缺氧环境中的呼吸防护。

David Spelce, Roy T McKay, James S Johnson, Timothy R Rehak, Richard W Metzler
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引用次数: 0

摘要

本文介绍了氧气 (O2) 缺乏的几个方面,重点是呼吸器计划和呼吸器的选择。职业安全与健康管理局 (OSHA) 的 29 CFR 1910.134 和 ANSI/ASSE Z88.2-2015 (Z88.2) 有许多共同之处。但是,它们的暴露标准和用于描述氧气不足程度的术语以及评估氧气不足程度的方法却各不相同。这些差异会对雇主的呼吸器计划和海拔以上工作场所的呼吸器选择产生重大影响。在某些情况下,Z88.2 会导致比 OSHA 更保守的呼吸器选择,因为其氧气不足标准和危害评估方法直接依赖于所有海拔高度的氧分压 (PO2)。Z88.2 根据大气的 PO2 将缺氧环境定义为对生命或健康有直接危险(IDLH)或无直接危险,并定义了这两种缺氧环境的呼吸器选择。与 Z88.2 不同的是,OSHA 在其危害评估中并不直接涉及大气中 PO2 的生物重要性。OSHA 根据氧气的百分比来定义缺氧环境。OSHA 没有使用 "缺氧 IDLH "一词;但是,OSHA 将任何氧气含量低于 19.5% 的大气环境视为 IDLH,并定义了 IDLH 大气环境的呼吸器选择。虽然 OSHA 在其呼吸器标准中没有使用 "PO2 "一词,但 OSHA 的氧气不足 IDLH 呼吸器选择政策的例外情况是基于 PO2 高度调整后的氧气百分比标准。本文介绍了 OSHA 和 Z88.2 对评估工作场所缺氧的要求、它们对缺氧危害评估的方法,以及它们对呼吸器计划和选择的意义。此外,还讨论了佩戴呼吸器以防止仅由高海拔造成的氧气不足的替代解决方案。雇主及其医生或其他有执照的医疗保健专业人员 (PLHCP) 选择和实施的替代解决方案不在这两项呼吸器标准的涵盖范围内。附录 A 提供了有关佩戴呼吸器的生理效应和呼吸力学的信息,这是在低氧气环境中的一个重要考虑因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Respiratory Protection for Oxygen Deficient Atmospheres.

Respiratory Protection for Oxygen Deficient Atmospheres.

Respiratory Protection for Oxygen Deficient Atmospheres.

Respiratory Protection for Oxygen Deficient Atmospheres.

This article describes several aspects of oxygen (O2) deficiency with an emphasis on respirator programs and respirator selection. The Occupational Safety and Health Administration's (OSHA) 29 CFR 1910.134 and ANSI/ASSE Z88.2-2015 (Z88.2) have much in common. However, their exposure criteria and terminology used for describing levels of O2-deficiency and the approaches to assessing O2-deficiency differ. These differences can have a significant impact on an employer's respirator program and respirator selections for workplaces at altitudes above sea level. Under certain circumstances, Z88.2 leads to a more conservative respirator selection than OSHA because its O2-deficiency criteria and hazard assessment approach relies directly on partial pressure of oxygen (PO2) at all altitudes. Z88.2 defines an O2-deficient atmosphere as either immediately dangerous to life or health (IDLH), or non-IDLH based on the atmosphere's PO2 and defines respirator selection for these two O2-deficient atmospheres. Unlike Z88.2, OSHA does not directly access the biologically significant aspect of an atmosphere's PO2 in its hazard assessment. OSHA defines an O2-deficient atmosphere based upon a percentage of oxygen. OSHA does not use the term "O2-deficient IDLH"; however, OSHA considers any atmosphere with less than 19.5% O2 as IDLH and defines respirator selection for IDLH atmospheres. Although OSHA does not use the term "PO2" in their respirator standard, OSHA's exceptions to O2-deficient IDLH respirator selection policy are based on PO2 altitude-adjusted, O2 percentage criteria. This article provides descriptions of OSHA and Z88.2 requirements to evaluate workplace oxygen deficiency, their approaches to O2-deficiency hazard assessment, and describes their significance on respirator programs and selections. Alternative solutions to wearing respirators for protection against O2-deficiency resulting solely from high altitudes are also discussed. Selection and implementation of alternative solutions by the employer and their Physician or other Licensed Health Care Professional (PLHCP) are not covered by either respirator standard. Appendix A provides information about the physiological effect of wearing respirators and the mechanics of respiration, which is an important consideration in lower O2 atmospheres.

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