Department of Surgery, Dr George Mukhari Academic Hospital, Sefako Makgatho Health Sciences University, Pretoria, South Africa.
Netcare Montana Hospital, Pretoria, South Africa.
Surg Innov. 2021 Oct;28(5):628-633. doi: 10.1177/15533506211003528. Epub 2021 Apr 8.
The available personal protective equipment (PPE) is insufficient to provide adequate protection during high-risk aerosol-generating procedures, and their shortage was reported. The full-face snorkel masks were modified to be used as PPE. However, little is known about their use in medical practice. The available masks were assessed and compared in terms of safety, comfort, visual acuity, and communication with team members during the aerosol-generating surgical and endoscopic procedures. The masks were compared with a standard option (full-face shield and N95 mask). The score was assigned to each domain to compare the masks. The aim of the study was to assess the modified full-face snorkel masks as PPE during surgical and endoscopic aerosol-generating procedures. Four modified snorkel masks were assessed and compared with the standard option. All masks provided a good seal, comfort, vision, and protection. Communication was the biggest problem and improved after modification. Suggestions for the mask's selection and on further improvements were made. The modified snorkel masks seem a good alternative to the standard PPE during aerosol-generating procedures. However, additional improvements are still needed. More studies are required to prove the benefits of the modified snorkel masks over the standard PPE.
现有的个人防护设备 (PPE) 不足以在高风险气溶胶生成程序中提供充分的保护，并且已经报告了它们的短缺。全脸潜水通气管面罩已被修改为 PPE 使用。然而，关于它们在医疗实践中的使用情况知之甚少。在产生气溶胶的手术和内镜程序中，对现有的口罩进行了评估和比较，比较了它们在安全性、舒适性、视力和与团队成员沟通方面的表现。将这些口罩与标准选项（全脸盾牌和 N95 口罩）进行了比较。为了比较口罩，每个领域都分配了一个分数。该研究的目的是评估改良后的全脸潜水通气管面罩在产生气溶胶的手术和内镜程序中的 PPE 性能。评估了四个改良后的潜水通气管面罩，并与标准选项进行了比较。所有口罩均提供了良好的密封、舒适性、视力和保护。沟通是最大的问题，经过改进后有所改善。对口罩的选择和进一步改进提出了建议。改良后的潜水通气管面罩似乎是在产生气溶胶的程序中替代标准 PPE 的一种很好的选择。然而，仍需要进一步改进。还需要更多的研究来证明改良后的潜水通气管面罩优于标准 PPE 的优势。
