-19 or other respiratory pathogens.

Are aerosols generated during lung function testing in patients and healthy volunteers? Results from the AERATOR study.

Pulmonary function tests are fundamental to the diagnosis and monitoring of respiratory diseases. There is uncertainty around whether potentially infectious aerosols are produced during testing and there are limited data on mitigation strategies to reduce risk to staff. Healthy volunteers and patients with lung disease underwent standardised spirometry, peak flow and FENO assessments. Aerosol number concentration was sampled using an aerodynamic particle sizer and an optical particle sizer. Measured aerosol concentrations were compared with breathing, speaking and voluntary coughing. Mitigation strategies included a standard viral filter and a full-face mask normally used for exercise testing (to mitigate induced coughing). 147 measures were collected from 33 healthy volunteers and 10 patients with lung disease. The aerosol number concentration was highest in coughs (1.45-1.61 particles/cm3), followed by unfiltered peak flow (0.37-0.76 particles/cm3). Addition of a viral filter to peak flow reduced aerosol emission by a factor of 10 without affecting the results. On average, coughs produced 22 times more aerosols than standard spirometry (with filter) in patients and 56 times more aerosols in healthy volunteers. FENO measurement produced negligible aerosols. Cardiopulmonary exercise test (CPET) masks reduced aerosol emission when breathing, speaking and coughing significantly. Lung function testing produces less aerosols than voluntary coughing. CPET masks may be used to reduce aerosol emission from induced coughing. Standard viral filters are sufficiently effective to allow guidelines to remove lung function testing from the list of aerosol-generating procedures.

Aerosol emission from the respiratory tract: an analysis of aerosol generation from oxygen delivery systems.

INTRODUCTION: continuous positive airway pressure (CPAP) and high-flow nasal oxygen (HFNO) provide enhanced oxygen delivery and respiratory support for patients with severe COVID-19. CPAP and HFNO are currently designated as aerosol-generating procedures despite limited high-quality experimental data. We aimed to characterise aerosol emission from HFNO and CPAP and compare with breathing, speaking and coughing. MATERIALS AND METHODS: Healthy volunteers were recruited to breathe, speak and cough in ultra-clean, laminar flow theatres followed by using CPAP and HFNO. Aerosol emission was measured using two discrete methodologies, simultaneously. Hospitalised patients with COVID-19 had cough recorded using the same methodology on the infectious diseases ward. RESULTS: In healthy volunteers (n=25 subjects; 531 measures), CPAP (with exhalation port filter) produced less aerosol than breathing, speaking and coughing (even with large >50 L/min face mask leaks). Coughing was associated with the highest aerosol emissions of any recorded activity. HFNO was associated with aerosol emission, however, this was from the machine. Generated particles were small (<1 µm), passing from the machine through the patient and to the detector without coalescence with respiratory aerosol, thereby unlikely to carry viral particles. More aerosol was generated in cough from patients with COVID-19 (n=8) than volunteers. CONCLUSIONS: In healthy volunteers, standard non-humidified CPAP is associated with less aerosol emission than breathing, speaking or coughing. Aerosol emission from the respiratory tract does not appear to be increased by HFNO. Although direct comparisons are complex, cough appears to be the main aerosol-generating risk out of all measured activities.

Surface Tensions of Picoliter Droplets with Sub-Millisecond Surface Age.

Aerosols are key components of the atmosphere and play important roles in many industrial processes. Because aerosol particles have high surface-to-volume ratios, their surface properties are especially important. However, direct measurement of the surface properties of aerosol particles is challenging. In this work, we describe an approach to measure the surface tension of picoliter volume droplets with surface age <1 ms by resolving their dynamic oscillations in shape immediately after ejection from a microdroplet dispenser. Droplet shape oscillations are monitored by highly time-resolved (500 ns) stroboscopic imaging, and droplet surface tension is accurately retrieved across a wide range of droplet sizes (10-25 µm radius) and surface ages (down to ∼100 µs). The approach is validated for droplets containing sodium chloride, glutaric acid, and water, which all show no variation in surface tension with surface age. Experimental results from the microdroplet dispenser approach are compared to complementary surface tension measurements of 5-10 µm radius droplets with aged surfaces using a holographic optical tweezers approach and predictions of surface tension using a statistical thermodynamic model. These approaches combined will allow investigation of droplet surface tension across a wide range of droplet sizes, compositions, and surface ages.

