Operating room myths: what is the evidence for common practices
Operating room myths: what is the evidence for common practices
复制标题
手术室神话：常见做法的证据是什么
DOI：
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发表时间：
2015
影响因子：
3.9
通讯作者：
T. Perl
中科院分区：
文献类型：
--
作者：
S. Pada;T. Perl
审查目的为了确保患者安全和预防手术部位感染，手术室/手术室已演变成复杂的、高度技术化的环境。在过去十年中，预防与医疗保健相关的感染和限制患者伤害的战略取得了势头。这篇文章的目的是检查和质疑一些普遍持有的观点，具体涉及：层流气流、噪声和操作区门的打开以及这些因素对SSI的影响。最近的研究发现，层流气流可能不是假体植入手术所必需的。最近的一些数据表明，这可能会对患者造成伤害。随着更好的手术技术和围手术期护理的发展，可能不需要这样昂贵的系统。有大量开门的手术室也有更高的SSI发生率，噪音水平较高的手术室也是如此。这些可作为手术室纪律的替代标记。在制定减少SSI的战略时，针对这些领域的举措可能值得考虑。摘要需要改进SSI的监视系统，并应包括操作区气流类型。这将允许进一步分析层流气流对SSI的影响，并为果断建议提供证据。培养良好的操作区纪律文化也可能减少SSI。
Purpose of review In order to ensure patient safety and prevent surgical site infections (SSIs), operating theaters/rooms have evolved into complex, highly technical environments. Prevention of healthcare-associated infections, and strategies to limit patient harm, have gained momentum over the last decade. This article aims to examine and dispute some commonly held beliefs with specific reference to: laminar airflow, noise and operating theater door openings and how these impact SSI. Recent findings Laminar airflow may not be necessary for prosthetic implant surgery. Some recent data suggest that there may be patient harm. With the development of better surgical techniques and perioperative care, such costly systems may not be needed. Operating rooms with a high number of door openings have also been shown to experience higher SSI rates, as have operating rooms with high noise levels. These may serve as surrogate markers for operating room discipline. Initiatives which target these areas may be worth considering when devising strategies to reduce SSIs. Summary Improved surveillance systems for SSIs are needed and should include operating theater airflow type. This will allow further analysis of the effect of laminar air flow on SSIs and provide evidence for a decisive recommendation. Cultivating a culture of good operating theater discipline may also reduce SSIs.