关键词: filtration hierarchy of controls respiratory protection surgical smoke evacuation ultra-low particulate air (ULPA) filter

来  源:   DOI:10.1002/aorn.13745

Abstract:
Surgical smoke is the vaporous and gaseous byproduct of the use of heat-producing devices on tissue. The contents of surgical smoke include harmful chemicals, viable and nonviable material, and viruses. Personnel and patients experience an unpleasant odor when smoke is not evacuated and risk developing symptoms, such as headaches, throat irritation, and dizziness. The recently updated AORN \"Guideline for surgical smoke safety\" provides perioperative nurses with background information on surgical smoke and ways to mitigate the hazard. This article provides an overview of the guideline and discusses recommendations for a smoke-free environment, smoke evacuation and filtration, respiratory protection, education, policies and procedures, and quality. It also includes scenarios describing specific concerns in two patient care areas. Perioperative nurses should review the guideline in its entirety and apply the recommendations to protect personnel and patients from the dangers of surgical smoke.
摘要:
手术烟雾是在组织上使用产热装置的蒸气和气态副产物。手术烟雾的内容包括有害化学物质,可行和不可行的材料,和病毒。当烟雾未被疏散时,人员和患者会出现难闻的气味,并有可能出现症状,比如头痛,喉咙刺激,和头晕。最近更新的AORN“手术烟雾安全指南”为围手术期护士提供了有关手术烟雾的背景信息以及减轻危害的方法。本文概述了指南,并讨论了无烟环境的建议,排烟和过滤,呼吸保护,教育,政策和程序,和质量。它还包括描述两个患者护理领域中的特定问题的场景。围手术期护士应全面审查指南,并应用建议,以保护人员和患者免受手术烟雾的危害。
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