Mechanisms of Atmospherically Relevant Cluster Growth.

Atmospheric aerosols impact global climate either directly by scattering solar radiation or indirectly by serving as cloud condensation nuclei, which influence cloud albedo and precipitation patterns. Our scientific understanding of these impacts is poor relative to that of, for instance, greenhouse gases, in part because it is difficult to predict particle number concentrations. One important pathway by which particles are added to the atmosphere is new particle formation, where gas phase precursors form molecular clusters that subsequently grow to the climatically relevant size range (50-100 nm diameter). It is predicted that up to 50% of atmospheric particles arise from this process, but the key initial chemical processes are poorly resolved. In general, a combination of inorganic and organic molecules are thought to contribute to new particle formation, but the chemical composition of molecular clusters and pathways by which they grow to larger sizes is unclear. Cluster growth is a key component of new particle formation, as it governs whether molecular clusters will become climatically relevant. This Account discusses our recent work to understand the mechanisms underlying new particle growth. Atmospherically relevant molecular clusters containing the likely key contributors to new particle formation (sulfuric acid, ammonia, amines, and water) were investigated experimentally by Fourier transform mass spectrometry as well as computationally by density functional theory. Our laboratory experiments investigated the molecular composition of charged clusters, the molecular pathways by which these clusters may grow, and the kinetics of base incorporation into them. Computational chemistry allowed confirmation and rationalization of the experimental results for charged clusters and extension of these principles to uncharged and hydrated clusters that are difficult to study by mass spectrometry. This combination of approaches enabled us to establish a framework for cluster growth involving sulfuric acid, ammonia, amines, and water. Charged or uncharged, cluster growth occurs primarily through an ammonium (or aminium) bisulfate coordinate. In these clusters, proton transfer is maximized between acids and bases to produce cations (ammonium, aminium) and anions (bisulfate), whereas additional molecules (water and unneutralized sulfuric acid) remain un-ionized. Experimental measurements suggest the growth of positively charged clusters occurs by successive acidification and neutralization steps. The acidification step is nearly barrierless, whereas the neutralization step exhibits a significant activation barrier in the case of ammonia. Bases are also incorporated into these clusters by displacement of one base for another. Base displacement is barrierless on the cluster surface but not within the cluster core. The favorability of amines relative to ammonia in charged clusters is governed by the trade-off between gas phase basicity and binding energetics. Computational studies indicate that water has a relatively small effect on cluster energetics. In short, amines are effective at assisting the formation and initial growth of clusters but become less important as cluster size increases, especially when hydration is considered. More generally, this work shows how experiment and computation can provide important, complementary information to address problems of environmental interest.

Coalescence Sampling and Analysis of Aerosols using Aerosol Optical Tweezers.

We present a first exploratory study to assess the use of aerosol optical tweezers as an instrument for sampling and detecting accumulation- and coarse-mode aerosol. A subpicoliter aqueous aerosol droplet is captured in the optical trap and used as a sampling volume, accreting mass from a free-flowing aerosol generated by a medical nebulizer or atomizer. Real-time measurements of the initial stability in size, refractive index, and composition of the sampling droplet inferred from Raman spectroscopy confirm that these quantities can be measured with high accuracy and low noise. Typical standard deviations in size and refractive index of the sampling droplet over a period of 200 s are <±2 nm and <±0.0005, respectively, equivalent to <±0.04% in both measured quantities. A standard deviation of <±1% over a 200 s period is achieved in the spontaneous Raman intensity measurement. When sampling coarse-mode aerosol, mass changes of <10 pg can be detected by the sampling droplet as discrete coalescence events. With accumulation-mode aerosol, we show that fluxes as low as 0.068 pg s-1 can be detected over a 50 s period, equivalent to ∼3 pg of sampled material.

Accurate representations of the physicochemical properties of atmospheric aerosols: when are laboratory measurements of value?

Laboratory studies can provide important insights into the processes that occur at the scale of individual particles in ambient aerosol. We examine the accuracies of measurements of core physicochemical properties of aerosols that can be made in single particle studies and explore the impact of these properties on the microscopic processes that occur in ambient aerosol. Presenting new measurements, we examine here the refinements in our understanding of aerosol hygroscopicity, surface tension, viscosity and optical properties that can be gained from detailed laboratory measurements for complex mixtures through to surrogates for secondary organic atmospheric aerosols.

