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A technique for reducing splash exposure during pulsatile lavage.

David L Greene1, Edward Akelman

  • 1Department of Orthopaedic Surgery, Brown University, Rhode Island Hospital, Providence, RI 02905, USA.

Journal of Orthopaedic Trauma
|December 17, 2003
PubMed
Summary
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Pulsatile lavage for open fractures can cause splash exposure. A simple drape method creates a closed system, significantly reducing surgeon and staff mucocutaneous exposure during wound irrigation.

Area of Science:

  • Orthopaedic surgery
  • Trauma management
  • Infection control in operating rooms

Background:

  • Pulsatile lavage is standard for open fractures and contaminated wounds.
  • High-pressure irrigation systems generate splashes, risking mucocutaneous exposure for surgical teams.
  • Minimizing exposure is crucial for operating room safety.

Purpose of the Study:

  • To present a novel, inexpensive method for reducing splash exposure during pulsatile lavage.
  • To enhance safety for surgeons and operating room personnel during open fracture management.

Main Methods:

  • An x-ray cassette drape is utilized to create a closed system around the affected limb.
  • Small openings are made in the drape for pulsatile lavage and suction tubing.
  • Irrigation is performed within this contained environment.

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Main Results:

  • The described method effectively decreases mucocutaneous exposure risk.
  • The technique is inexpensive and easy to implement.
  • Significant advantage noted in reducing splash exposure in the institutional setting.

Conclusions:

  • This simple draping technique offers a substantial benefit in preventing splash exposure during pulsatile lavage.
  • It provides a practical solution for improving operating room safety in trauma care.
  • Further adoption can enhance infection control protocols for open fracture management.