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. 2020 May 24;78(8):1241–1256. doi: 10.1016/j.joms.2020.05.027

Table 3.

Comparison of PPE for AGPs

Advantages of surgical N95 respirator
 Filters ≥95% of particles <5 μm in diameter
 Blocks both aerosol (<5 μm) and droplet-size (5-50 μm) particles
 Allows for use of head lights, face shield, stethoscopes
 Does not generate sound or noise
 Does not require a power source
 More readily available and manufactured than PAPR
Disadvantages of surgical N95 respirator
 Requires an initial and periodic fit testing
 Not oil resistant
 Possibility of leak owing to inadequate fit (eg, presence of facial hair)
 Potential for contamination of exposed face and neck without face shield
 Not well tolerated by users because of breathing resistance
 Heat and moisture build up
 High cost of maintaining an inventory of different types and sizes
Advantages of PAPR
 Can filter ≥99.97% of particles 0.3 μm in diameter
 Allows airborne precautions
 Cartridges and filters are oil proof and color coded (eg, P100 is purple)
 Provides head and neck protection
 Does not require fit testing
 Approved for use with facial hair
 Good for long OR procedures or continuous bedside care of a patient
Disadvantages of PAPR
 Requires power; battery-powered blower can fail
 Filter or cartridge must be replaced
 Difficulty communicating when wearing
 Sound of air blowing causes difficultly hearing
 Can result in difficulties with multiple operators due to bulky head piece
 Cannot use headlight or stethoscope
 Potential33 risk to individuals34 reprocessing reusable respirators

Note: Data from Daugherty33 and Roberts.34

Abbreviations: AGPs, aerosol-generating procedures; OR, operating room; PAPR, powered air-purifying respirator; PPE, personal protective equipment.