在上呼吸道外科手术中的气溶缓解.
Herrmann Bw1, Choi Mh2, Vance Me3
1Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine, Aurora, CO, USA; Children's Hospital Colorado, Aurora, CO, USA.
在手术过程中,口腔内吸收技术有效地减轻了手术气溶. 将口外烟雾疏散系统与口内方法相结合并没有改善气溶的减少,可能会产生反作用.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 传染病控制和控制传染病
- 外科手术的安全性
背景情况:
- 耳鼻喉科的气溶生成程序 (AGPs) 具有显著的SARS-CoV-2传播风险.
- 目前用于减轻手术气溶的方法是不理想的.
- 这项研究研究了减少手术室气溶的策略.
研究的目的:
- 评估不同的口内和口外策略的疗效,以减轻手术气溶.
- 确定在耳鼻喉手术过程中减少空气中的颗粒传播的最佳方法.
主要方法:
- 通过输管术诱导的气溶 (0.5-10μm颗粒) 使用输管模具生成.
- 用Sensirion SPS30颗粒计数器测量颗粒数量.
- 测试了三个缓解策略:口内吸入 (Yankauer,吸入Bovie笔[SBP]),口外烟雾疏散系统 (SES) 和组合.
主要成果:
- 单独的口外SES的效果不如口内方法 (p < 0.0001).
- 将SES与口腔内技术相结合并没有改善缓解,有时有效性降低.
- 内口技术之间没有显著差异,尽管SBP显示了最低的颗粒水平.
结论:
- 在耳鼻喉科手术期间,建议使用口腔吸入技术来缓解气溶.
- 额外口腔SES单独是不够的,当与口内吸收相结合时可能是有害的.
- 需要进一步的研究,以优化手术内外科手术气溶减缓策略.
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