当前对透热疗法烟雾的态度和做法。
Current attitudes and practices towards diathermy smoke.
作者信息
Spearman John, Tsavellas George, Nichols Paul
机构信息
Department of Surgery, Great Western Hospital, Swindon, Wiltshire, UK.
出版信息
Ann R Coll Surg Engl. 2007 Mar;89(2):162-5. doi: 10.1308/003588407X155752.
INTRODUCTION
The hazards of surgical smoke are well documented and electrosurgical units (ESUs) are an integral part of surgical practice. The aim of this study was to gauge the opinions of general surgical consultants, specialist registrars and senior theatre nurses in the Wessex Region towards the hazards of ESU smoke.
MATERIALS AND METHODS
A literature search was carried out using Ovid Medline. A questionnaire was sent to 169 consultants, SpRs and nurses in the 14 hospitals across the Wessex Region, exploring current practices, perceived hazards and whether adequate precautions were currently in use.
RESULTS
Only 3 of 98 surgeons used dedicated smoke extractors, despite the fact the majority (72%) felt that, currently, inadequate precautions were taken to protect staff and patients from surgical smoke. There was also uncertainty about the hazards amongst the respondents.
CONCLUSIONS
The use of smoke extraction equipment is very limited. Greater awareness of the hazards and available technology to extract fumes from the theatre environment might lead to greater uptake.
引言
手术烟雾的危害已有充分记录，而高频电刀是外科手术中不可或缺的一部分。本研究旨在了解韦塞克斯地区普通外科顾问医师、专科住院医师和资深手术室护士对高频电刀烟雾危害的看法。
材料与方法
使用Ovid Medline进行文献检索。向韦塞克斯地区14家医院的169名顾问医师、专科住院医师和护士发送了一份问卷，探讨当前的做法、感知到的危害以及目前是否采取了足够的预防措施。
结果
98名外科医生中只有3人使用了专用烟雾抽吸器，尽管大多数人（72%）认为目前在保护工作人员和患者免受手术烟雾危害方面采取的预防措施不足。受访者对危害也存在不确定性。
结论
烟雾抽吸设备的使用非常有限。提高对危害的认识以及采用从手术室环境中抽出烟雾的现有技术，可能会导致更多人使用该设备。
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