IRCCS Ospedale Policlinico San Martino, Unit of Otorhinolaryngology - Head and Neck Surgery, Genoa, Italy; Department of Surgical Sciences and Integrated Diagnostics (DISC), University of Genoa, Genoa, Italy .
IRCCS Ospedale Policlinico San Martino, Unit of Otorhinolaryngology - Head and Neck Surgery, Genoa, Italy.
Med Lav. 2021 Apr 20;112(2):107-114. doi: 10.23749/mdl.v112i2.10032.
A worldwide personal protection equipment (PPE) shortage has emerged during COVID-19 pandemic, contributing to the high incidence of SARS-CoV-2 infection among health care providers. To address this lack of PEE, new solutions have been researched. Among those, full-face snorkeling masks demonstrated to be an interesting option. Among surgical specialties otolaryngologists and thoracic surgeons are at high risk of infection, due to the close contact with airway secretions.
We tested the comfort and usability of a modified full-face snorkeling mask (Ocean Reef Mask Aria QR+) as a protective device for otolaryngologic and thoracic surgeries.
The mask was customized with a 3D-printed adaptor supporting many industrial filter types, including FFP3 and heat and moisture ex- changers (HME). We evaluated surgical performances of the mask, both subjectively, with a questionnaire filled in by the surgeons, as well as objectively, monitoring transcutaneous PCO2 and PO2 values of surgeons during surgical procedures.
The modified full-face snorkeling mask was tested during 9 otolaryngologic and 15 thoracic surgery procedures. The device demonstrated very good overall vision quality with some limitations regarding lateral vision and almost no difficulties in usability. Water condensation into the mask was absent in almost every case. Both PO2 and PCO2 param- eters remained within normal ranges during every procedure.
The modified full-face snorkeling mask can be an innovative PPE. In the current COVID-19 pandemic scenario, the worldwide shortage of protective masks and goggles may exploit this ready-to-use and low-cost solution, especially for high-risk surgical procedures.
在 COVID-19 大流行期间，全球个人防护设备 (PPE) 短缺，导致医护人员 SARS-CoV-2 感染率居高不下。为了解决这一 PPE 缺乏的问题，已经研究了新的解决方案。其中，全面罩潜水呼吸面罩被证明是一种有趣的选择。在外科专业中，耳鼻喉科医生和胸外科医生由于与气道分泌物密切接触，感染风险较高。
我们测试了改良的全面罩潜水呼吸面罩（Ocean Reef Mask Aria QR+）作为耳鼻喉科和胸外科手术防护设备的舒适性和可用性。
面罩通过 3D 打印适配器进行了定制，该适配器支持多种工业过滤类型，包括 FFP3 和热湿交换器 (HME)。我们通过外科医生填写的问卷对口罩的手术性能进行了主观评估，以及通过监测外科手术过程中外科医生的经皮 PCO2 和 PO2 值进行了客观评估。
改良的全面罩潜水呼吸面罩在 9 例耳鼻喉科和 15 例胸外科手术中进行了测试。该设备的整体视野质量非常好，但在侧视方面存在一些限制，并且几乎没有使用方面的困难。几乎在每种情况下，水都不会凝结在面罩内。在每次手术过程中，PO2 和 PCO2 参数都保持在正常范围内。
改良的全面罩潜水呼吸面罩可以成为一种创新的个人防护装备。在当前 COVID-19 大流行的情况下，全球防护口罩和护目镜短缺，可能会利用这种即用型且低成本的解决方案，特别是对于高风险的手术。