Statistical Thermodynamic Model for Surface Tension of Organic and Inorganic Aqueous Mixtures.

The surface composition and tensions of aqueous aerosols govern a set of processes that largely determine the fate of particles in the atmosphere. Predictive modeling of surface tension can provide significant contributions to studies of atmospheric aerosol effects on climate and human health. A previously derived surface tension model for single solute aqueous solutions used adsorption isotherms and statistical mechanics to enable surface tension predictions across the entire concentration range as a function of solute activity. Here, we extend the model derivation to address multicomponent solutions and demonstrate its accuracy with systems containing mixtures of electrolytes and organic solutes. Binary model parameters are applied to the multicomponent model, requiring no further parametrization for mixtures. Five ternary systems are studied here and represent three types of solute combinations: organic-organic (glycerol-ethanol), electrolyte-organic (NaCl-succinic acid, NaCl-glutaric acid), and electrolyte-electrolyte (NaCl-KCl and NH4NO3-(NH4)2SO4). For the NaCl-glutaric acid system, experimental measurements of picoliter droplet surface tension using aerosol optical tweezers show excellent agreement with the model predictions.

Perspective: Aerosol microphysics: From molecules to the chemical physics of aerosols.

Aerosols are found in a wide diversity of contexts and applications, including the atmosphere, pharmaceutics, and industry. Aerosols are dispersions of particles in a gas, and the coupling of the two phases results in highly dynamic systems where chemical and physical properties like size, composition, phase, and refractive index change rapidly in response to environmental perturbations. Aerosol particles span a wide range of sizes from 1 nm to tens of micrometres or from small molecular clusters that may more closely resemble gas phase molecules to large particles that can have similar qualities to bulk materials. However, even large particles with finite volumes exhibit distinct properties from the bulk condensed phase, due in part to their higher surface-to-volume ratio and their ability to easily access supersaturated solute states inaccessible in the bulk. Aerosols represent a major challenge for study because of the facile coupling between the particle and gas, the small amounts of sample available for analysis, and the sheer breadth of operative processes. Time scales of aerosol processes can be as short as nanoseconds or as long as years. Despite their very different impacts and applications, fundamental chemical physics processes serve as a common theme that underpins our understanding of aerosols. This perspective article discusses challenges in the study of aerosols and highlights recent chemical physics advancements that have enabled improved understanding of these complex systems.

Measurements and Predictions of Binary Component Aerosol Particle Viscosity.

Organic aerosol particles are known to often absorb/desorb water continuously with change in gas phase relative humidity (RH) without crystallization. Indeed, the prevalence of metastable ultraviscous liquid or amorphous phases in aerosol is well-established with solutes often far exceeding bulk phase solubility limits. Particles are expected to become increasingly viscous with drying, a consequence of the plasticizing effect of water. We report here measurements of the variation in aerosol particle viscosity with RH (equal to condensed phase water activity) for a range of organic solutes including alcohols (diols to hexols), saccharides (mono-, di-, and tri-), and carboxylic acids (di-, tri-, and mixtures). Particle viscosities are measured over a wide range (10-3 to 1010 Pa s) using aerosol optical tweezers, inferring the viscosity from the time scale for a composite particle to relax to a perfect sphere following the coalescence of two particles. Aerosol measurements compare well with bulk phase studies (well-within an order of magnitude deviation at worst) over ranges of water activity accessible to both. Predictions of pure component viscosity from group contribution approaches combined with either nonideal or ideal mixing reproduce the RH-dependent trends particularly well for the alcohol, di-, and tricarboxylic acid systems extending up to viscosities of 104 Pa s. By contrast, predictions overestimate the viscosity by many orders of magnitude for the mono-, di-, and trisaccharide systems, components for which the pure component subcooled melt viscosities are ≫1012 Pa s. When combined with a typical scheme for simulating the oxidation of α-pinene, a typical atmospheric pathway to secondary organic aerosol (SOA), these predictive tools suggest that the pure component viscosities are less than 106 Pa s for ∼97% of the 50,000 chemical products included in the scheme. These component viscosities are consistent with the conclusion that the viscosity of α-pinene SOA is most likely in the range 105 to 108 Pa s. Potential improvements to the group contribution predictive tools for pure component viscosities are considered.

