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1.
Endoscopists are at high risk of allowing transmission of coronavirus disease 2019 (COVID-19) during gastrointestinal endoscopy (GIE) procedures under pandemic conditions. The main avenues of droplet-containing aerosol generated during GIE are the mouth, anus, and endoscopic forceps channel. Although the usefulness of personal protective equipment for preventing COVID-19 dissemination has been well reported, measures to address infected aerosol escaping during endoscopic forceps use have been neglected. Pathogen-contaminated aerosol from the endoscopic forceps channel, leading into the gastrointestinal lumen, has been confirmed and is a highly problematic source of infection. We developed a technique that entails covering the forceps entry/exit hole with a vinyl bag, thereby preventing contamination of the endoscopy room by the infected aerosol that escapes from this hole. The technique can be used in daily clinical endoscopic practice. Furthermore, this shielding technique is useful for all patients who undergo GIE, regardless of the purpose of the procedure such as for making a diagnosis, administering therapy, or in an urgent situation. In this letter, we introduce our novel, easily performed, inexpensive method of infection prevention by disallowing infected aerosol to escape from a COVID-19-infected patient into the air during a procedure that requires the use of endoscopic forceps.  相似文献   
2.
Study ObjectiveTo present our experience of laparoscopic resection of pediatric benign ovarian teratomas with gonadal preservation, using a homemade glove retrieval bag.Design, Setting, Participants, Interventions, and Main Outcome MeasuresReview of all girls with benign ovarian teratomas who were managed with laparoscopic ovarian-sparing surgery (OSS) at our hospital between January 2013 and December 2018.ResultsEleven patients were included for analysis with a mean age of 6.1 years. Ten patients received elective surgery, whereas 1 patient received emergency surgery because of ovarian torsion. Main indication for OSS was the existence of a dissection plane between tumor margins and healthy ovarian tissue. Postoperative outcome and follow-up were uneventful with a median follow-up of 30.1 months (range; 12-60 months).ConclusionLaparoscopic OSS can be safely performed for these tumors. Laparoscopic magnification with energy devices are excellent tools in such procedures. The homemade glove bag can be used to retrieve the tumor effectively in countries with limited resources.  相似文献   
3.
ObjectivesTo assess the compliance of parenteral nutrition bags to standards and to evaluate the ease of use and the time required to mix the different compartments of bags sold on the French market in 2014.Materials and methodsThree in vitro tests have been carried out: volume measurement, tests of penetration and adhesion of the infusion needle. Users evaluated the various stages of bags preparation using the Likert scale. The reading time of the instruction guide and the preparation time of the bags were recorded.ResultsAccording to in vitro tests, all bags were in conformity with the standards. The assessment of ease of use revealed variations between the different bags. Bags with two compartments displayed similar general appreciation but a different handling time. Two ranges of bags with three compartments for central line (Olimel® and Kabiven®) obtained different results in terms of general appreciation and handling time. One of three ranges of bags with three compartments for administration via peripheral route got better appreciations and a lower handling time than the two others.ConclusionAll bags were in conformity with standards in terms of volume and connection between the bag and the infusion set. The handling test showed variations of the preparation time and the ease of use.  相似文献   
4.
《中国现代医生》2019,57(29):79-82
目的探讨水囊新法打输尿管隧道在宫颈癌根治术中的应用价值。方法回顾分析2018年6~12月在我院确诊的宫颈癌患者临床资料,其中用水囊新法处理输尿管16例(A组)、输尿管导管处理输尿管21例(B组)。比较两组患者手术时间、术中出血量、术后尿管拔除时间、尿潴留发生率、输尿管损伤率、术后发热率、尿路感染发生率等。结果 A组手术时间明显短于B组,但差异无统计学意义(P0.05);两组患者术中出血量、术后住院时间、术后尿管拔除时间、术后尿潴留发生率比较差异无统计学意义(P0.05)。A组术后抗生素使用时间明显短于B组,术后发热、尿路感染、术后血尿发生率明显低于B组,差异均有统计学意义(P均0.05)。两组患者术中、术后均未发生输尿管损伤。术后3个月随访过程中,B组患者中4例出现尿路感染,1例出现肾积水,A组患者无尿路感染或泌尿系统损伤的发生。结论在行广泛子宫切除手术时,为避免术中输尿管损伤,术中水囊新法打输尿管隧道是可行的,可有效避免术中输尿管的损伤,不增加患者经济负担,且不增加术后并发症的发生,具有临床推广价值。  相似文献   
5.
Context: Magnetic Resonance Imaging (MRI) is an essential diagnostic tool for neuroimaging tissues such as the spinal cord. Unfortunately, the use of MRI may be limited in ventilated patients, who cannot maintain the supine position in spontaneous breathing for the whole duration of the exam (i.e. neuro-muscular patients with diaphragm involvement). The use of MRI-compatible ventilator during MRI could be a solution but they are not universally available. Furthermore, their performances are not up to those of the conventional ones and they are not always compatible with Non Invasive Ventilation (NIV).

