介入放射学中的COVID-19:血管造影室的管理

N. Irene, Dore Antonio
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引用次数: 0

摘要

COVID-19大流行带来的最重大挑战之一是介入放射学实践。为了保证对患者的最佳护理,避免对操作人员的污染,有必要对复杂的血管造影室进行针对性的管理。这项工作旨在指导卫生保健专业人员使用适当的管理策略、指南和建议,安全执行COVID-19患者的介入放射治疗程序,创造适当的工作环境。针对COVID-19患者的研究和修订工作利用了国际科学学会推广或编辑的指南和科学文章的主要科学文献数据库。在确定和分离感染患者的通道并确定操作人员的穿衣和脱衣区域后,创建了检查清单,以准备血管造影室和周围空间。设置包括移除所有非必要的移动设备,并准备无菌血管造影术台和必要的材料和药物。还必须在房间内放置装有受感染废物的容器;盖上造影剂、血管造影控制装置和病人监护装置;最后用干净的床单覆盖住所有不能移动的东西。作业程序的标准化、工作人员的培训和对遇到的关键问题的分析为确定适用于不同工作环境的最佳做法奠定了基础。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
COVID-19 in interventional radiology: management of the angiography room
One of the most significant challenges that the COVID-19 pandemic has created is the intervetional radiology practice. In order to guarantee the best patient care and avoid contamination of the operators, it was necessary to carry out specific management of the complex angiographic rooms. This work aims to guide healthcare professionals in the safe execution of interventional radiology procedures on COVID-19 patients using suitable management strategies, guidelines and recommendations available, creating an appropriate work environment. Research and revision work, targeted at COVID-19 patients, made use the main scientific literature databases of guidelines and scientific articles promoted or edited by international scientific societies. After identifying and separating the pathways for infected patients and defining the dressing and undressing areas of the operators, a check-list was created to prepare the angiographic room and the surrounding spaces. The set-up includes removal of all non-essential mobile devices for the expected procedure and preparation of the sterile angiographic table with the necessary material and drugs. It is also necessary placement of containers for infected waste inside the room; cover of contrast injector, angiographic controls and patient monitoring devices; finally covering with clean sheets everything that cannot be moved. The standardization of operating procedures, staff training and the analysis of critical issues encountered lay the foundations for definition of best practices adaptable to different work environments.
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