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Thermal Sensations of Surgeons During Work in Surgical Gowns

Treść / Zawartość
Identyfikatory
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Standards for surgical procedures and medical clothing, designed for use in the operating theatre, have been gradually developed with the progress in science and technology. Standard No. EN 13795:2011, determining the requirements concerning materials for production of surgical gowns, was introduced in 2003. It concerns, e.g., resistance to microbial penetration. Little attention is given to thermal comfort, even though it is well known that thermal discomfort can have an adverse effect on the quality and efficiency of work. During a real-life test and laboratory tests, 2 male surgeons and 8 male volunteers were asked to describe their subjective sensations before and after work. The results of the real-life test and the laboratory tests are comparable. They show a clear lack of thermal comfort when medical clothing designed for the operating theatre is used.
Rocznik
Strony
443--453
Opis fizyczny
Bibliogr. 27 poz., tab., wykr.
Twórcy
  • Central Institute for Labour Protection – National Research Institute (CIOP-PIB), Poland
autor
  • Central Institute for Labour Protection – National Research Institute (CIOP-PIB), Poland
Bibliografia
  • 1.Rutkow IM. Surgery: an illustrated history. St Louis, MO, USA: Mosby-Year Book; 1993.
  • 2.Koch F. Perspectives on barrier material standards for operating rooms. Am J Infect Contral. 2004;32(2):114-6.
  • 3.Beck WC, Carlson WW. Aseptic barriers. Arch Surg. 1963;87:288-96.
  • 4.Moylan IA, Balish E, Chan I. Intra-operative bacterial transmission – a comparison of cloth versus disposable gowns. Surg Gynecol Obstet. 1975;141(5):731-3.
  • 5.Smith JW, Nichols RL. Barrier efficiency of surgical gowns. Are we really protected from our patients' pathogens? Arch Surg. 1991;126(6):756-63.
  • 6.Council Directive 89/686/EEC of 21 December 1989 on the approximation of the laws of the Member States relating to personal protective equipment. OJ. 1989;L399:18-38. Retrieved June 11, 2013, from: http://eur-lex.europa.eu/LexUriServ/LexUriServ.do?uri=CELEX:31989L0686:EN:HTML.
  • 7.Jonhston IDA, Hunter AR, editors. The design and utilization of operating theatres. London, UK: Arnold; 1984.
  • 8.European Committee for Standardization (CEN). Surgical drapes, gowns and clean air suits, used as medical devices for patients, clinical staff and equipment (Standard No. EN 13795:2011). Brussels, Belgium: CEN; 2011.
  • 9.Wyon DP, Lidwell OM, Williams RE. Thermal comfort during surgical operations. J Hyg (Lond). 1968;66(2):229-48. Retrieved June 11, 2013, from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2130633/.
  • 10.Melhado MA, Hensen JLM, Loomans M, Forejt L. Review of operating room ventilation standards. In: Schwarzer J, Lain M, editors. Proceeding of the 17th Air-Conditioning and Ventilation Conference. Society of Environmental Engineering [CD-ROM]. 2006.
  • 11.Bogdan A, Sudoł-Szopińska I, Szopiński T. Assessment of textiles for use in operating theatres with respect to the thermal comfort of surgeons. Fibres & Textiles in Eastern Europe. 2011;19(2):65-9. Retrieved June 11, 2013, from: http://fibtex.lodz.pl/article503.html.
  • 12.Pamuk O, Abreu MJ, Ondogan Z. An investigation on the comfort properties for different disposable surgical gowns by using thermal manikin. Tekstil ve Konfeksiyon. 2008;18(3):236-9. Retrieved June 11, 2013, from: http://www.tekstilvekonfeksiyon.com/en/an- investigation-on-the-comfort-properties-for-different-disposable-surgical-gowns-by-using-thermal-manikin-170.html.
  • 13.Cho J, Tanabe S, Cho G. Thermal comfort properties of cotton and nonwoven surgical gowns with dual functional finish. Appl Human Sci. 1997;16(3):87-95.
  • 14.Turler E, Turler A, Ladurner T, Hirner A, Engels H. Surgical gowns and drapes in the clinical practice: the discrepancies between requirements and reality. Chirurg. 2000;71(11):1409-15. In German, with an abstract in English.
  • 15.European Committee for Standardization (CEN). Textiles - determination of physiological properties - measurement of thermal and water-vapour resistance under steady-state conditions (sweating guarded- hotplate test) (Standard No. EN 31092:1993). Brussels, Belgium: CEN; 1993.
  • 16.Umbach KH. Physiological function of OR- and hospital protective clothing. In: Salonen R, editor. International Conference on Fibrous Products in Medical and Health Care; FiberMed 06. 2006.
  • 17.Schoenberger LKH. Liquid barrier and thermal comfort properties of selected surgical gowns [doctoral dissertation]. Manhattan, USA: Kansas State University; 1990.
  • 18.Issa M, Abreu MJ, Schacher L, Adolphe D, Cabeco Silva ME. The influence of the sterilisation process on certain thermal properties. Eur J Appl Physiol. 2004;92(6):673-8.
  • 19.Fanger PO. Thermal comfort. Copenhagen, Denmark: Danish Technical Press; 1970.
  • 20.Nielsen R, Berglund L, Gwosdow A, Dubois A. Thermal sensation of the body as influenced by the thermal microclimate in a face mask. Ergonomics. 1987;30(12):1689-703.
  • 21.International Organization for Standardization (ISO). Ergonomics of the thermal environment - analytical determination and interpretation of thermal comfort using calculation of the PMV and PPD indices and local thermal comfort criteria (Standard No. ISO 7730:2005). Geneva, Switzerland: ISO; 2005.
  • 22.International Organization for Standardization (ISO). Ergonomics of the thermal environment - determination of metabolic rate (Standard No. ISO 8996: 2004). Geneva, Switzerland: ISO; 2004.
  • 23.Zwolińska M, Bogdan A, Mikulski T, Sudoł-Szopińska I. Wpływ odzieży chirurgicznej na obciążenie termiczne chirurgów. Cz. I [Impact of medical clothing on thermal stress of surgeons. Part I]. Przegląd Włókienniczy - Włókno Odzież Skóra. 2009;(12):34-5.
  • 24.Zwolińska M, Bogdan A, Mikulski T, Sudoł-Szopińska I. Wpływ odzieży chirurgicznej na obciążenie termiczne chirurgów. Cz. II [Impact of medical clothing on thermal stress of surgeons. Part II]. Przegląd Włókienniczy - Włókno Odzież Skóra. 2010;(1):33-4.
  • 25.Zwolińska M, Bogdan A, Mikulski T, Sudoł-Szopińska I. Wpływ odzieży chirurgicznej na obciążenie termiczne chirurgów. Cz. III [Impact of medical clothing on thermal stress of surgeons. Part III]. Przegląd Włókienniczy - Włókno Odzież Skóra. 2010;(2):45-8.
  • 26.Zwolińska M, Bogdan A. Impact of the medical clothing on the thermal stress of surgeons. Appl Ergon. 2012;43(6):1096-104.
  • 27.Reinertsen R, Faerevik H, Holbo K, Nesbakken R, Reitan J, Royset A, et al. Optimizing the performance of phase-change materials in personal protective clothing systems. International Journal of Occupational Safety and Ergonomics (JOSE) 2008;14(1):43-53. Retrieved June 11, 2013, from: http://www.ciop.pl/25861.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-45585bbd-786a-4095-8822-695336438a12
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