Dynamic measurements and simulations of airborne picolitre-droplet coalescence in holographic optical tweezers.

We report studies of the coalescence of pairs of picolitre aerosol droplets manipulated with holographic optical tweezers, probing the shape relaxation dynamics following coalescence by simultaneously monitoring the intensity of elastic backscattered light (EBL) from the trapping laser beam (time resolution on the order of 100 ns) while recording high frame rate camera images (time resolution <10 µs). The goals of this work are to: resolve the dynamics of droplet coalescence in holographic optical traps; assign the origin of key features in the time-dependent EBL intensity; and validate the use of the EBL alone to precisely determine droplet surface tension and viscosity. For low viscosity droplets, two sequential processes are evident: binary coalescence first results from the overlap of the optical traps on the time scale of microseconds followed by the recapture of the composite droplet in an optical trap on the time scale of milliseconds. As droplet viscosity increases, the relaxation in droplet shape eventually occurs on the same time scale as recapture, resulting in a convoluted evolution of the EBL intensity that inhibits quantitative determination of the relaxation time scale. Droplet coalescence was simulated using a computational framework to validate both experimental approaches. The results indicate that time-dependent monitoring of droplet shape from the EBL intensity allows for robust determination of properties such as surface tension and viscosity. Finally, the potential of high frame rate imaging to examine the coalescence of dissimilar viscosity droplets is discussed.

Silicon is a frequent component of atmospheric nanoparticles.

Nanoparticles are the largest fraction of aerosol loading by number. Knowledge of the chemical components present in nanoparticulate matter is needed to understand nanoparticle health and climatic impacts. In this work, we present field measurements using the Nano Aerosol Mass Spectrometer (NAMS), which provides quantitative elemental composition of nanoparticles around 20 nm diameter. NAMS measurements indicate that the element silicon (Si) is a frequent component of nanoparticles. Nanoparticulate Si is most abundant in locations heavily impacted by anthropogenic activities. Wind direction correlations suggest the sources of Si are diffuse, and diurnal trends suggest nanoparticulate Si may result from photochemical processing of gas phase Si-containing compounds, such as cyclic siloxanes. Atmospheric modeling of oxidized cyclic siloxanes is consistent with a diffuse photochemical source of aerosol Si. More broadly, these observations indicate a previously overlooked anthropogenic source of nanoaerosol mass. Further investigation is needed to fully resolve its atmospheric role.

Activation barriers in the growth of molecular clusters derived from sulfuric acid and ammonia.

Unraveling the chemical mechanism of atmospheric new particle formation (NPF) has important implications for the broader understanding of the role of aerosols in global climate. We present computational results of the transition states and activation barriers for growth of atmospherically relevant positively charged molecular clusters containing ammonia and sulfuric acid. Sulfuric acid uptake onto the investigated clusters has a small activation free-energy barrier, consistent with nearly collision-limited uptake. Ammonia uptake requires significant reorganization of ions in the preexisting cluster, which yields an activation barrier on the order of 29-53 kJ/mol for the investigated clusters. For this reason, ammonia uptake onto positively charged clusters may be too slow for cluster growth to proceed by the currently accepted mechanism of stepwise addition of sulfuric acid followed by ammonia. The results presented here may have important implications for modeling atmospheric NPF and nanoparticle growth, which typically does not consider an activation barrier along the growth pathway and usually assumes collision-limited molecular uptake.

Fragmentation energetics of clusters relevant to atmospheric new particle formation.

The exact mechanisms by which small clusters form and grow in the atmosphere are poorly understood, but this process may significantly impact cloud condensation nuclei number concentrations and global climate. Sulfuric acid is the key chemical component to new particle formation (NPF), but basic species such as ammonia are also important. Few laboratory experiments address the kinetics or thermodynamics of acid and base incorporation into small clusters. This work utilizes a Fourier transform ion cyclotron resonance mass spectrometer equipped with surface-induced dissociation to investigate time- and collision-energy-resolved fragmentation of positively charged ammonium bisulfate clusters. Critical energies for dissociation are obtained from Rice-Ramsperger-Kassel-Marcus/quasi-equilibrium theory modeling of the experimental data and are compared to quantum chemical calculations of the thermodynamics of cluster dissociation. Fragmentation of ammonium bisulfate clusters occurs by two pathways: (1) a two-step pathway whereby the cluster sequentially loses ammonia followed by sulfuric acid and (2) a one-step pathway whereby the cluster loses an ammonium bisulfate molecule. Experimental critical energies for loss of an ammonia molecule and loss of an ammonium bisulfate molecule are higher than the thermodynamic values. If cluster growth is considered the reverse of cluster fragmentation, these results require the presence of an activation barrier to describe the incorporation of ammonia into small acidic clusters and suggest that kinetically (i.e., diffusion) limited growth should not be assumed. An important corollary is that models of atmospheric NPF should be revised to consider activation barriers to individual chemical steps along the growth pathway.

