Macintyre I M, Currie J S, Smith D N, Anderson I D, Cadossi R
Departments of Surgery, Western General Hospital, Edinburgh, UK.
Br J Surg. 1994 Jul;81(7):1076-8. doi: 10.1002/bjs.1800810752.
A new electronic device designed to detect glove holes, wet gowns and glove permeability was assessed during 50 general surgical operations. The cause of each alarm was recorded and the surgeon's awareness of any breach noted. Some 266 alarms were recorded of which 45 were ascribed to glove holes, 86 to wet gowns, 115 to glove porosity and 20 to other causes. Glove holes occurred in 29 of the 50 procedures; the surgeon was unaware of the hole in almost 70 per cent of cases. Holes were more common in laparotomy than in laparoscopic procedures (P = 0.006). In 20 per cent of instances surgeons did not respond immediately to the alarm (median delay 16 min). Six of eight surgeons who used the device indicated that they would do so regularly for major abdominal surgery. The electronic system accurately detects breaches in the surgeon-patient barrier. Its use should improve surgical discipline in acting to restore the barrier, protecting patient and surgeon alike.
一种旨在检测手套破洞、手术衣潮湿和手套透气性的新型电子设备在50例普通外科手术中进行了评估。记录每次警报的原因，并记录外科医生对任何违规情况的知晓情况。共记录了约266次警报，其中45次归因于手套破洞，86次归因于手术衣潮湿，115次归因于手套孔隙率，20次归因于其他原因。50例手术中有29例出现手套破洞；在近70%的病例中，外科医生并未意识到破洞。开腹手术中破洞比腹腔镜手术更常见（P = 0.006）。在20%的情况下，外科医生没有立即对警报做出反应（中位延迟16分钟）。使用该设备的八位外科医生中有六位表示，他们会在主要腹部手术中定期使用。该电子系统能准确检测外科医生与患者屏障的破损情况。其使用应能改善手术中的规范，促使采取行动修复屏障，保护患者和外科医生双方。
