دورية أكاديمية

Minimally Required Personal Protective Equipment during Local Anesthesia Surgery in COVID-19: A Simulation Study

التفاصيل البيبلوغرافية
العنوان: Minimally Required Personal Protective Equipment during Local Anesthesia Surgery in COVID-19: A Simulation Study
المؤلفون: Bor-Uei Shyr, MD, Yi-Ting Yeh, MD, Wei-Nung Teng, MD, Chin-Su Liu, MD, PhD, Paul Chih-Hsueh Chen, MD, PhD, Ling-Ju Huang, MD, Ling-Ming Tseng, MD, Hsu Ma, MD, PhD
المصدر: Plastic and Reconstructive Surgery, Global Open, Vol 11, Iss 1, p e4792 (2023)
بيانات النشر: Wolters Kluwer, 2023.
سنة النشر: 2023
المجموعة: LCC:Surgery
مصطلحات موضوعية: Surgery, RD1-811
الوصف: Background:. In the era of the coronavirus disease 2019 (COVID-19) pandemic, surgeons and medical staff are often at a high risk of infection in the operating room, especially when the patient is spontaneously breathing. In this study, we examined the minimum requirements for personal protective equipment with double surgical masks to potentially reduce unnecessary waste of supplies. Methods:. Two mannequins were each connected to a test lung machine simulating a surgeon and patient with spontaneous breathing. An aerosol generator containing severe acute respiratory syndrome coronavirus 2 virion particle substitutes was connected to the patient mannequin. The sampling points for the target molecules were set at different distances from the patient mannequin and sent for multiplex quantitative polymerase chain reaction analysis. Three clinical scenarios were designed, which differed in terms of the operating room pressure and whether a fabric curtain barrier was installed between the mannequins. Results:. Analysis of the multiplex quantitative polymerase chain reaction results showed that the cycle threshold (Ct) value of the target molecule increased as the distance from the aerosol source increased. In the negative-pressure operating room, the Ct values were significantly increased at all sample points compared with the normal pressure room setting. The Ct value sampled at the surgeon mannequin wearing double face masks was significantly increased when a cloth curtain barrier was set up between the two mannequins. Conclusion:. Double surgical masks provide elementary surgeon protection against COVID-19 in a negative pressure operating room, with a physical barrier in place between the surgeon and patient who is spontaneously breathing during local anesthesia or sedated surgery.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2169-7574
00000000
Relation: http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004792; https://doaj.org/toc/2169-7574
DOI: 10.1097/GOX.0000000000004792
URL الوصول: https://doaj.org/article/b0c02df36cae4fa8ba7b1a9f5650d33a
رقم الأكسشن: edsdoj.b0c02df36cae4fa8ba7b1a9f5650d33a
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:21697574
00000000
DOI:10.1097/GOX.0000000000004792