Coronavirus pandemic

Hospitals turn to snorkel masks to ease respirator overload

A medical worker (right) testing a Decathlon snorkelling mask last Friday at Erasme Hospital in Brussels, during a lockdown in Belgium to curb the spread of Covid-19. The mask (top) was upgraded with 3D-printed respiratory valve fittings (above).
A medical worker (above) testing a Decathlon snorkelling mask last Friday at Erasme Hospital in Brussels, during a lockdown in Belgium to curb the spread of Covid-19. The mask was upgraded with 3D-printed respiratory valve fittings.PHOTO: AGENCE FRANCE-PRESSE
A medical worker (right) testing a Decathlon snorkelling mask last Friday at Erasme Hospital in Brussels, during a lockdown in Belgium to curb the spread of Covid-19. The mask (top) was upgraded with 3D-printed respiratory valve fittings (above).
A medical worker testing a Decathlon snorkelling mask last Friday at Erasme Hospital in Brussels, during a lockdown in Belgium to curb the spread of Covid-19. The mask (above) was upgraded with 3D-printed respiratory valve fittings.PHOTO: AGENCE FRANCE-PRESSE
A medical worker (right) testing a Decathlon snorkelling mask last Friday at Erasme Hospital in Brussels, during a lockdown in Belgium to curb the spread of Covid-19. The mask (top) was upgraded with 3D-printed respiratory valve fittings (above).
A medical worker testing a Decathlon snorkelling mask last Friday at Erasme Hospital in Brussels, during a lockdown in Belgium to curb the spread of Covid-19. The mask was upgraded with 3D-printed respiratory valve fittings (above).PHOTO: AGENCE FRANCE-PRESSE

BRUSSELS • As hospitals face an overload of Covid-19 patients struggling to breathe, innovative medical staff are turning to snorkelling masks from sports stores to stop their lungs collapsing.

The idea started in Italy, the European country worst hit by the coronavirus pandemic, with hospitals in other nations taking note and adding their own specific medical parts to make it work.

One such hospital is the Erasme Hospital, on the outskirts of Belgium's capital Brussels. It is attached to the Free University of Brussels - and through it to a private spin-off, Endo Tools Therapeutics, whose know-how in 3D-printing for medical use has proven invaluable.

"They are to be used for patients with severe respiratory problems. The aim is to avoid having to intubate the trachea of the patient and put them on a respirator," said Mr Frederic Bonnier, a respiratory physiotherapist at the hospital.

He spearheaded the design of a custom-made valve that fits to the top of full-face masks - where the snorkel is meant to go - allowing them to be connected to standard bilevel positive airway pressure (Bipap) machines that feed pressurised air into the masks.

This helps prevent the collapse of alveoli, lung air sacs needed for the intake of oxygen and the exhalation of carbon dioxide. Pneumonia brought on by Covid-19 inflames the lung membrane and fills those sacs with liquid.

In the worst-case infections, patients have to be hooked up to respirators in intensive care units.

But respirators are in desperately short supply worldwide because of the sheer number of patients.

The snorkelling mask solution could be a stop-gap measure for patients on the brink of intensive care treatment but for whom no beds or respirators are available. Hospital masks for the less intensive Bipap machines are also lacking.

Mr Bonnier said that from today he will be testing 50 of the masks on patients.

They are the same brand as those used by Italian doctors, donated by French sportswear retailer Decathlon. The masks themselves are made in Italy.

Mr Bonnier explained they were far more comfortable than the hospital ones that fit over the nose and mouth, biting into the skin. But he cautioned that they were not tested to medical standards - meaning they were single-use only, and unable to be sterilised between patients.

The Italian design for the 3D-printed valve also needed reworking. "It seemed fairly complicated to make, pretty heavy, not very comfortable. So we had the idea to go a little further by thinking on it and developing our own connection part," he said.

The new plastic valve connectors have now been 3D-printed and are ready to be tested.

Mr Bonnier added that healthcare workers in Covid-19 wards could also use the masks for protection against the virus. But he fears the public will start panic buying, depriving hospitals of a potentially life-saving product.

He added that, even if the tests proved conclusive, there were still questions about how many such masks could be made available by sporting companies, and under what conditions.

Learning of the emergency use being made of its snorkelling masks, Decathlon expressed "interest" - but also prudence.

"At the moment we don't have confirmation that these solutions really work," it said on its Twitter account. "If we see successful try-outs, and these hospitals confirm to us that some tests work, then we'll keep you informed. But in the meantime, beware of unsourced and unverified information spread on social media in recent days."

AGENCE FRANCE-PRESSE

A version of this article appeared in the print edition of The Straits Times on March 30, 2020, with the headline 'Hospitals turn to snorkel masks to ease respirator overload'. Print Edition | Subscribe