Experimental Model to Test Electrostatic Precipitation Technology in the COVID-19 Era: A Pilot Study.
Identifieur interne : 000F75 ( Main/Exploration ); précédent : 000F74; suivant : 000F76Experimental Model to Test Electrostatic Precipitation Technology in the COVID-19 Era: A Pilot Study.
Auteurs : Jonathan R. Buggisch [France] ; Daniel Göhler [Allemagne] ; Alain Le Pape [France] ; Sébastien Roger [France] ; Mehdi Ouaissi [France] ; Michael Stintz [Allemagne] ; Andreas Rudolph [Allemagne] ; Urs Giger-Pabst [Allemagne]Source :
- Journal of the American College of Surgeons [ 1879-1190 ] ; 2020.
Abstract
OBJECTIVE
In the COVID-19 crisis, laparoscopic surgery is in the focus as a relevant source of bioaerosol release. The efficacy of electrostatic aerosol precipitation (EAP) and continuous aerosol evacuation (CAE) to eliminate bioaerosols during laparoscopic surgery was verified.
METHODS
Ex-vivo laparoscopic cholecystectomies (LCs) were simulated +/- EAP or CAE in a pelvitrainer equipped with swine gallbladders. Release of bioaerosols was initiated by performing high-frequency electrosurgery with a monopolar electro hook (MP-HOOK) force at 40 W (MP-HOOK40) and 60 W (MP-HOOK60), as well as by ultrasonic cutting (USC). Particle number concentrations (PNC) of arising aerosols were analyzed with a condensation particle counter (CPC). Aerosol samples were taken i) within the pelvitrainer near to the source, ii) outside the pelvitrainer at the working trocar and iii) in the breathing zone of the surgeon.
RESULTS
Within the pelvitrainer, MP-HOOK40 (6.4 x 10
CONCLUSION
EAP was found to be efficient for intraoperative bioaerosol elimination and reducing the risk of bioaerosol exposure for surgical staff.
DOI: 10.1016/j.jamcollsurg.2020.08.759
PubMed: 32891798
PubMed Central: PMC7470820
Affiliations:
- Allemagne, France
- Centre-Val de Loire, District de Dresde, Région Centre, Saxe (Land), Île-de-France
- Dresde, Orléans, Paris, Tours
- Université de Tours, Université technique de Dresde
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Buggisch</name><affiliation wicri:level="3"><nlm:affiliation>CNRS UPS44, CIPA, PHENOMIN-TAAM, Orléans, France. Electronic address: j_bugg01@uni-muenster.de.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>CNRS UPS44, CIPA, PHENOMIN-TAAM, Orléans</wicri:regionArea><placeName><region type="region">Centre-Val de Loire</region><region type="old region">Région Centre</region><settlement type="city">Orléans</settlement></placeName></affiliation></author><author><name sortKey="Gohler, Daniel" sort="Gohler, Daniel" uniqKey="Gohler D" first="Daniel" last="Göhler">Daniel Göhler</name><affiliation wicri:level="3"><nlm:affiliation>Technologie-orientierte Partikel-, Analysen- und Sensortechnik, Topas GmbH, Dresden, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Technologie-orientierte Partikel-, Analysen- und Sensortechnik, Topas GmbH, Dresden</wicri:regionArea><placeName><region type="land" nuts="1">Saxe (Land)</region><region type="district" nuts="2">District de Dresde</region><settlement type="city">Dresde</settlement></placeName></affiliation></author><author><name sortKey="Le Pape, Alain" sort="Le Pape, Alain" uniqKey="Le Pape A" first="Alain" last="Le Pape">Alain Le Pape</name><affiliation wicri:level="3"><nlm:affiliation>CNRS UPS44, CIPA, PHENOMIN-TAAM, Orléans, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>CNRS UPS44, CIPA, PHENOMIN-TAAM, Orléans</wicri:regionArea><placeName><region type="region">Centre-Val de Loire</region><region type="old region">Région Centre</region><settlement type="city">Orléans</settlement></placeName></affiliation></author><author><name sortKey="Roger, Sebastien" sort="Roger, Sebastien" uniqKey="Roger S" first="Sébastien" last="Roger">Sébastien Roger</name><affiliation wicri:level="4"><nlm:affiliation>EA4245 Transplantation, Immunologie, Inflammation, Université de Tours, France; Institut Universitaire de France, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>EA4245 Transplantation, Immunologie, Inflammation, Université de Tours, France; Institut Universitaire de France, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName><orgName type="university">Université de Tours</orgName></affiliation></author><author><name sortKey="Ouaissi, Mehdi" sort="Ouaissi, Mehdi" uniqKey="Ouaissi M" first="Mehdi" last="Ouaissi">Mehdi Ouaissi</name><affiliation wicri:level="4"><nlm:affiliation>EA4245 Transplantation, Immunologie, Inflammation, Université de Tours, France; Department of Digestive, Oncological, Endocrine, Hepato-Biliary, Pancreatic and Liver Transplant Surgery, University Hospital of Tours, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>EA4245 Transplantation, Immunologie, Inflammation, Université de Tours, France; Department of Digestive, Oncological, Endocrine, Hepato-Biliary, Pancreatic and Liver Transplant Surgery, University