气管造口术的屏障隔离：COVID-19 大流行期间保护医护人员的防护盒。
Barrier enclosure in tracheostomy: a protective box for healthcare workers during the coronavirus disease 2019 pandemic.
机构信息
Department of Otorhinolaryngology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
Department of Physiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
出版信息
J Laryngol Otol. 2022 Mar;136(3):265-267. doi: 10.1017/S0022215122000214. Epub 2022 Jan 20.
BACKGROUND
Tracheostomy, being a high aerosol-generating procedure, poses a great challenge to surgeons, especially during the coronavirus disease 2019 pandemic. It is important to preserve staff numbers as this fight may go on for a long time. Personal protective equipment plays a key role in the protection of healthcare workers. Barrier enclosure has been attempted in procedures such as intubation and tracheostomy. The use of boxes became popularised for intubation and they have been utilised in many centres.
METHODS
This paper describes the box designed by our team and presents our surgical experience with the box. The box is made of transparent acrylic. It is sealed at all ends, with a negative-pressure environment. The hand ports were designed to allow maximum manoeuvrability for surgeons, without restricting hand movements.
CONCLUSION
The proposed box will provide more protection to healthcare workers during tracheostomy. However, the box is yet to be validated.
背景
气管切开术是一种产生大量气溶胶的操作，这对外科医生来说是一个巨大的挑战，尤其是在 2019 年冠状病毒病大流行期间。在这场可能持续很长时间的战斗中，保留医护人员数量至关重要。个人防护设备在保护医护人员方面起着关键作用。在插管和气管切开等操作中，已经尝试过使用屏障罩。盒子在插管中变得流行起来，并且已经在许多中心使用。
方法
本文描述了我们团队设计的盒子，并介绍了我们使用盒子的手术经验。盒子由透明亚克力制成。它的所有末端都是密封的，形成一个负压环境。手孔的设计旨在让外科医生最大限度地灵活操作，而不会限制手部动作。
结论
该建议的盒子将为气管切开术期间的医护人员提供更多保护。但是，该盒子尚未经过验证。
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