它充满了声音和愤怒
Tianyi D Luo1,2, Babar Kayani1, Ahmed Magan1
1Department of Trauma and Orthopaedic Surgery, University College London Hospitals NHS Foundation Trust, London, UK.
The bone & joint journal
|September 30, 2024
概括
手术室噪音,特别是来自手术工具的噪音,可以达到危险的水平,可能导致听力损失和影响手术团队的表现. 缓解策略和进一步的研究对于解决这种职业危险至关重要.
科学领域:
- 职业健康 职业健康 职业健康
- 外科手术的安全性
- 听力学 听力学是指听力学.
背景情况:
- 自1972年以来,手术室 (OT) 噪音一直是人们关注的问题,自20世纪90年代以来,在骨科手术中注意到噪音引起的听力损失 (NIHL).
- 尽管有认可,但OT噪声仍未得到充分研究,因此需要重新关注这一职业危害.
- 噪声水平以分贝 (dB) 和A加权分贝 (dBA) 进行测量,平均OT噪声范围为51-75dBA,峰值高达119dBA.
研究的目的:
- 审查在手术室中长时间暴露于噪音的有害影响.
- 突出噪音对手术团队和患者的影响.
- 讨论潜在的干预措施和未来的研究方向,以减轻OT噪声.
主要方法:
- 这篇文章是一个叙事评论.
- 它综合了关于手术室噪音及其后果的现有文献.
- 它检查了与外科手术噪音相关的来源,影响和缓解策略.
主要成果:
- 动力手术仪器是主要的噪音来源,可能超过140dBA.
- 机器人辅助系统代表了手术噪音的新来源.
- 长时间暴露于噪音可能会导致手术团队和患者的NIHL,手术期间的错误沟通,认知负载增加,压力和手术性能降低.
结论:
- 手术室的噪音对患者的安全和手术团队的福祉构成重大风险.
- 干预措施,如更安静的设备,吸音的个人防护设备和修订的通信协议,可以减轻噪音的影响.
- 未来的研究应该采用先进的方法和技术来主动解决OT噪声危害.
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