"在患有空气传播疾病的患者中进行胸腔麻醉"
Manuel Granell Gil1, Ruth Martínez Plumed2, Marta Grynovska3
1Department of Anesthesiology, Postoperative Care and Pain Management, Hospital General Universitario deValència, 46014 Valencia, Spain; Department of Surgery, Universitat de València, 46010 València, Spain.
Best practice & research. Clinical anaesthesiology
|January 7, 2025
概括
医疗保健工作者在胸部麻醉期间面临气溶生成程序的感染风险,特别是在COVID-19后. 必须修改技术,以提高患者和专业人员的安全性.
科学领域:
- 麻醉学 麻醉学
- 传染病控制和控制传染病
- 呼吸系统医学 呼吸系统医学
背景情况:
- 医疗保健工作者容易感染通过呼吸道分泌物,水滴和接触传播的感染.
- 随着COVID-19大流行,人们对空气传播风险的认识提高了,特别是来自气溶生成程序 (AGP) 的风险.
- 胸部麻醉经常涉及不可避免的AGPs,增加暴露风险.
研究的目的:
- 为了突出与胸部麻醉中AGP相关的风险.
- 在COVID-19大流行期间强调修改麻醉技术的必要性.
- 改善医疗保健专业人员和接受胸部手术的患者的安全协议.
主要方法:
- 对胸部手术现有麻醉技术的审查.
- 在COVID-19大流行期间,对呼吸道管理所带来的风险进行分析.
- 确定必要的修改以最大限度地提高安全性.
主要成果:
- 气管管道管理程序,如气管管道输入和支气管镜,是高风险的AGP.
- 这些程序对医疗保健专业人员和患者都有重大风险.
- 现有的麻醉技术需要适应以减轻传播风险.
结论:
- 修改麻醉技术对于胸部手术期间的患者和医护人员安全至关重要.
- 加强安全措施对于进行胸部麻醉的患者的管理至关重要,特别是在呼吸系统流行病的背景下.
- 胸部麻醉社区必须适应实践,以尽量减少感染传播风险.
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