دستورالعمل‌های مهم جراحی در زمان کرونا: یک مطالعه‌ی مروری

نوع مقاله : مقاله مروری

نویسندگان

1 مربی، گروه اتاق عمل، مرکز تحقیقات سلامت جامعه، واحد اصفهان (خوراسگان)، دانشگاه آزاد اسلامی، اصفهان، ایران

2 استادیار، مرکز تحقیقات پرستاری و مامایی جامعه‌نگر، دانشگاه علوم پزشکی شهرکرد، شهرکرد، ایران

3 مربی، گروه پرستاری داخلی جراحی، دانشکده‌ی پرستاری و مامایی، دانشگاه علوم پزشکی شهرکرد، شهرکرد، ایران

4 مربی، گروه اتاق عمل، دانشکده‌ی علوم پزشکی، واحد الیگودرز، دانشگاه آزاد اسلامی، الیگودرز، ایران

5 گروه فوریت‌های پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

6 مربی، گروه اتاق عمل، مرکز تحقیقات پرستاری مامایی جامعه نگر، دانشکده‌ی پرستاری و مامایی، دانشگاه علوم پزشکی شهرکرد، شهرکرد، ایران.

چکیده

مقدمه: در شرایط پاندمی کووید 19 و مخاطرات انتقال بیماری به سایر افراد در محیط بیمارستانی و در عین حال، لزوم انجام برخی جراحی‌ها، اجرای اقدامات پیشگیرانه در اتاق‌های عمل باید به طور جدی مد نظر قرار گیرد. پژوهش حاضر با هدف بررسی دستورالعمل‌های مهم جراحی در زمان همه‌گیری کرونا انجام شد.روش‌ها: این مطالعه از نوع مروری سیستماتیک بود. داده‌ها با استفاده از کلید واژه‌های «کرونا، کووید 19، اتاق عمل و جراحی» در پایگاه‌های اطلاعاتی PubMed، Scopus و Scientific information database (SID) و موتور جستجوگر Google Scholar جستجو و توسط دو نفر از نویسندگان جمع‌آوری گردید. معیارهای ورود مقالات شامل انتشار در سال‌های 2020 و 2021، پژوهش‌های اصیل، داشتن زبان لاتین و وجود کلید واژه‌ها در عنوان یا چکیده‌ی مقالات بود. با اعمال معیارهای ورود و خروج از بین 100 مقاله و سایت منتخب، 54 مورد انتخاب شد و پس از انجام بررسی دوم توسط پژوهشگر دیگر، در نهایت 29 مقاله مرتبط مورد بررسی و تجزیه و تحلیل قرار گرفت.یافته‌ها: از مهم‌ترین نکات در زمان همه‌گیری کووید 19 در فضای اتاق‌های عمل، می‌توان به «کاهش تعداد اعمال جراحی الکتیو، استفاده‌ی صحیح از وسایل حافظت شخصی توسط تیم جراحی در اتاق عمل، استفاده از پورت کوچک جهت جلوگیری از نشت گاز و فشار کم اینسوفلاسیون در اعمال جراحی لاپاراسکوپیک، استفاده از فیلتر مرطوب‌کننده‌ی یک‌بار مصرف در محیط اتاق عمل جهت تهویه‌ی بهتر هوا، استفاده از ایروی یک‌بار مصرف و لارنگوسکوپ ویدئویی در بیهوشی و افزایش دفعات تهویه‌ بیش از 25 بار در ساعت بین جراحی‌ها» اشاره کرد.نتیجه‌گیری: لازم است دستورالعمل‌های ارایه شده، در اتاق عمل نصب شود و مسؤولان اتاق عمل نظارت دقیقی بر حسن اجرای آن داشته باشند.

کلیدواژه‌ها


عنوان مقاله [English]

Important Guidelines for Surgery in COVID-19 Pandemic; A Review Study

نویسندگان [English]

  • Saeed Jazini 1
  • Fatemeh Aliakbari 2
  • Leila Ebrahimi-Shaikhshabani 3
  • Jaber Zabihirad 4
  • Iman Masoudi-Chelehgahi 5
  • Samaneh Dehghan-Abnavi 6
1 Instructor, Department of Operating Room, Community Health Research Center, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran
2 Assistant Professor, Community Oriented Nursing and Midwifery Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran
3 Instructor, Department of Adult and Elderly Nursing, School of Nursing and Midwifery, Shahrekord University of Medical Sciences, Shahrekord, Iran
4 Instructor, Department of Operating Room, Islamic Azad University, Aligudarz Branch, Aligudarz, Iran
5 Department of Emergency Medical Services, Isfahan University of Medical Sciences, Isfahan, Iran
6 Instructor, Department of Operating Room, Community-Oriented Nursing Midwifery Research Center, Nursing and Midwifery School, Shahrekord University of Medical Sciences, Shahrekord, Iran
چکیده [English]

Background: In the case of COVID-19 pandemic and the risks of transmitting the disease to other people in the hospital environment, and the need to performing some surgeries, implementing preventive measures in operating rooms should be seriously considered. The aim of this study was to investigate the important surgical instructions during COVID-19 pandemic.Methods: This was a systematic review study in which data were collected by searching PubMed, Scopus, and Scientific Information Database (SID) databases and Google Scholar search engine with the keywords Corona, COVID 19, operating room, and surgery. Inclusion criteria of articles included published in 2020 and 2021, original articles, English language, and having the keywords in the title or abstract. By applying inclusion and exclusion criteria, out of 100 articles and selected sites, 54 articles were selected, and after the second review by another researcher, 29 articles completely related to the subject were reviewed and analyzed.Findings: Some of the most important points during the COVID-19 pandemic in the operating room space is to reduce the number of elective surgeries, correct use of personal protective equipment by the surgical team in the operating room, use of a small port to prevent gas leakage and low insufflation pressure in laparoscopic surgery, use of disposable moisturizing filter in the operating room environment for better ventilation, use of disposable airway and video laryngoscope by anesthesiologist, and increasing the frequency of ventilation more than 25 times per hour between surgeries.Conclusion: It is necessary to install provided instructions in the operating room, and the operating room supervisors have close monitor over its proper implementation.

کلیدواژه‌ها [English]

  • COVID-19
  • Operating Room
  • Surgery
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