在儿科耳鼻喉科手术期间产生气溶
Anthony Maalouf1, Essi Palonen2, Ahmed Geneid1
1Department of Otorhinolaryngology-Head and Neck Surgery, University of Helsinki and Helsinki University Hospital, Finland.
International journal of pediatric otorhinolaryngology
|July 11, 2024
概括
儿童桃切除术和腺切除术会产生相当大的气溶,类似于咳,带来潜在的病毒传播风险. 然而, tympanostomies 是一种低风险的气溶手术.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 气溶科学 气溶科学
- 传染病控制和控制传染病
背景情况:
- 医疗保健工作者面临风险从气溶产生程序.
- 了解儿科耳鼻科手术中的气溶生成对于感染控制至关重要.
研究的目的:
- 量化在儿科桃体切除,腺切除和耳 tympanostomies期间的气溶生成.
- 识别导致气溶产生最大贡献的手术阶段和仪器.
主要方法:
- 气溶度 (0.3-10.0μm) 用光学粒子测量仪在35个儿科手术中进行测量.
- 手术阶段和仪器被记录;手术室背景和咳作为参考.
主要成果:
- 桃切除术和腺切除术产生的气溶度明显高于 tympanostomies 和背景水平.
- 桃体切除术期间的气溶水平与咳相当.
- 在吸气,电,冷仪器和体间,在气溶生成方面没有发现显著差异.
结论:
- tympanostomies 是低风险的气溶产生程序.
- 儿科桃体切除术是显著的气溶生产者,具有理论上的手术内病毒传播风险.
- 需要进一步研究在桃切除和腺切除过程中减轻气溶的产生.
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