tailieunhanh - Báo cáo y học: "Respirator fit-testing - will we pass the test"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Respirator fit-testing - will we pass the test? | Available online http content 13 5 417 Letter Respirator fit-testing - will we pass the test Abhijoy Chakladar Peter O Beaumont and David R Uncles Department of Anaesthesia Western Sussex Hospitals NHS Trust Worthing Hospital Lyndhurst Road Worthing West Sussex BN11 2DH UK Corresponding author Abhijoy Chakladar Published 29 September 2009 Critical Care 2009 13 417 doi cc8031 This article is online at http content 13 5 417 2009 BioMed Central Ltd The UK Health Protection Agency advises health care workers caring for patients with probable or confirmed flu-like illnesses with serious respiratory illnesses or where aerosol generating procedures are being undertaken to use a filtering face piece-3 FFP3 respirator 1 . Whereas masks protect the environment from wearers respirators by design protect wearers from the environment. Some surgical masks are splash resistant but offer no protection against viruses. Nevertheless the Department of Health recommends that carers wear splash proof surgical masks when within one metre of symptomatic patients 2 their rationale is not clear. All FFP3 respirators meet European standard EN149 2001 and fitted properly will reduce exposure to airborne particles by a factor of 20 3 . Aerosol generating procedures include tracheal intubation manual ventilation suctioning cardiopulmonary resuscitation bronchoscopy and possibly non-invasive ventilation and nebulisation 2 . NHS Trusts have started the time- and resource-consuming task of fit-testing their staff for respirators well fitting respirators are essential to benefit from them but experience has shown that not all staff will fit the first one and the process may take up to 30 minutes 4 . In a UK emergency department 23 of those fit-tested failed to fit any respirators 5 . A survey of 68 anaesthetic and intensive care medicine trainees in the UK Kent Surrey and Sussex Deanery in July 2009 identified that 80 had not been .