Development of a cobinamide-based end-of-service-life indicator for detection of hydrogen cyanide gas.

We describe an inexpensive paper-based sensor for rapid detection of low concentrations (ppm) of hydrogen cyanide gas. A piece of filter paper pre-spotted with a dilute monocyanocobinamide [CN(H2O)Cbi] solution was placed on the end of a bifurcated optical fiber and the reflectance spectrum of the CN(H2O)Cbi was monitored during exposure to 1.0-10.0 ppm hydrogen cyanide gas. Formation of dicyanocobinamide yielded a peak at 583 nm with a simultaneous decrease in reflectance from 450-500 nm. Spectral changes were monitored as a function of time at several relative humidity values: 25, 50, and 85% relative humidity. With either cellulose or glass fiber papers, spectral changes occurred within 10 s of exposure to 5.0 ppm hydrogen cyanide gas (NIOSH recommended short-term exposure limit). We conclude that this sensor could provide a real-time end-of-service-life alert to a respirator user.

Establishing a quality control program: ensuring safety from contamination for recycled metered-dose inhalers.

BACKGROUND: Recycling metered-dose inhalers (MDIs) is an effective method to conserve medications resulting in significant cost savings to the hospital. A noted limitation in some reports is the potential for cross-contamination. OBJECTIVE: To implement a quality control program to monitor and validate the safety of recycled MDIs for institutional reuse. METHODS: A quality control program was conducted from December 2012 to May 2013. At a 257-bed acute care facility, MDIs are administered to a single patient using a patient-specific valved holding chamber and then returned to the pharmacy for cleaning with 70% isopropyl alcohol prior to re-dispensing to a new patient. Ten percent of MDIs from 3 categories were categorized: prior to pharmacy cleaning, after pharmacy cleaning, and new/unused control group each month. The mouthpiece and canister spray tip from each MDI were tested. Any bacterial growth was documented. A secondary test was conducted to ensure that artificially contaminated MDIs could be cleaned with current cleaning procedures. Cost savings measures were also quantified. RESULTS: There was no bacterial growth on the 17 recycled MDIs cultured prior to the cleaning process. Bacteria did not grow on any of the 33 recycled MDIs cleaned with 70% isopropyl alcohol. Likewise, in the control group of 33 new/unused control MDIs, there was no bacterial growth. No bacteria growth was found after cleaning each artificially contaminated MDI. Total drug cost savings during the study period was approximately $130,000. CONCLUSIONS: Establishing a strict quality control program is paramount to validating a safe and effective recycled MDI procedure.

Pilot study of aromatic hydrocarbon adsorption characteristics of disposable filtering facepiece respirators that contain activated carbon.

Disposable filtering facepiece respirators (FFRs) used by health care workers are not designed to reduce the inhalation of volatile organic compounds (VOCs). Smoke-generating surgical procedures release VOCs and have been associated with the following complaints: foul smell, headaches, nausea, irritated throat and lungs, and asthma. Organic vapor FFRs that contain activated carbon are used by industrial workers to provide odor relief. These respirators remove irritating odors but are not marketed as respirators that provide respiratory protection against a gas or vapor. This study investigated the aromatic hydrocarbon adsorption capabilities of nuisance organic vapor (OV) FFRs. Three OV FFR models were tested to determine the 10% breakthrough time of three aromatic hydrocarbons at ambient room temperature and relative humidity. All respirator models were exposed to each vapor separately in three duplicate tests (n = 27). The respirator was sealed with silicone to an AVON-ISI headform that was placed in a chamber and exposed to VOC-laden air (20 ppm, 37 L/min). Periodically, gas samples were directed to an SRI gas chromatograph (Model 8610C) for analysis. All respirators performed similarly. The average 10% breakthrough values for all tests were at least 64 min, 96 min, and 110 min for benzene, toluene, and xylene, respectively. Respirators were tested with challenge concentrations at nuisance levels (20 ppm) and did not exceed 10% breakthrough values for at least 61 min. While the results of this pilot study hold promise, there is a need for further investigation and validation to determine the effectiveness of nuisance FFRs in mitigating organic vapors such as benzene, toluene, and xylene.

Estimating reusability of organic air-purifying respirator cartridges.

