PDF(Pubmed)
Abstract：
UNASSIGNED: Since its introduction over two decades ago, the surgical laser has served in the lithotripsy of urinary calculi, resection of bladder tumours, bladder neck incisions, and prostate enucleation. Concerns regarding the safe use of holmium lasers have resulted in potentially excessive and overly precautious theatre regulations. We aimed to evaluate the preconceived impressions and practice patterns at a single site surrounding laser use in endourology.
UNASSIGNED: We designed a three-part online questionnaire that could be accessed using a smart device or computer. This survey was distributed to all theatre staff involved in laser surgery at our single site, including surgical, nursing, and anaesthetic staff of varying seniority. It asked questions regarding holmium laser safety, provided an up-to-date summary of published literature surrounding the safe use of lasers, and finally gave participants further option to alter the answers to several previously encountered questions.
UNASSIGNED: A total of 54 theatre staff completed the survey, including 17 theatre nurses (31.5%), 10 urology consultants (18.5%), 8 urology registrars (14.8%), 7 anaesthetic registrars (13%), 4 anaesthetic consultants (7.4%). About 51.9% of participants believed that current laser safety protocols were adequate, with 38.9% finding them excessive. After reading recently published information on laser safety, 22.2% thought current laser safety measures were adequate (57% decrease) and 77.8% found them to be excessive (100% increase). About 74.1% of participants found that laser safety goggles impair their vision and that 79.6% would choose not to wear them if they were optional.
UNASSIGNED: Strict laser safety guidelines reflect an overestimated risk associated with using holmium laser in operating theatres. Laser safety regulations should be re-evaluated to align with current research and potential hazards inherent to the device. In doing so, a more effective distribution of staff could enable greater access to laser surgery, thereby reducing patient morbidity and hospital wait times.
UNASSIGNED: We designed a three-part online questionnaire that could be accessed using a smart device or computer. This survey was distributed to all theatre staff involved in laser surgery at our single site, including surgical, nursing, and anaesthetic staff of varying seniority. It asked questions regarding holmium laser safety, provided an up-to-date summary of published literature surrounding the safe use of lasers, and finally gave participants further option to alter the answers to several previously encountered questions.
UNASSIGNED: A total of 54 theatre staff completed the survey, including 17 theatre nurses (31.5%), 10 urology consultants (18.5%), 8 urology registrars (14.8%), 7 anaesthetic registrars (13%), 4 anaesthetic consultants (7.4%). About 51.9% of participants believed that current laser safety protocols were adequate, with 38.9% finding them excessive. After reading recently published information on laser safety, 22.2% thought current laser safety measures were adequate (57% decrease) and 77.8% found them to be excessive (100% increase). About 74.1% of participants found that laser safety goggles impair their vision and that 79.6% would choose not to wear them if they were optional.
UNASSIGNED: Strict laser safety guidelines reflect an overestimated risk associated with using holmium laser in operating theatres. Laser safety regulations should be re-evaluated to align with current research and potential hazards inherent to the device. In doing so, a more effective distribution of staff could enable greater access to laser surgery, thereby reducing patient morbidity and hospital wait times.
摘要：
■自二十多年前推出以来，手术激光已用于泌尿系结石的碎石术，膀胱肿瘤切除术，膀胱颈切口,前列腺摘除术.对安全使用钬激光器的担忧导致了潜在的过度和过于谨慎的剧院法规。我们旨在评估在腔内使用激光的单个部位的先入为主的印象和实践模式。
■我们设计了一个由三部分组成的在线问卷，可以使用智能设备或计算机进行访问。这项调查已分发给我们单一地点所有参与激光手术的手术室工作人员，包括外科手术,护理,和不同资历的麻醉人员。它询问了有关钬激光安全性的问题，提供了有关激光器安全使用的已发表文献的最新摘要，并最终为参与者提供了进一步的选择，以更改先前遇到的几个问题的答案。
■共有54名剧院工作人员完成了调查，包括17名手术室护士(31.5%)，10名泌尿科顾问(18.5%)，8名泌尿外科注册师(14.8%)，7家麻醉药注册商（13%），4名麻醉顾问（7.4%）。大约51.9%的参与者认为目前的激光安全协议是足够的，38.9％的人发现他们过度。在阅读了最近发布的有关激光安全的信息后，22.2%的人认为目前的激光安全措施是足够的(减少57%)，77.8%的人认为它们是过度的(增加100%)。大约74.1%的参与者发现激光安全护目镜会损害他们的视力，79.6%的参与者会选择不佩戴。
■严格的激光安全指南反映了在手术室使用钬激光的风险被高估。应重新评估激光安全法规，以符合当前研究和设备固有的潜在危险。在这样做的时候，更有效地分配工作人员可以使更多的人获得激光手术，从而减少患者发病率和医院等待时间。
■我们设计了一个由三部分组成的在线问卷，可以使用智能设备或计算机进行访问。这项调查已分发给我们单一地点所有参与激光手术的手术室工作人员，包括外科手术,护理,和不同资历的麻醉人员。它询问了有关钬激光安全性的问题，提供了有关激光器安全使用的已发表文献的最新摘要，并最终为参与者提供了进一步的选择，以更改先前遇到的几个问题的答案。
■共有54名剧院工作人员完成了调查，包括17名手术室护士(31.5%)，10名泌尿科顾问(18.5%)，8名泌尿外科注册师(14.8%)，7家麻醉药注册商（13%），4名麻醉顾问（7.4%）。大约51.9%的参与者认为目前的激光安全协议是足够的，38.9％的人发现他们过度。在阅读了最近发布的有关激光安全的信息后，22.2%的人认为目前的激光安全措施是足够的(减少57%)，77.8%的人认为它们是过度的(增加100%)。大约74.1%的参与者发现激光安全护目镜会损害他们的视力，79.6%的参与者会选择不佩戴。
■严格的激光安全指南反映了在手术室使用钬激光的风险被高估。应重新评估激光安全法规，以符合当前研究和设备固有的潜在危险。在这样做的时候，更有效地分配工作人员可以使更多的人获得激光手术，从而减少患者发病率和医院等待时间。
