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一种便携式负压单元可减少模拟手术室中的骨水泥烟雾。

A portable negative pressure unit reduces bone cement fumes in a simulated operating room.

机构信息

Scientific Affairs, Aerobiotix, Inc., 444 Alexandersville Rd., Miamisburg, OH, 45342, USA.

出版信息

Sci Rep. 2022 Jul 13;12(1):11890. doi: 10.1038/s41598-022-16227-x.

DOI:10.1038/s41598-022-16227-x
PMID:35831355
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9279392/
Abstract

In this report, we demonstrate a versatile method for the removal of bone cement fumes from the vicinity of health care workers in a simulated operating room. The mixing of two component bone cement in the perimeter of an operating room releases volatile organic compounds (VOCs). The use of localized negative pressure within proximity of the mixing vessel is expected to reduce the concentration of VOCs dispersed near the airway of operating room personnel. A standard two component bone cement formulation was mixed in the perimeter of a simulated operating room. A median VOC concentration of 19 ppm was detected with a portable VOC detector. When a portable negative pressure unit was stationed near the mixing area at distances of 8 and 36 cm from the mixing vessel, the median VOC rise was reduced by approximately 97% and 83%, respectively, relative to the control. The use of a portable negative pressure unit provides a potential increase in the safety for all staff when working with materials that give off VOCs in the operating room.

摘要

在本报告中,我们展示了一种在模拟手术室中从医护人员附近去除骨水泥烟雾的多功能方法。在手术室周边混合双组分骨水泥会释放挥发性有机化合物 (VOC)。在混合容器附近使用局部负压有望降低在手术室人员气道附近分散的 VOC 浓度。在模拟手术室的周边混合了标准的双组分骨水泥配方。使用便携式 VOC 探测器检测到 19ppm 的中值 VOC 浓度。当便携式负压装置停在混合区域附近,距离混合容器 8cm 和 36cm 时,与对照相比,中值 VOC 上升分别降低了约 97%和 83%。使用便携式负压装置可为在手术室使用会释放 VOC 的材料时所有工作人员的安全提供潜在的提升。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4395/9279392/85a1f310300f/41598_2022_16227_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4395/9279392/90d4f509897d/41598_2022_16227_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4395/9279392/f679dc6800cb/41598_2022_16227_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4395/9279392/85a1f310300f/41598_2022_16227_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4395/9279392/90d4f509897d/41598_2022_16227_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4395/9279392/f679dc6800cb/41598_2022_16227_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4395/9279392/85a1f310300f/41598_2022_16227_Fig3_HTML.jpg

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本文引用的文献

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Evaluating and contextualizing the efficacy of portable HEPA filtration units in small exam rooms.评估和分析小型检查室内便携高效空气过滤设备的功效。
Am J Infect Control. 2021 Dec;49(12):1506-1510. doi: 10.1016/j.ajic.2021.08.003. Epub 2021 Aug 12.
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Masks for the Reduction of Methyl Methacrylate Vapor Inhalation.
减少甲基丙烯酸甲酯蒸气吸入的口罩。
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Surgical Smoke in Dermatology: Its Hazards and Management.皮肤科手术烟雾:其危害与管理
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Pre-packed vacuum bone cement mixing systems. A further step in reducing methylmethacrylate exposure in surgery.预包装真空骨水泥混合系统。减少手术中甲基丙烯酸甲酯暴露的又一举措。
Ann Occup Hyg. 2010 Nov;54(8):955-61. doi: 10.1093/annhyg/meq045. Epub 2010 Jun 30.
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An evaluation of portable high-efficiency particulate air filtration for expedient patient isolation in epidemic and emergency response.便携式高效空气微粒过滤在疫情和应急响应中用于快速患者隔离的评估。
Ann Emerg Med. 2004 Dec;44(6):635-45. doi: 10.1016/j.annemergmed.2004.07.451.
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Efficacy of vacuum bone cement mixing systems in reducing methylmethacrylate fume exposure: comparison of 7 different mixing devices and handmixing.真空骨水泥混合系统在减少甲基丙烯酸甲酯烟雾暴露方面的效果:7种不同混合装置与手工混合的比较
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Impact of portable air filtration units on exposure of haematology-oncology patients to airborne Aspergillus fumigatus spores under field conditions.便携式空气过滤装置对血液肿瘤患者在现场条件下暴露于空气中烟曲霉孢子的影响。
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The influence of vacuum mixing on methylmethacrylate liberation from acrylic cement powder.真空混合对丙烯酸骨水泥粉末中甲基丙烯酸甲酯释放的影响。
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