Physical properties of short chain aqueous organosulfate aerosol.

Organosulfates comprise up to 30% of the organic fraction of aerosol. Organosulfate aerosol physical properties, such as water activity, density, refractive index, and surface tension, are key to predicting their impact on global climate. However, current understanding of these properties is limited. Here, we measure the physical properties of aqueous solutions containing sodium methyl or ethyl sulfate and parameterise the data as a function of solute concentration. The experimental data are compared to available literature data for organosulfates, as well as salts (sodium sulfate and sodium bisulfate) and organics (short alkyl chain length alcohols and carboxylic acids) to determine if the physical properties of organosulfates can be approximated by molecules of similar functionality. With the exception of water activity, we find that organosulfates have intermediate physical properties between those of the salts and short alkyl chain organics. This work highlights the importance of measuring and developing models for the physical properties of abundant atmospheric organosulfates in order to better describe aerosol's impact on climate.

Surface-Area-to-Volume Ratio Determines Surface Tensions in Microscopic, Surfactant-Containing Droplets.

The surface composition of aerosol droplets is central to predicting cloud droplet number concentrations, understanding atmospheric pollutant transformation, and interpreting observations of accelerated droplet chemistry. Due to the large surface-area-to-volume ratios of aerosol droplets, adsorption of surfactant at the air-liquid interface can deplete the droplet's bulk concentration, leading to droplet surface compositions that do not match those of the solutions that produced them. Through direct measurements of individual surfactant-containing, micrometer-sized droplet surface tensions, and fully independent predictive thermodynamic modeling of droplet surface tension, we demonstrate that, for strong surfactants, the droplet's surface-area-to-volume ratio becomes the key factor in determining droplet surface tension rather than differences in surfactant properties. For the same total surfactant concentration, the surface tension of a droplet can be >40 mN/m higher than that of the macroscopic solution that produced it. These observations indicate that an explicit consideration of surface-area-to-volume ratios is required when investigating heterogeneous chemical reactivity at the surface of aerosol droplets or estimating aerosol activation to cloud droplets.

Diathermy and bone sawing are high aerosol yield procedures.

Aims: Orthopaedic surgery uses many varied instruments with high-speed, high-impact, thermal energy and sometimes heavy instruments, all of which potentially result in aerosolization of contaminated blood, tissue, and bone, raising concerns for clinicians' health. This study quantifies the aerosol exposure by measuring the number and size distribution of the particles reaching the lead surgeon during key orthopaedic operations. Methods: The aerosol yield from 17 orthopaedic open surgeries (on the knee, hip, and shoulder) was recorded at the position of the lead surgeon using an Aerodynamic Particle Sizer (APS; 0.5 to 20 µm diameter particles) sampling at 1 s time resolution. Through timestamping, detected aerosol was attributed to specific procedures. Results: Diathermy (electrocautery) and oscillating bone saw use had a high aerosol yield (> 100 particles detected per s) consistent with high exposure to aerosol in the respirable range (< 5 µm) for the lead surgeon. Pulsed lavage, reaming, osteotome use, and jig application/removal were medium aerosol yield (10 to 100 particles s-1). However, pulsed lavage aerosol was largely attributed to the saline jet, osteotome use was always brief, and jig application/removal had a large variability in the associated aerosol yield. Suctioning (with/without saline irrigation) had a low aerosol yield (< 10 particles s-1). Most surprisingly, other high-speed procedures, such as drilling and screwing, had low aerosol yields. Conclusion: This work suggests that additional precautions should be recommended for diathermy and bone sawing, such as enhanced personal protective equipment or the use of suction devices to reduce exposure.