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分区垂直超净手术室通风。一个无需长边墙的新概念。

Zoned vertical ultraclean operating room ventilation. A novel concept making long side walls unnecessary.

作者信息

Friberg B E, Friberg S, Burman L G

机构信息

Department of Orthopedics, Northern University Hospital, Umeå, Sweden.

出版信息

Acta Orthop Scand. 1996 Dec;67(6):578-82. doi: 10.3109/17453679608997760.

DOI:10.3109/17453679608997760
PMID:9065071
Abstract

We evaluated a novel concept of High Efficiency Particulate Air (HEPA)-filtered vertical Laminar Air Flow (LAF) for operating room ventilation, designed to be used without side-walls. The LAF-unit has a central zone with an airflow of 0.4 m/s and a peripheral zone with an airflow of 0.2 m/s. The design provides an exponential downflow of air resembling an upside-down trumpet mouth and it was claimed to prevent entrainment of peripheral contaminated air. The unit was evaluated with regard to elimination of particles with focus on bacteria-carrying particles (colony-forming units = cfu) during rigidly standardized sham operations. Three different lengths of walls/enclosures (short-ending 2.0 m, medium 1.0 m and long 0.2 m above the floor) were tested. It provided a high degree of bacteriological cleanliness (0.05-4 cfu/m3 of air and 7-64 cfu/m2/h surface contamination) and its efficiency was proved to be independent of the length of the enclosures. We conclude that the novel zoned ultraclean vertical LAF unit is versatile, as it allows for omitting long side-walls, without compromising bacteriological safety.

摘要

我们评估了一种用于手术室通风的新型高效空气过滤器(HEPA)过滤垂直层流空气(LAF)概念,其设计无需侧壁即可使用。LAF单元有一个中心区域,气流速度为0.4米/秒,还有一个周边区域,气流速度为0.2米/秒。该设计提供了一种类似倒喇叭口的指数向下气流,据称可防止周边受污染空气的夹带。在严格标准化的模拟手术过程中,对该单元进行了评估,重点关注携带细菌颗粒(菌落形成单位=cfu)的颗粒消除情况。测试了三种不同长度的墙壁/围护结构(短的在地面以上2.0米处结束,中等的1.0米,长的0.2米)。它提供了高度的细菌清洁度(空气0.05 - 4 cfu/m³,表面污染7 - 64 cfu/m²/h),并且其效率被证明与围护结构的长度无关。我们得出结论,新型分区超净垂直LAF单元具有通用性,因为它允许省略长侧壁,而不影响细菌安全性。

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1
Zoned vertical ultraclean operating room ventilation. A novel concept making long side walls unnecessary.分区垂直超净手术室通风。一个无需长边墙的新概念。
Acta Orthop Scand. 1996 Dec;67(6):578-82. doi: 10.3109/17453679608997760.
2
Zoned exponential, vertical and horizontal ultra-clean laminar airflows. No differences in bacteriological efficiency.分区指数式垂直和水平超净层流气流。细菌学效率无差异。
Acta Orthop Scand. 1998 Apr;69(2):169-72. doi: 10.3109/17453679809117621.
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Ultraclean laminar airflow ORs.超净层流手术室。
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Inconsistent correlation between aerobic bacterial surface and air counts in operating rooms with ultra clean laminar air flows: proposal of a new bacteriological standard for surface contamination.超净层流手术室中需氧菌表面计数与空气计数之间的相关性不一致:关于表面污染新细菌学标准的提议
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Aerobiology in the operating room and its implications for working standards.手术室中的空气生物学及其对工作标准的影响。
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Mobile zoned/exponential LAF screen: a new concept in ultra-clean air technology for additional operating room ventilation.移动分区/指数层流空气幕:超净空气技术中用于手术室额外通风的新概念。
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The addition of a mobile ultra-clean exponential laminar airflow screen to conventional operating room ventilation reduces bacterial contamination to operating box levels.在传统手术室通风系统中添加一个可移动的超净指数层流气流屏障,可将细菌污染降低至手术箱水平。
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Assessment of horizontal laminar air flow instrument table for additional ultraclean space during surgery.评估水平层流空气流动手术器械台在手术期间增加超净空间的效果。
J Hosp Infect. 2010 Nov;76(3):243-6. doi: 10.1016/j.jhin.2010.05.016. Epub 2010 Sep 16.

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