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在新冠疫情时代，用于减少鼻内镜鼻窦和颅底手术中气溶胶形成的显微镜覆盖法。我是这样做的。

The microscope drape method to reduce aerosolisation during endoscopic sinus and skull base surgery in the COVID era. How i do it.

作者信息

Tsagkovits Aikaterini, Ioannidis Dimitrios, Rokade Ashok

机构信息

ENT Department, Royal Hampshire County Hospital, Romsey Rd, Winchester, SO22 5DG, UK.

出版信息

Eur Arch Otorhinolaryngol. 2021 Feb;278(2):573-576. doi: 10.1007/s00405-020-06441-6. Epub 2020 Oct 28.

DOI:10.1007/s00405-020-06441-6
PMID:33112982
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7591691/
Abstract

BACKGROUND

Otolaryngologists are faced with concerning challenges since the onset of the coronavirus disease (COVID-19) pandemic due to significant risk of occupational infection. Transmission can happen during intraoperative exposure to viral particles carried by droplets or aerosols. Endoscopic sinus and skull base surgery are notable for causing aerosolisation, putting healthcare staff at substantial risk.

METHOD

We describe the creation of a tight-seal tent from a microscope drape covering the operative field and the operator's hands with the aim to contain aerosols during transnasal endoscopic surgery.

CONCLUSION

The microscope drape technique is a simple barrier measure that could potentially improve safety during endoscopic procedures.

摘要

背景

自冠状病毒病（COVID-19）大流行开始以来，耳鼻喉科医生面临着严峻挑战，因为职业感染风险很高。传播可能发生在术中接触由飞沫或气溶胶携带的病毒颗粒期间。内窥镜鼻窦和颅底手术以产生气溶胶而著称，这使医护人员面临很大风险。

方法

我们描述了一种用显微镜手术单制作紧密密封帐篷的方法，该手术单覆盖手术区域和术者的手，目的是在经鼻内窥镜手术期间控制气溶胶。

结论

显微镜手术单技术是一种简单的屏障措施，有可能提高内窥镜手术过程中的安全性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72fe/7591691/44ea278cdca0/405_2020_6441_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72fe/7591691/632f72d0ef4d/405_2020_6441_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72fe/7591691/44ea278cdca0/405_2020_6441_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72fe/7591691/632f72d0ef4d/405_2020_6441_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72fe/7591691/44ea278cdca0/405_2020_6441_Fig2_HTML.jpg

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