Chinese Medical Sciences Journal ›› 2020, Vol. 35 ›› Issue (2): 114-120.doi: 10.24920/003739

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新型冠状病毒肺炎流行期间围术期感染的防控策略

田毅1,龚亚红2,柳培雨3,王晟4,徐宵寒2,王晓月1,黄宇光2,*()   

  1. 1. 海口市人民医院中南大学湘雅医学院附属海口医院 麻醉科,海口 570208,中国
    2. 中国医学科学院北京协和医院 麻醉科,北京 100730,中国
    3. 武警海南省总队医院 麻醉科,海口 570203,中国
    4. 广东省人民医院 麻醉科,广州 510080,中国
  • 收稿日期:2020-03-13 接受日期:2020-04-01 出版日期:2020-06-30 发布日期:2020-06-08
  • 通讯作者: 黄宇光 E-mail:garybeijing@163.com

Infection Prevention Strategy in Operating Room during Coronavirus Disease 2019 (COVID-19) Outbreak

Tian Yi1,Gong Yahong2,Liu Peiyu3,Wang Sheng4,Xu Xiaohan2,Wang Xiaoyue1,Huang Yuguang2,*()   

  1. 1. Department of Anesthesiolog, Haikou People’s Hospital, Affiliated Haikou Hospital of Xiangya School of Medicine, Central South University, Haikou 570208, China;
    2. Department of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China;
    3. Department of Anesthesiology, Hainan Provincial Corps Hospital of Chinese People’s Armed Police Force, Haikou 570203, China;
    4. Department of Anesthesiology, Guangdong Provincial People‘s Hospital, Guangdong Academy of Medical Sciences, Guangzhou 510080, China;
  • Received:2020-03-13 Accepted:2020-04-01 Published:2020-06-30 Online:2020-06-08
  • Contact: Huang Yuguang E-mail:garybeijing@163.com

摘要:

新型冠状病毒肺炎(COVID-19)疫情已经在世界范围形成大流行,重症患者往往需要行气管插管和机械通气,且部分非重症患者也可能因急诊手术需行全身麻醉。医务人员可能接触病毒载量很高的呼吸道飞沫和气溶胶,所以具有极高的职业暴露风险。加强围术期医护人员和手术室的感染防控对预防院内聚集性感染以及减少医务人员的职业暴露非常重要。本文借鉴了国内外相关文献,对COVID-19流行期间围术期手术室新冠病毒感染防控提出了详细的可操作性的建议,供广大麻醉工作者参考。

关键词: 新型冠状病毒, COVID-19, 围术期管理, 感染防控, 麻醉机, 消毒

Abstract:

A novel coronavirus that emerged in late 2019 rapidly spread around the world. Most severe cases need endotracheal intubation and mechanical ventilation, and some mild cases may need emergent surgery under general anesthesia. The novel coronavirus was reported to transmit via droplets, contact and natural aerosols from human to human. Therefore, aerosol-producing procedures such as endotracheal intubation and airway suction may put the healthcare providers at high risk of nosocomial infection. Based on recently published articles, this review provides detailed feasible recommendations for primary anesthesiologists on infection prevention in operating room during COVID-19 outbreak.

Key words: COVID-19, SARS-CoV-2, infection control precaution, perioperative management, anesthesia machine, disinfection

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