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在口腔喉和喉手术期间,按手术方式产生气溶的变化
S P Sithole1, W Kuhn1, L A Sibiya1
1University of KwaZulu-Natal, Nelson R. Mandela School of Medicine Durban South Africa.
在口腔喉和喉手术期间,冷钢和微型破碎仪器产生的气溶最少. 电和电显著增加了气溶,尽管滴水产生较低,但仍存在潜在风险.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术技术 手术技术
- 感染控制 感染控制
背景情况:
- 手术烟雾和气溶生成是呼吸道手术中的担忧.
- 了解不同手术工具的气溶对于患者和工作人员的安全至关重要.
研究的目的:
- 为了比较气溶和液滴生成从四种常见的手术模式在口腔喉和喉手术.
- 为了确定最小的气溶生产的外科手术技术.
主要方法:
- 使用羊头模拟的口腔喉和喉手术模型.
- 评估冷钢,电,合,和微型破碎机.
- 测量气溶中的度 (DustTrak Pro) 和滴滴散射 (光素染料).
主要成果:
- 电和化显著增加了气溶的度 (p < .001).
- 冷钢和微型破碎机产生了最低的气溶水平.
- 对于任何一种模式都没有检测到可测量的液滴.
结论:
- 电和结会产生更高的气溶度.
- 对于增加了气溶的仪器,建议采取缓解策略.
- 这些模式对液滴传播感染的风险较低.
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