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减少手术室中的手术刀伤害。

Reducing scalpel injuries in the operating room.

作者信息

Vose Joshua G, McAdara-Berkowitz Jeanne

机构信息

PEAK Surgical, Inc, Palo Alto, CA, USA.

出版信息

AORN J. 2009 Dec;90(6):867-72. doi: 10.1016/j.aorn.2009.07.025.

DOI:10.1016/j.aorn.2009.07.025
PMID:19961972
Abstract

Scalpel injuries can expose surgeons, nurses, and other OR personnel to bloodborne pathogens. Direct and indirect costs of managing exposure include time spent reporting, treating, and following up on the injuries; salaries and benefits for injured staff members; laboratory testing of exposure sources and exposed personnel; and postexposure prophylaxis. Standard precautions, training and awareness for those at risk, the use of neutral passing zones, and safety-engineered devices have helped decrease the incidence of injury for specific categories of sharps. One new safety device is a hand piece that uses electrosurgical plasma induced with pulsed radio-frequency energy to cut tissue.

摘要

手术刀伤害可能会使外科医生、护士及其他手术室工作人员接触血源性病原体。处理暴露情况的直接和间接成本包括报告、治疗和跟进伤害所花费的时间;受伤工作人员的薪资和福利;对暴露源和暴露人员的实验室检测;以及暴露后预防。标准预防措施、对高危人群的培训和意识提升、使用中性传递区以及安全设计的设备,有助于降低特定类型锐器伤的发生率。一种新型安全设备是一种手持件,它利用脉冲射频能量诱导产生的电外科等离子体来切割组织。

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