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不同改良型全面罩式通气管在术中防护中的概述。

Overview of different modified full-face snorkelling masks for intraoperative protection.

机构信息

Department of Head-Neck Surgery, AUSL Romagna, Italy - Ear Nose Throat (ENT) Unit of Forlì and Faenza, University of Ferrara and Bologna, Morgagni-Pierantoni Hospital, Forlì, Italy.

IRCCS Ospedale Policlinico San Martino, Unit of Otorhinolaryngology Head and Neck Surgery, Genoa, Italy.

出版信息

Acta Otorhinolaryngol Ital. 2020 Oct;40(5):317-324. doi: 10.14639/0392-100X-N0841. Epub 2020 Sep 24.

Abstract

OBJECTIVE

The COVID-19 pandemic has caused significant impact on healthcare systems worldwide. The rate of infected healthcare workers is > 10% in Italy. Within this dramatic scenario, the development of new personal protective equipment (PPE) devices is mandatory. This study focuses on validation of modified full-face snorkel masks (MFFSM) as safe and protective equipment against SARS-CoV-2 infection during diagnostic and therapeutic procedures on the upper aerodigestive tract.

METHODS

Five different MFFSM were tested during otolaryngological surgery and in anaesthesia procedures. Data were collected through an online survey to assess the feedback of operators. pO and pCO monitoring values during procedures were recorded in selected cases.

RESULTS

All five MFFSM tested were easy to use and gave all operators a sound "feeling" of protection. All clinicians involved had common agreement regarding safety and the user-friendly format.

CONCLUSIONS

In the future, specific development of different type of masks for protection in the operating room, intensive care units and/or office will be possible as a joint venture between clinicians and developers. Goals for clinicians include better definition of needs and priorities, while developers can devote their expertise to produce devices that meet medical requirements.

摘要

目的

COVID-19 大流行对全球医疗系统造成了重大影响。意大利有超过 10%的医护人员感染。在这种戏剧性的情况下,必须开发新的个人防护设备(PPE)。本研究专注于验证改良全脸通气管面罩(MFFSM)作为在上呼吸道诊断和治疗过程中针对 SARS-CoV-2 感染的安全防护设备。

方法

在耳鼻喉科手术和麻醉程序中测试了五种不同的 MFFSM。通过在线调查收集数据,以评估操作人员的反馈。在选定的情况下记录了手术过程中的 pO 和 pCO 监测值。

结果

测试的所有五种 MFFSM 都易于使用,并且给所有操作人员带来了良好的保护感。所有参与的临床医生都对安全性和用户友好的格式达成了共识。

结论

未来,临床医生和开发者之间可能会联合开发针对手术室、重症监护室和/或办公室的不同类型的保护口罩,以满足特定需求。临床医生的目标包括更好地定义需求和优先级,而开发者则可以利用他们的专业知识来生产符合医疗要求的设备。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5b1/7726642/b04010c115dc/aoi-2020-05-317-g001.jpg

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