Findings: This case report describes an easy and low-cost solution to ventilate a patient non-invasively during the MRI procedure. The patient in this case was a 45-yr-old man, wheelchair-dependent and chronically ventilated in NIV with a forced vital capacity in supine position of 370?ml (10% of predicted normal), affected by Arnold-Chiari Syndrome, and in need of a MRI diagnostic control.

Conclusion: The technique proposed, that does not affect the MRI images quality, consists in ventilating the patient using a simple nonmetallic Ventilation Bag, operated by a Respiratory Therapist. This has been proven a useful and economical solution for ventilatory support during MRI for a respiratory-dependent patient with Arnold-Chiari Syndrome.  相似文献   
6.

Background and Objective:

Intravenous (IV) infusions of telavancin for injection are generally administered in-hospital, but in some circumstances they may be administered in an outpatient environment. In that setting, antibiotics may be premixed and frozen. This study determined the chemical stability of nonpreserved telavancin in various commonly used reconstitution diluents stored in IV bags (polyvinyl chloride [PVC] and PVC-free) at -20°C (-4°F) without light.

Methods:

Telavancin (750 mg/vial) was reconstituted with 5% dextrose injection USP (D5W) or 0.9% sodium chloride injection USP (NS) to obtain drug solutions at approximately 15 mg/mL. Infusion solutions of telavancin at diluted concentrations of 0.6 mg/mL and 8.0 mg/mL covering the range utilized in clinical practice were prepared in both PVC and PVC-free IV bags using D5W or NS solutions. The infusion solutions were stored under frozen conditions (-20°C ± 5°C [-4°F ± 41°F]) and the chemical stability was evaluated for up to 32 days. Telavancin concentration, purity, and degradant levels were determined using a stability-indicating high-performance liquid chromatography (HPLC) method.

Results:

Telavancin IV infusion solutions in D5W or NS at 0.6 mg/mL and 8 mg/mL and stored at -20°C (-4°F) met the chemical stability criteria when tested on days 0, 7, 14, and 32. The assayed telavancin concentration at each time point was within 97% to 103% of the initial mean assay value. The total degradants quantified by the HPLC stability-indicating method did not show any significant change over the 32-day study period.

Conclusion:

