噪音引起的听力损失:外科医生在初级全关节整形术期间是否应该佩戴耳朵保护?
Stephanie A Kwan1, Alvin C Ong2, Rex W Lutz1
1Jefferson Health New Jersey, Stratford, NJ, USA.
概括
整形外科医生在手术期间面临着暴露于噪音的风险. 机器人辅助膝关节置换产生的噪音水平超过安全限值,可能会增加噪音引起的听力损失 (NIHL) 的风险.
科学领域:
- 整形外科 整形外科 整形外科
- 职业健康 职业健康 职业健康
- 听力学 听力学是指听力学.
背景情况:
- 在骨科外科医生中,噪音引起的听力损失 (NIHL) 的风险尚未得到很好的定义.
- 职业噪音暴露限值,例如85分贝 (dB) 作为8小时时间加权平均值 (TWA),被认为是危险的.
研究的目的:
- 为了确定手动或机器人关节整形手术是否会增加骨科外科医生NIHL的风险.
- 量化不同类型关节整形手术过程中的噪音暴露水平.
主要方法:
- 在手动全膝关节整形手术 (TKA),手动全关节整形手术 (THA) 和机器人辅助全膝关节整形手术 (RTKA) 期间,从外科医生收集手术期间的录音.
- 对手术噪声水平与基线记录进行比较,没有人员出席.
- 分析分贝水平,包括最大dB,LAeq,LCpeak和8小时TWA,以及噪声剂量和预计剂量百分比.
主要成果:
- 所有的外科手术都产生了比基线对照 (106.0108.0dB) 显著高的平均最大分贝水平.
- 机器人辅助膝关节整形手术 (RTKA) 的平均噪音剂量 (18.7%) 和预测剂量 (252.0%) 均为最高.
结论:
- 在RTKAs期间的手术内噪声水平超过了预计的每日噪声剂量的100%.
- 每天执行超过两次RTKA的整形外科医生可能面临更高的NIHL风险.
- 建议进一步调查防护措施,如耳朵保护,以减轻外科医生暴露于噪音.
相关概念视频
Transmission-based Precautions II: Airborne and Protective Environment
Transmission-based precautions are for patients infected or suspected to be infected (or colonized) with organisms posing a significant risk to others. The transmission precautions include airborne and protective environment precautions.
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
Tonsillitis II: Management
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
Epistaxis
Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Tracheostomy Care I: Pre-procedural Steps
A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Required Equipment
The equipment necessary for tracheostomy care includes:
Suctioning the Nasopharyngeal Airway
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
Tracheostomy Care II: Procedure
Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask and...
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask and...


