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超净层流手术室。

Ultraclean laminar airflow ORs.

作者信息

Friberg B

机构信息

Department of Advanced Nursing, Umeå University, Sweden.

出版信息

AORN J. 1998 Apr;67(4):841-2, 845-51. doi: 10.1016/s0001-2092(06)62647-1.

DOI:10.1016/s0001-2092(06)62647-1
PMID:9561276
Abstract

To minimize postoperative infections, ultraclean laminar airflow (LAF) units equipped with high-efficiency particulate air filters developed for electronic and aerospace technology have been adapted for ORs. Traditionally, the airflow was either vertical or horizontal and, to function properly, encompassed extra side walls inside the OR. Recently, new airstream technology has provided zoned down-flow units that provide an exponential airflow (i.e., resembling an upside-down trumpet mouth). The exponential airflow allows for omission of extra side walls, making them more versatile in clinical use. Each different type of LAF requires knowledge of airstream patterns and how OR team members need to dress and work to prevent contamination of the sterile air and the aseptic areas. This article discusses different LAF systems and related demands on OR clothing and behavior.

摘要

为尽量减少术后感染,配备了为电子和航空航天技术开发的高效空气微粒过滤器的超净层流空气(LAF)装置已被应用于手术室。传统上,气流为垂直或水平方向,且为正常运行,手术室内部设有额外的侧壁。最近,新的气流技术提供了分区向下气流装置,可提供指数气流(即类似倒置的喇叭口)。指数气流无需额外的侧壁,使其在临床应用中更具通用性。每种不同类型的层流空气装置都需要了解气流模式以及手术室团队成员应如何着装和操作,以防止无菌空气和无菌区域受到污染。本文讨论了不同的层流空气系统以及对手术室着装和行为的相关要求。

相似文献

1
Ultraclean laminar airflow ORs.超净层流手术室。
AORN J. 1998 Apr;67(4):841-2, 845-51. doi: 10.1016/s0001-2092(06)62647-1.
2
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.
3
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
J Hosp Infect. 1999 Aug;42(4):287-93. doi: 10.1053/jhin.1998.0598.
4
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.
5
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.
6
Surgical area contamination--comparable bacterial counts using disposable head and mask and helmet aspirator system, but dramatic increase upon omission of head-gear: an experimental study in horizontal laminar air-flow.手术区域污染——使用一次性头部覆盖物、面罩和头盔式抽吸系统时细菌计数相当,但不使用头部装备时细菌计数急剧增加:在水平层流空气中的一项实验研究
J Hosp Infect. 2001 Feb;47(2):110-5. doi: 10.1053/jhin.2000.0909.
7
Temperature-controlled airflow ventilation in operating rooms compared with laminar airflow and turbulent mixed airflow.手术室温度控制气流通风与层流和紊流混合气流的比较。
J Hosp Infect. 2018 Feb;98(2):181-190. doi: 10.1016/j.jhin.2017.10.013. Epub 2017 Oct 24.
8
Clothing in laminar-flow operating theatres.层流手术室中的着装。
J Hosp Infect. 1996 Jan;32(1):1-7. doi: 10.1016/s0195-6701(96)90159-0.
9
Mobile laminar air flow screen for additional operating room ventilation: reduction of intraoperative bacterial contamination during total knee arthroplasty.移动层流空气屏风用于额外手术室通风:全膝关节置换术中减少术中细菌污染。
J Orthop Traumatol. 2011 Dec;12(4):207-11. doi: 10.1007/s10195-011-0168-5. Epub 2011 Nov 10.
10
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。
Proc Inst Mech Eng H. 2005;219(2):153-60. doi: 10.1243/095441105X9282.

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