新型冠状病毒肺炎疫情期间耳鼻咽喉头颈外科手术室管理策略

Management strategies for operating room of otorhinolaryngology head and neck surgery during outbreak of novel coronavirus pneumonia

摘要:

摘要：目的根据疫情期间耳鼻咽喉头颈外科医护人员面临的交叉感染风险和职业暴露危险，制订手术室管理策略，达到保障手术患者和医务人员安全的目的。方法2020年1月25日—2020年3月8日空军军医大学西京医院耳鼻咽喉头颈外科完成手术29例。手术室从人员、物资、手术、环境、安全防护等方面入手，制定严格的管理策略，规范手术实施，并对医护人员防护效果及患者围手术期状况进行评估。结果通过对患者术前临床观察以及直至术后14 d的跟踪随访，在29例手术中，无疑似、确诊和漏诊病例，无医护人员交叉感染，所有患者手术顺利，无围手术期并发症。结论制定严格有效的手术室管理策略，保证了疫情期间手术的正常及时开展，保护医护人员、手术患者安全有效，防止院内交叉感染的发生。

关键词:耳鼻咽喉头颈外科|新型冠状病毒肺炎|手术室|管理策略

Abstract:

ObjectiveTo formulate management strategies for operating room according to the risk of crossinfection and occupational exposure faced by medical staff of otolaryngology head and neck surgery during the epidemic period of new coronavirus pneumonia, so as to ensure the safety of surgical patients and medical staff.MethodsFrom Jan 25, 2020 to March 8, 2020, 29 patients received surgical operation in our department. Starting from the aspects of personnel, materials, operation, environment and safety protection, strict and effective management strategies for operating room were formulated, operation implementation was standardized and the protection effect of medical staff and the perioperative status of patients were evaluated.ResultsPreoperative clinical observation and postoperative followup for 14 days revealed suspected, confirmed or misdiagnosed case in none of them. No medical or nursing staff member got crossinfection, and successful operation was achieved in all the patients without any complications.ConclusionFormulation of strict and effective management strategies for operating room can ensure the normal and timely operation implementation during the epidemic of new coronavirus pneumonia, protect the safety of medical staff and patients, prevent the occurrence of nosocomial crossinfection, and effectively avoid the spread of the epidemic.

Key words:Otolaryngology head and neck surgery|New coronavirus pneumonia|Operating room|Management strategy