Telavancin IV infusion solutions (in D5W or NS) in both PVC and PVC-free IV bags were stable for at least 32 days when stored at -20°C (-4°F) without light. These results provide prolonged frozen stability data further to that previously established for 7 days under refrigerated conditions (2°C-8°C [36°F -46°F]), and for 12 hours at room temperature when diluted into IV bags containing D5W, NS, or lactated Ringer’s solution.  相似文献   
7.
目的:探讨男性尿失禁患者留置导尿与使用保鲜袋接尿并发症发生率对比,研究更适合男性尿失禁患者接尿方法。方法回顾我院综合病房2012年5月1日~2013年9月30日就诊男性尿失禁患100例,按入院时间分为观察组与对照组50例,观察组应用保鲜袋接尿法,对照组应用留置导尿。结果通过1个月观察期间,两组并发症对比,观察组尿道感染与阴茎糜烂、管道脱落、漏尿、4 w总费用、患者满意度有显著差异,差异有统计学意义(<0.05)。结论男性尿失禁患者使用保鲜袋接尿方法避免了有创留置导尿,并减少了导管相关性尿路感染的发生率,减轻患者痛苦与经济负担,同时减少了漏尿与皮肤损伤的问题,提高了患者舒适度,方便可行,是与家庭护理紧密衔接的方法,值得在长期卧床尿失禁患者中普遍采用。  相似文献   
8.
目的探究髋膝关节置换术后患者应用自制可调式冰袋对其疼痛及引流量的影响。方法选取海安市中医院2018年4月至2020年4月收治的髋膝关节置换术患者126例为研究对象,按随机数字表法分为对照组和观察组各63例。对照组采用常规冰袋冰敷,观察组采用自制可调式冰袋冰敷。对比两组患者手术后关节引流量、肿胀度及疼痛情况。结果观察组患者干预1 d、2 d、3 d后,关节引流量均少于对照组,关节肿胀度和疼痛程度均轻于对照组,差异有统计学意义(均P<0.05)。结论自制可调式冰袋应用于髋膝关节置换术后患者可有效减少其关节引流量,减轻其关节肿胀及疼痛程度,值得临床推广。  相似文献   
9.
目的探讨新型仿生学尿袋在关节置换术后老年患者中的应用而减少因导尿引起并发症的效果。方法选择64例留置尿管老年手术患者,随机分为试验组和对照组各32例,试验组采用新型仿生学尿袋,对照组采用抗反流尿袋,分别比较导尿至拔出尿管自行排尿时间、2次以上溢尿发生率、经诱导排尿后需要2次导尿比例、尿路感染发生率。结果试验组和对照组导尿至拔出尿管自行排尿时间分别为(64.49±4.98)h和(82.64±1.47)h,2次以上溢尿率分别为6.25%和25.00%,2次导尿比分别为15.63%和40.63%,尿路感染发生率分别为6.25%和18.75%。结论新型仿生学尿袋能缩短尿管拔出时间,促进患者自行排尿,同时减少溢尿的发生和2次导尿,明显减少尿路感染的发生,保证了老年关节置换患者的术后康复,也减少了护理工作时间。  相似文献   
10.
目的探讨多功能蝶形底盘造口袋引流大便治疗失禁相关性皮炎(IAD)的应用效果。方法采用便利抽样法,选择2019年1—9月入住浙江省人民医院ICU因大便失禁而发生IAD的84例患者为研究对象,按照随机数字表法将其分为观察组(42例)和对照组(42例)。对照组采用IAD皮肤管理三部曲联合普通造口袋,观察组采用IAD皮肤管理三部曲联合多功能蝶形底盘造口袋。比较两组患者的IAD治疗总有效率、治疗IAD护理人员的护理时间以及造口袋平均留置时间、造口袋平均使用时间、更换频次、两组患者家属满意度。结果观察组患者的IAD治疗总有效率为95.24%(40/42),高于对照组的73.81%(31/42),两组比较差异有统计学意义(P<0.05)。观察组所用护理时间为(1.89±0.32)h/d,短于对照组的(5.73±1.64)h/d,两组比较差异有统计学意义(P<0.05)。观察组的留置时间为(5.20±0.40)d/人,短于对照组的(9.40±1.20)d/人,两组比较差异有统计学意义(P<0.05)。观察组的使用时间为(98.27±12.18)h/袋,长于对照组的(72.18±4.63)h/袋,两组比较差异有统计学意义(P<0.05)。观察组的更换频次为(1.20±0.10)次/人,短于对照组的(3.10±0.70)次/人,两组比较差异有统计学意义(P<0.05)。观察组的家属满意度高于对照组,两组比较差异有统计学意义(P<0.05)。结论相较于传统的造口袋,多功能蝶形底盘造口袋可有效治疗IAD,缩短治疗IAD所用护理时间,延长造口袋使用时间,减少平均留置时间和更换频次,提升家属满意度,可在临床推广。  相似文献   
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