2019-nCoV重症患者气管切开防喷溅装置的设计与初步应用

Development of anti-spray isolation device for critically ill 2019-nCoV patients who received tracheotomy

目的:对2019-nCoV高传染性重症患者进行气管插管、气管切开等高危程序操作,是一线医务人员发生感染的重要危险因素,急需降低操作者的感染风险。方法:本团队发明一种手术防喷溅隔离装置,在操作者与患者之间建立可视化防喷溅隔离区域,术者可将手伸进隔离装置的操作口进行手术操作,在不影响正常手术程序的同时,降低了自身感染风险。结果:本装置经申请专利后已初步试用于临床,在7例重症新型冠状病毒肺炎患者的气管切开术中得以成功应用,目前已批量生产,发往武汉抗疫一线。结论:本隔离装置在救治2019-nCoV患者的临床应用中得到良好反馈,为抗击疫情的一线医务工作者提供了有效防护措施,降低了感染风险。

PURPOSE:High risk procedures such as intubation,tracheotomy for critically ill 2019-nCoV patients were one of the most important factors that increased the risk of healthcare workers(HCWs)'s infection.METHODS:One anti-spray isolation device was developed to reduce virus infection during high risk procedures.Operators performed surgery through two holes on the isolation device,while not affected.RESULTS:This isolation device was patent and applied successfully in seven critically ill 2019-nCoV patients who received tracheotomy.Then it went into production and had been transported to Wuhan medical institutions.CONCLUSIONS:At present,this isolation device had been used in clinical practice and received good feedback.It was believed that the device would provide well protection for front-line HCWs and reduce their infection risk.