Reuse of organic vapor air-purifying respirator cartridges after a job or shift can provide economy and energy savings. However, standards and manufacturers' guidance discourage reuse, presumably due to a lack of quantitative objective exposure and use information. Storage and simulated reuse laboratory studies and modeling have been done to provide such information. Two important parameters of breakthrough curves, midpoint time (related to adsorption capacity) and midpoint slope (related to adsorption rate), have been shown to be unchanged during storage for reuse. Extrapolations to smaller breakthrough concentrations and times can be made from this reference breakthrough and time. Significant step increases in breakthrough concentration upon cartridge reuse have been observed in some cases. Values of immediate breakthrough concentrations upon reuse (IBURs) have been measured and correlated. The Dubinin/Radushkevich adsorption isotherm equation has been used to estimate maximum IBURs, which depend on many factors, including conditions and duration of first use. An empirical equation describing rate of approach to maximum IBUR as a function of storage time has been developed to provide intermediate IBUR estimates, which are also very dependent on the vapor identity and extent of first-use loading. Using these equations, IBUR estimates with appropriate safety factors can be compared with the allowable breakthrough concentration to help the Industrial Hygienist make reusability decisions.

Robust gold nanoparticles stabilized by trithiol for application in chemiresistive sensors.

The use of gold nanoparticles coated with an organic monolayer of thiol for application in chemiresistive sensors was initiated in the late 1990s; since then, such types of sensors have been widely pursued due to their high sensitivities and reversible responses to volatile organic compounds (VOCs). However, a major issue for chemical sensors based on thiol-capped gold nanoparticles is their poor long-term stability as a result of slow degradation of the monothiol-to-gold bonds. We have devised a strategy to overcome this limitation by synthesizing a more robust system using Au nanoparticles capped by trithiol ligands. Compared to its monothiol counterpart, the new system is significantly more stable and also shows improved sensitivity towards different types of polar or non-polar VOCs. Thus, the trithiol-Au nanosensor shows great promise for use in real world applications.

Development of an Inexpensive RGB Color Sensor for the Detection of Hydrogen Cyanide Gas.

An inexpensive red, green, blue (RGB) color sensor was developed for detecting low ppm concentrations of hydrogen cyanide gas. A piece of glass fiber filter paper containing monocyanocobinamide [CN(H2O)Cbi] was placed directly above the RGB color sensor and an on chip LED. Light reflected from the paper was monitored for RGB color change upon exposure to hydrogen cyanide at concentrations of 1.0-10.0 ppm as a function of 25%, 50%, and 85% relative humidity. A rapid color change occurred within 10 s of exposure to 5.0 ppm hydrogen cyanide gas (near the NIOSH recommended exposure limit). A more rapid color change occurred at higher humidity, suggesting a more effective reaction between hydrogen cyanide and CN(H2O)Cbi. The sensor could provide the first real time respirator end-of-service-life alert for hydrogen cyanide gas.

Estimating service lives of organic vapor cartridges III: multiple vapors at all humidities.

A published model for estimating service lives of organic vapor (OV) air-purifying respirator cartridges has been extended to include multiple organic vapors at all humidities. Equilibria among the OVs are calculated using Ideal Adsorbed Solution Theory, whereas the effects of adsorbed water are considered as due to micropore volume exclusion. Solubilities of OVs in water must also be taken into account. Adsorption kinetics of components of mixtures are based on published correlations of the effects of covapors and water vapor. The dynamics of adsorption and competition are incorporated using expanding zones within the carbon bed, taking into account vapor and water displacements. Measurements of breakthrough curves for two ternary OV mixtures at high humidities have been done for a single cartridge type. The service life estimation model, implemented as a spreadsheet and a computer program, has been tested against these data as well as data for OV mixtures from literature sources. Good agreements were obtained between model predictions and experimental breakthrough times at dry conditions and humid conditions.

Volatile organic compound detection using nanostructured copolymers.

Regioregular polythiophene-based conductive copolymers with highly crystalline nanostructures are shown to hold considerable promise as the active layer in volatile organic compound (VOC) chemresistor sensors. While the regioregular polythiophene polymer chain provides a charge conduction path, its chemical sensing selectivity and sensitivity can be altered either by incorporating a second polymer to form a block copolymer or by making a random copolymer of polythiophene with different alkyl side chains. The copolymers were exposed to a variety of VOC vapors, and the electrical conductivity of these copolymers increased or decreased depending upon the polymer composition and the specific analytes. Measurements were made at room temperature, and the responses were found to be fast and appeared to be completely reversible. Using various copolymers of polythiophene in a sensor array can provide much better discrimination to various analytes than existing solid state sensors. Our data strongly indicate that several sensing mechanisms are at play simultaneously, and we briefly discuss some of them.