Effect of a circulating nurse walking on airflow and bacteria-carrying particles in the operating room: An experimental and numerical study

2020 ◽  
Vol 186 ◽  
pp. 107315
Author(s):  
Zhijian Liu ◽  
Haiyang Liu ◽  
Rui Rong ◽  
Guoqing Cao
2003 ◽  
Vol 2 (2) ◽  
pp. 103-110 ◽  
Author(s):  
Yunlong Liu ◽  
Alfred Moser ◽  
Kazuyoshi Harimoto

Author(s):  
K. Y. Wong ◽  
H. M. Kamar ◽  
N. Kamsah

This article presents the results of a numerical study to examine the transport of particles in an operating room equipped with an Econoclean ventilation system. Its aims are to reduce the number of particles falling onto the operating table. A simplified CFD model of the operating room was developed and validated based on the measured air velocity distribution. An SST k-ω turbulent flow model was used to simulate the airflow, while a discrete phase model was used to simulate the movement of the airborne particles. The effects of the standing posture of the surgical staff on the settlement of the particles on the operating table were examined. Results show that under the present ventilation system, when the surgical staff bend forward at an angle of 45°,  the number of airborne particles that tend to fall onto the operating table increased by 1.4-fold. Adding an exhaust grille to the operating room does not have any significant effects on the distribution of the airborne particles. However, when a larger air supply diffuser is also used, the number of airborne particles that settled on the operating table was reduced 4-fold. More airborne particles are transported towards the exhaust grilles, and more airborne particles accumulate below the operating table. The present study shows that the usage of large air supply diffuser in the operating room is capable of reducing the number of airborne particles fall onto the operating table. Also, it enhances the efficiency of airborne particle removal.


2019 ◽  
Vol 111 ◽  
pp. 01032
Author(s):  
Aleyna Agirman ◽  
Yunus Emre Cetin ◽  
Mete Avci ◽  
Orhan Aydin

Bacteria-carrying particles released by surgical staff are the main factors leading to surgical site infections (SSI). Operating rooms must be designed to reduce risks of such infections. In this numerical study, the effect of different ceiling heights on particle dispersion and deposition are studied for an operating room with laminar airflow (LAF) system. Two different particle diameters (12 and 20 ìm) are tested under three different ceiling heights (2.43–2.8–3.0 m) at a constant air change rate (ACH=20). Numerical predictions are performed by using the commercial software ANSYS Fluent 16.0. The results reveal that decreasing of the ceiling height reduces the amount of particle deposited on the surgical table.


2016 ◽  
Vol 42 ◽  
pp. 1660156
Author(s):  
JULI FAN ◽  
LU TIAN ◽  
XUDONG JIA

Transmission of airborne bacteria is the main factor causing surgical site infection (SSI). Horizontal laminar flow screen is a kind of new clean equipment, which can prevent SSI effectively. Numerical simulation is conducted on the pollution control effect of operating table protected by horizontal laminar flow screen. A three-dimensional model is established, discrete phase model (DPM) is used for calculation. Numerical simulation is carried out to evaluate the particle trajectories with the Lagrange approach, and the dynamic mesh is used. Air movement in the case with and without people’s walking is analyzed. As a result, people’s walking would not affect the distribution of pollutants at the key area of the operating table, the vertex caused by the walking person does little influence on flow field of the whole operating room and the influence area is about 0.24m to 0.75m around the walking person. The protective effect of pollutants with horizontal laminar flow screen for the key areas of operating table is excellent. This work provides references for the study on the depuration of operating room or other occasion.


Author(s):  
Laurențiu Tacutu ◽  
Florin Bode ◽  
Ilinca Năstase ◽  
Cristiana Croitoru ◽  
Angel Dogeanu

Author(s):  
J. D. Shelburne ◽  
Peter Ingram ◽  
Victor L. Roggli ◽  
Ann LeFurgey

At present most medical microprobe analysis is conducted on insoluble particulates such as asbestos fibers in lung tissue. Cryotechniques are not necessary for this type of specimen. Insoluble particulates can be processed conventionally. Nevertheless, it is important to emphasize that conventional processing is unacceptable for specimens in which electrolyte distributions in tissues are sought. It is necessary to flash-freeze in order to preserve the integrity of electrolyte distributions at the subcellular and cellular level. Ideally, biopsies should be flash-frozen in the operating room rather than being frozen several minutes later in a histology laboratory. Electrolytes will move during such a long delay. While flammable cryogens such as propane obviously cannot be used in an operating room, liquid nitrogen-cooled slam-freezing devices or guns may be permitted, and are the best way to achieve an artifact-free, accurate tissue sample which truly reflects the in vivo state. Unfortunately, the importance of cryofixation is often not understood. Investigators bring tissue samples fixed in glutaraldehyde to a microprobe laboratory with a request for microprobe analysis for electrolytes.


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