支气管镜口罩在上部胃肠内镜期间减轻气溶
Frank Phillips1, Jane Crowley2, Samantha Warburton1
1NIHR Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and University of Nottingham, Nottingham, United Kingdom.
支气管镜口罩在上部胃肠内镜期间显著减少空气中的颗粒,这是已知的产生气溶的程序. 这种简单的技术可以在COVID-19等呼吸道疾病爆发期间提高患者和工作人员的安全性.
科学领域:
- 胃肠病学 胃肠病学
- 传染病控制和控制传染病
- 呼吸系统医学 呼吸系统医学
背景情况:
- 上部胃肠道内镜是一种气溶生成程序 (AGP).
- AGP 构成传播空气传播疾病的风险,包括SARS-CoV-2.
- 缓解策略对于这些程序期间的患者和医护人员安全至关重要.
研究的目的:
- 评估经过临床批准的支气管镜口罩在减少食管胃管腺镜检查期间气溶和滴滴传播方面的有效性.
- 评估口罩使用对患者口腔附近粒子计数的影响.
主要方法:
- 一个粒子计数器测量了气溶 (≤5微米) 和滴滴 (>5微米) 的粒子大小和数量.
- 49名接受上部胃肠道内镜检查的患者的口腔距离10厘米进行了测量.
- 一个由12名患者组成的小组戴着支气管检查口罩,而37人作为对照.
主要成果:
- 支气管镜口罩的使用导致气溶颗粒数量 (≤5微米) 在统计上显著减少了47%.
- 在整个内镜程序的整个持续时间内观察到这种减少.
- 滴滴颗粒没有发现显著差异,但重点是气溶.
结论:
- 支气管镜面是一种简单,低成本的方法,可以在上部胃肠道内镜中减轻气溶的传播.
- 它们的使用可以在COVID-19等呼吸道疾病爆发期间提高安全性.
- 实施口罩使用可能有助于减少必要的室内消毒或"休息"时间.
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