|
|
Evaluation of the effect of different smoke removal devices on smoke purification in the operating room |
YU Ke, ZHOU Dai, DENG Fengliang, HU Jiale, LIU Xiulan, GAO Jianxin, BAI Li |
Department of Surgical Anesthesiology, Changsha Hospital for Maternal & Child Health Care Affiliated to Hunan Normal University, Changsha 410007 |
|
|
Abstract Objective To evaluate the air purification effect of laminar ventilation system and central negative pressure suction device for the scientific use of the device. Methods A portable air quality detector was used to measure the air concentration of PM2.5 and CO2 in the operating room of a tertiary hospital in Hunan Province, and to evaluate the air purification effect of the exhaust device. Results The concentration of PM2.5 and CO2 increased significantly at the time of surgery; the concentration of PM2.5 and CO2 in the “laminar ventilation” operating room was lower than in the ordinary operating room; in the open surgery and endoscopic surgery, the smoke removal effect of “laminar ventilation + central negative pressure device” was better than the “laminar ventilation” device. Conclusion “Laminar ventilation system” can reduce the concentration of PM2.5 and CO2 in surgical smoke, and the combined use of “laminar ventilation system” and “central negative pressure suction device” is better.
|
Received: 04 July 2024
|
|
|
|
|
[1] 孙育红, 张颖, 支慧, 等. 手术室护理人员手术烟雾知识与防护行为的调查[J]. 中国护理管理, 2022, 22(04) : 529-533. [2] 段青鸾, 洪彬芳, 林珂, 等. 《手术烟雾安全指南 (2022版) 》解读[J]. 循证护理, 2024, 10(05) : 761-764. [3] TRAMONTINI C C, GALVÃO C M, CLAUDIO C V, et al. Composition of the electrocautery smoke: integrative literature review[J]. Revista da Escola de Enfermagem da USP, 2016, 50(1) : 144-153. [4] LEWIS A, ALLUM C, VOKES D, et al.Human papillomavirus and surgical smoke: a systematic review[J]. Occup Environ Med, 2020, 77(12): 809-817. [5] 陈伟伟, 雷璐敏, 张宇宏, 等. 不同类型手术烟雾的危害及其防护研究进展[J]. 解放军医学院学报, 2023, 44(08) : 922-927. [6] CANICOBA A R B, DE BRITO POVEDA V. Surgical smoke andbiological symptoms in healthcare professionals and patients : asystematic review[J]. J PeriAnesth Nursing, 2022, 37(1) : 130-136. [7] LIMCHANTRA I V, FONG Y, MELSTROM K A.Surgical smoke exposure in operating room personnel: a review[J]. JAMA Surg, 2019, 154(10): 960-967. [8] 李卓, 田小荣, 侯泽荣, 等. 手术室不同电外科设备产生的烟雾中PM质量分数检测结果分析[J]. 护理研究, 2018, 32(18) : 2979-2980. [9] WANG H K, MO F, MA C G, et al.Evaluation of fine particles in surgical smoke from an urologist's operating room by time and by distance[J]. Int Urol Nephrol, 2015, 47(10) : 1671-1678. [10] 段青鸾, 洪彬芳, 林珂, 等. 医护人员手术烟雾防范措施的证据总结[J]. 中国护理管理, 2023, 23(09) : 1339-1343. [11] 谭文君, 朱皓阳, 马涛, 等. 局部负压吸引对手术室烟雾PM2.5质量分数的影响[J]. 护理研究, 2019, 33(08) : 1325-1329. [12] 冯笑笑. 妇科腹腔镜手术中烟雾危害的医护认知及职业暴露防护策略的探讨[D]. 南京: 东南大学, 2021. [13] 徐旭东, 赵媛. 外科手术烟雾的危害及防护措施研究进展[J]. 天津护理, 2024, 32(02) : 246-249. [14] 李卓, 田小荣, 侯泽荣, 等. 手术室不同电外科设备产生的烟雾中PM质量分数检测结果分析[J]. 护理研究, 2018, 32(18) : 2979-2980. [15] 杨洋, 马燕兰, 曹冠楠, 等. 除烟装置的研制及其在腹腔镜手术中清除有毒物质的作用研究[J]. 护理学报, 2018, 25(11) : 69-73. |
|
|
|