Department of Urology, TongJi Hospital of TongJi Medical College, Huazhong University of Science and Technology, No. 1095 Jiefang Avenue, Wuhan, Hubei, 430030, China.
Research Center for Tissue Engineering and Regenerative Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
BMC Infect Dis. 2023 Sep 7;23(1):589. doi: 10.1186/s12879-023-08566-5.
During endotracheal intubation, extubation, tracheotomy, and tracheotomy tube replacement, the splashed airway secretions of patients will increase the risk of transmission of SARS-CoV-2 and many other potential viral and bacterial diseases, such as influenza virus, adenovirus, respiratory syncytial virus, rhinovirus, Middle East respiratory coronavirus syndrome (MERS-CoV), Streptococcus pneumoniae, and Mycobacterium tuberculosis. Therefore, it is necessary to establish a barrier between patients and medical workers to reduce the risk of operators' infection with potentially pathogenic microorganisms.
We designed a "safety cap" that can be connected to the opening of an endotracheal tube or tracheotomy tube to reduce the diffusion area of respiratory secretions during the process of endotracheal intubation, extubation and tracheotomy tube replace, so as to reduce the infection risk of medical workers.
Through a series of hydrodynamic simulation analysis and experiments, we demonstrated that the use of "safety cap" can substantially limit the spatter of airway secretions, so as to improve the hospital sanitation.
The "safety cap" can effectively limit the dissemination of patients' respiratory secretions, thus reducing the risk of potential diseases transmission and may have certain application prospects.
在气管插管、拔管、气管切开和更换气管切开套管的过程中,患者飞溅的气道分泌物会增加 SARS-CoV-2 和许多其他潜在病毒和细菌疾病(如流感病毒、腺病毒、呼吸道合胞病毒、鼻病毒、中东呼吸综合征冠状病毒(MERS-CoV)、肺炎链球菌和结核分枝杆菌)的传播风险。因此,有必要在患者和医务人员之间建立屏障,以降低操作人员感染潜在致病微生物的风险。
我们设计了一种“安全帽”,可以连接到气管插管或气管切开套管的开口处,以减少气管插管、拔管和更换气管切开套管过程中呼吸分泌物的扩散面积,从而降低医务人员的感染风险。
通过一系列流体动力学模拟分析和实验,我们证明了使用“安全帽”可以显著限制气道分泌物的飞溅,从而改善医院卫生条件。
“安全帽”可以有效限制患者呼吸道分泌物的传播,从而降低潜在疾病传播的风险,具有一定的应用前景。