Covering the instrument table decreases bacterial bioburden: An evaluation of environmental quality indicators

Markel, Troy A.; Gormley, Thomas; Greeley, Damon; Ostojic, John; Wagner, Jennifer A.

doi:10.1016/j.ajic.2018.02.032

Cited by 15 publications

(18 citation statements)

References 8 publications

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“…19 Previous studies have also shown airborne concentrations of bacteria being greater outside versus inside the sterile field. 9,14,20 Our results for multiple particle sizes indicate strong chance that infectious aerosols, including viruses generated by patients, would pose as much a risk to health care workers at the periphery of the room than adjacent to the patient.…”

Section: Comparisons With Previous Studiesmentioning

confidence: 82%

Operating room air delivery design to protect patient and surgical site results in particles released at surgical table having greater concentration along walls of the room than at the instrument tray

Wagner¹,

Dexter

Greeley³

et al. 2021

American Journal of Infection Control

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Section: Comparisons With Previous Studiesmentioning

confidence: 82%

Operating room air delivery design to protect patient and surgical site results in particles released at surgical table having greater concentration along walls of the room than at the instrument tray

Wagner¹,

Dexter

Greeley³

et al. 2021

American Journal of Infection Control

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“…Several studies have suggested that the benefits associated with laminar flow ventilation with highefficiency particulate air (HEPA) filtration are related to the design and number of exhaust arrays positioned over the operating room table. [36][37][38] However, that issue was not addressed in any of the studies selected for this meta-analysis. [17][18][19][20][21][22][23][24][25][26][27][28][29][30] None of the studies we reviewed reported whether smoking, obesity, intraoperative temperature, glycemia, or cautery is related to all surgical site infections or with a specific subtype of surgical site infection separately for subjects with high risk.…”

Section: Discussionmentioning

confidence: 99%

The effect of type of ventilation used in the operating room and surgical site infection: A meta-analysis

Bao

2020

Infect. Control Hosp. Epidemiol.

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Abstracts Background: The relation between type of ventilation used in the operating room and surgical site infection has drawn considerable attention with its conflicting results. A possible relationship between the type of ventilation used in the operating room and surgical site infection has been reported. This meta-analysis was performed to evaluate this relationship. Methods: A systematic literature search up to May 2020 identified 14 studies with 590,121 operations, 328,183 operations of which were performed under laminar airflow ventilation and 261,938 of which were performed operations under conventional ventilation. These articles reported relationships between type of operating-room ventilation with its different categories and surgical site infection: 10 studies were related to surgical site infection in the total hip replacement; 7 studies in total knee arthroplasties; and 3 studies in different abdominal and open vascular surgery. Odds ratios (ORs) with 95% confidence intervals (CIs) were calculated comparing surgical site infection prevalence and type of operating room ventilation using the dichotomous method with a random-effects or fixed-effects model. Results: No significant difference was found between operation performed under laminar airflow ventilation and conventional ventilation in total hip replacement (OR, 1.23; 95% CI, 0.97–1.56, P = .09), in total knee arthroplasties (OR, 1.14; 95% CI, 0.62–2.09; P = .67), and in different abdominal and open vascular surgery (OR, 0.75; 95% CI, 0.43-1.33; P = .33). The impact of the type of operating room ventilation may have no influence on surgical site infection as a tool for decreasing its occurrence. Conclusions: Based on this meta-analysis, operating under laminar airflow or conventional ventilation may have no independent relationship with the risk of surgical site infection. This relationship forces us not to recommend the use of laminar airflow ventilation because it has a much higher cost compared to conventional ventilation.

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“…There is a two-table setup on the day of surgery: the main back table and the organ preparation table. When the scrub person prepares the organ preparation table, he or she counts the instruments, sharps, and soft goods on it with the RN circulator; covers it with a clear plastic drape to preserve sterility; 28 and then places it behind the back table. The RN circulator ensures the robot is ready to be positioned on the operative side of the patient.…”

Section: Preoperative Phasementioning

confidence: 99%

Robot‐Assisted Total Pancreatectomy With Autologous Islet Cell Transplantation: Perioperative Nursing Considerations

Williams¹

2020

AORN Journal

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Chronic pancreatitis (CP) is an inflammatory disease of the pancreas that causes pain and gastrointestinal problems in patients. Robot‐assisted total pancreatectomy with autologous islet cell transplantation (TPAIT) is a surgical procedure for treating patients with CP that has been unresponsive to other treatments. After performing a total pancreatectomy, the surgical team isolates islet cells and then infuses them into the patient's liver. To provide the best possible care for patients undergoing TPAIT, perioperative nurses should understand the physiological functions of the pancreas, the etiology of and treatment options for CP, and their role in coordinating care for this patient population. This article discusses the disease process for CP, reasons for choosing the robotic approach to TPAIT, preparation of the OR for the procedure, the role of the RN circulator during a robot‐assisted TPAIT, and nursing management of the patient during the postoperative phase of care.

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Covering the instrument table decreases bacterial bioburden: An evaluation of environmental quality indicators

Cited by 15 publications

References 8 publications

Operating room air delivery design to protect patient and surgical site results in particles released at surgical table having greater concentration along walls of the room than at the instrument tray

Operating room air delivery design to protect patient and surgical site results in particles released at surgical table having greater concentration along walls of the room than at the instrument tray

The effect of type of ventilation used in the operating room and surgical site infection: A meta-analysis

Robot‐Assisted Total Pancreatectomy With Autologous Islet Cell Transplantation: Perioperative Nursing Considerations

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