Karachalios Theofilos, Maasalu Katre, Felländer-Tsai Li
Orthopaedic Department, University General Hospital of Larissa, Biopolis, Mezourlo Region, Larissa, Hellenic Republic.
School of Health Sciences, Faculty of Medicine, University of Thessaly, Biopolis, Mezourlo Region, Larissa, Hellenic Republic.
EFORT Open Rev. 2022 Feb 15;7(2):122-128. doi: 10.1530/EOR-21-0120.
Orthopaedic and trauma surgeons performing surgery in the COVID-19 pandemic environment faced problems with availability, use, rationing, modification, compliance and recycling of personal protection equipment (PPE). Orthopaedic and trauma surgeons were not well informed concerning the use of PPE for aerosol-generating orthopaedic and trauma procedures. Scientific bodies, health authorities and management have provided insufficient guidelines for the use of PPE in aerosol-generating orthopaedic and trauma procedures. The availability of specific PPE for orthopaedic and trauma operating theatres is low. Hospital management and surgeons failed to address the quality of operating theatre ventilation or to conform to recommendations and guidelines. Operating theatre PPE negatively affected surgical performance by means of impaired vision, impaired communication, discomfort and fatigue. Existing PPE is not adequately designed for orthopaedic and trauma surgery, and therefore, novel or modified and improved devices are needed.
在新冠疫情环境下进行手术的骨科和创伤外科医生在个人防护装备（PPE）的供应、使用、配给、改装、合规性及循环利用方面面临诸多问题。骨科和创伤外科医生对在产生气溶胶的骨科和创伤手术中使用PPE的了解并不充分。科学机构、卫生当局及管理层在产生气溶胶的骨科和创伤手术中使用PPE方面提供的指导方针不足。用于骨科和创伤手术室的特定PPE供应短缺。医院管理层和外科医生未能解决手术室通风质量问题，也未遵守相关建议和指导方针。手术室PPE通过影响视力、妨碍沟通、造成不适和疲劳对手术操作产生了负面影响。现有的PPE在设计上并不适合骨科和创伤手术，因此，需要新颖的、经过改装和改进的设备。
