Laminar air flow reduces particle load in TKA—even outside the LAF panel: a prospective, randomized cohort study
Uložené v:
| Názov: | Laminar air flow reduces particle load in TKA—even outside the LAF panel: a prospective, randomized cohort study |
|---|---|
| Autori: | Stephanie Kirschbaum, Hagen Hommel, Peggy Strache, Roland Horn, Roman Falk, Carsten Perka |
| Zdroj: | Knee Surg Sports Traumatol Arthrosc |
| Informácie o vydavateľovi: | Wiley, 2020. |
| Rok vydania: | 2020 |
| Predmety: | 2. Zero hunger, Operating Rooms, Laminar air flow areas, Air Microbiology, Ventilation, Particle sizes, Cohort Studies, Total knee replacement, 03 medical and health sciences, Ventilation [MeSH], Particulate matter, Humans [MeSH], Operating Rooms [MeSH], Prospective Studies [MeSH], Arthroplasty, Replacement, Knee [MeSH], Air Microbiology [MeSH], Cohort Studies [MeSH], Airborne particulate matter, Total knee arthroplasty, Knee, Surgical Wound Infection [MeSH], Surgical site infection, 0302 clinical medicine, Humans, Surgical Wound Infection, Prospective Studies, Arthroplasty, Replacement, Knee, 600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit::610 Medizin und Gesundheit |
| Popis: | PurposeReleased particles are a major risk of airborne contamination during surgery. The present prospective study investigated the quantitative and qualitative particle load in the operating room (OR) depending on location, time of surgery and use of laminar air flow (LAF) system.MethodsThe particle load/m3 was measured during the implantation of 12 total knee arthroplasties (6 × LAF, 6 × Non‐LAF) by using the Met One HHPC 6 + device (Beckmann Coulter GmbH, Germany). Measurement was based on the absorption and scattering of (laser) light by particles and was performed at three different time‐points [empty OR, setting up, ongoing operation) at 3 fixed measurement points [OR table (central LAF area), anaesthesia tower (marginal LAF area), surgical image amplifier (outside LAF area)].ResultsIndependent of time and location, all measurements showed a significantly higher particle load in the Non‐LAF group (p ConclusionThe use of a LAF system significantly reduces the particle load and therefore potential bacterial contamination regardless of the time or place of measurement and therefore seems to be a useful tool for infection prevention. As LAF leads to a significant decrease of respirable particles, it appears to be a protective factor for the health of the surgical team regardless of its use in infection prevention.Level of evidenceI. |
| Druh dokumentu: | Article Other literature type |
| Jazyk: | English |
| ISSN: | 1433-7347 0942-2056 |
| DOI: | 10.1007/s00167-020-06344-3 |
| DOI: | 10.17169/refubium-36510 |
| Prístupová URL adresa: | https://link.springer.com/content/pdf/10.1007/s00167-020-06344-3.pdf https://pubmed.ncbi.nlm.nih.gov/33165633 https://pubmed.ncbi.nlm.nih.gov/33165633/ https://link.springer.com/content/pdf/10.1007/s00167-020-06344-3.pdf https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7649711 https://link.springer.com/article/10.1007/s00167-020-06344-3 https://europepmc.org/article/MED/33165633 https://repository.publisso.de/resource/frl:6469092 https://refubium.fu-berlin.de/handle/fub188/36797 https://doi.org/10.17169/refubium-36510 https://doi.org/10.1007/s00167-020-06344-3 |
| Rights: | CC BY URL: http://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (http://creativecommons.org/licenses/by/4.0/) . |
| Prístupové číslo: | edsair.doi.dedup.....189cdd2a93c84c0ef57fa1a0cded1614 |
| Databáza: | OpenAIRE |
Full Text Finder 
Nájsť tento článok vo Web of Science | Abstrakt: | PurposeReleased particles are a major risk of airborne contamination during surgery. The present prospective study investigated the quantitative and qualitative particle load in the operating room (OR) depending on location, time of surgery and use of laminar air flow (LAF) system.MethodsThe particle load/m3 was measured during the implantation of 12 total knee arthroplasties (6 × LAF, 6 × Non‐LAF) by using the Met One HHPC 6 + device (Beckmann Coulter GmbH, Germany). Measurement was based on the absorption and scattering of (laser) light by particles and was performed at three different time‐points [empty OR, setting up, ongoing operation) at 3 fixed measurement points [OR table (central LAF area), anaesthesia tower (marginal LAF area), surgical image amplifier (outside LAF area)].ResultsIndependent of time and location, all measurements showed a significantly higher particle load in the Non‐LAF group (p ConclusionThe use of a LAF system significantly reduces the particle load and therefore potential bacterial contamination regardless of the time or place of measurement and therefore seems to be a useful tool for infection prevention. As LAF leads to a significant decrease of respirable particles, it appears to be a protective factor for the health of the surgical team regardless of its use in infection prevention.Level of evidenceI. |
|---|---|
| ISSN: | 14337347 09422056 |
| DOI: | 10.1007/s00167-020-06344-3 |