给外科医生戴手套:外科手套材料性能、安全性和浪费的实用回顾。

Jay J Patel, Keenan S Fine, Aidan W O'Shea, Peter J Wirth, Ellen C Shaffrey, Pradeep K Attaluri, Venkat K Rao
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引用次数: 0

摘要

手术手套是每个外科医生日常工作的主要内容,但它们的整个生命周期并不总是很好地理解。本文概述了外科手套从制造到处置的历程,特别强调了临床相关的特性,如耐用性、穿孔率和过敏风险。首先回顾无菌外科手套的历史背景,然后详细概述制造过程和使用的材料,包括乳胶和各种合成替代品。这些不同的材料在屏障保护、贴合、触觉敏感性和致敏性方面可能有所不同。这里提出的数据表明,乳胶的合成替代品,虽然低过敏性,但可能更容易产生微穿孔或降低灵活性。还研究了手套采购和库存管理的物流,提供见解,帮助外科团队和医院管理人员为供应链中断做好准备,例如在COVID-19大流行期间所经历的中断。最后,探讨了手套处理的最佳实践和手术手套对环境的影响。通过检查手套使用的临床和后勤方面,本文提供了优化手术安全性,资源管理和可持续性的见解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Gloving the Surgeon: A Practical Review of Surgical Glove Material Properties, Safety, and Waste.

Surgical gloves are a staple in every surgeon's daily routine, yet their full lifecycle is not always well understood. This paper outlines the journey of a surgical glove from manufacturing to disposal, with particular emphasis on clinically relevant properties such as durability, perforation rates, and allergy risk. It begins with a review of the historical context of sterile surgical gloves, followed by a detailed overview of the manufacturing process and the materials used, including latex and various synthetic alternatives. These various materials may differ in barrier protection, fit, tactile sensitivity, and allergenic potential. Data presented here suggests that synthetic alternatives to latex, while hypoallergenic, may be more prone to microperforations or decreased dexterity. The logistics of glove sourcing and inventory management are also examined, providing insights to help surgical teams and hospital administrators prepare for supply chain disruptions, such as those experienced during the COVID-19 pandemic. Finally, best practices for glove disposal and the environmental impact of surgical gloves are explored. By examining the clinical and logistical aspects of glove use, this article offers insights to optimize surgical safety, resource management, and sustainability.

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