Hospital of Tours</wicri:regionArea><wicri:noRegion>University Hospital of Tours</wicri:noRegion><orgName type="university">Université de Tours</orgName><placeName><settlement type="city">Tours</settlement><region type="old region" nuts="2">Région Centre</region><region type="region" nuts="2">Centre-Val de Loire</region></placeName></affiliation></author><author><name sortKey="Stintz, Michael" sort="Stintz, Michael" uniqKey="Stintz M" first="Michael" last="Stintz">Michael Stintz</name><affiliation wicri:level="4"><nlm:affiliation>Research Group Mechanical Process Engineering, Institute of Process Engineering and Environmental Technology, Technische Universität Dresden, Dresden, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Research Group Mechanical Process Engineering, Institute of Process Engineering and Environmental Technology, Technische Universität Dresden, Dresden</wicri:regionArea><placeName><region type="land" nuts="1">Saxe (Land)</region><region type="district" nuts="2">District de Dresde</region><settlement type="city">Dresde</settlement></placeName><orgName type="university">Université technique de Dresde</orgName></affiliation></author><author><name sortKey="Rudolph, Andreas" sort="Rudolph, Andreas" uniqKey="Rudolph A" first="Andreas" last="Rudolph">Andreas Rudolph</name><affiliation wicri:level="3"><nlm:affiliation>Technologie-orientierte Partikel-, Analysen- und Sensortechnik, Topas GmbH, Dresden, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Technologie-orientierte Partikel-, Analysen- und Sensortechnik, Topas GmbH, Dresden</wicri:regionArea><placeName><region type="land" nuts="1">Saxe (Land)</region><region type="district" nuts="2">District de Dresde</region><settlement type="city">Dresde</settlement></placeName></affiliation></author><author><name sortKey="Giger Pabst, Urs" sort="Giger Pabst, Urs" uniqKey="Giger Pabst U" first="Urs" last="Giger-Pabst">Urs Giger-Pabst</name><affiliation wicri:level="1"><nlm:affiliation>Chirurgische Klinik I, Mathias-Spital Rheine, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Chirurgische Klinik I, Mathias-Spital Rheine</wicri:regionArea><wicri:noRegion>Mathias-Spital Rheine</wicri:noRegion><wicri:noRegion>Mathias-Spital Rheine</wicri:noRegion><wicri:noRegion>Mathias-Spital Rheine</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of the American College of Surgeons</title><idno type="eISSN">1879-1190</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>In the COVID-19 crisis, laparoscopic surgery is in the focus as a relevant source of bioaerosol release. The efficacy of electrostatic aerosol precipitation (EAP) and continuous aerosol evacuation (CAE) to eliminate bioaerosols during laparoscopic surgery was verified.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Ex-vivo laparoscopic cholecystectomies (LCs) were simulated +/- EAP or CAE in a pelvitrainer equipped with swine gallbladders. Release of bioaerosols was initiated by performing high-frequency electrosurgery with a monopolar electro hook (MP-HOOK) force at 40 W (MP-HOOK40) and 60 W (MP-HOOK60), as well as by ultrasonic cutting (USC). Particle number concentrations (PNC) of arising aerosols were analyzed with a condensation particle counter (CPC). Aerosol samples were taken i) within the pelvitrainer near to the source, ii) outside the pelvitrainer at the working trocar and iii) in the breathing zone of the surgeon.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Within the pelvitrainer, MP-HOOK40 (6.4 x 10</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>EAP was found to be efficient for intraoperative bioaerosol elimination and reducing the risk of bioaerosol exposure for surgical staff.</p></div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">32891798</PMID><DateRevised><Year>2020</Year><Month>09</Month><Day>09</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1879-1190</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>Sep</Month><Day>03</Day></PubDate></JournalIssue><Title>Journal of the American College of Surgeons</Title><ISOAbbreviation>J. Am. Coll. Surg.</ISOAbbreviation></Journal><ArticleTitle>Experimental Model to Test Electrostatic Precipitation Technology in the COVID-19 Era: A Pilot Study.</ArticleTitle><ELocationID EIdType="pii" ValidYN="Y">S1072-7515(20)32299-7</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jamcollsurg.2020.08.759</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">In the COVID-19 crisis, laparoscopic surgery is in the focus as a relevant source of bioaerosol release. The efficacy of electrostatic aerosol precipitation (EAP) and continuous aerosol evacuation (CAE) to eliminate bioaerosols during laparoscopic surgery was verified.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Ex-vivo laparoscopic cholecystectomies (LCs) were simulated +/- EAP or CAE in a pelvitrainer equipped with swine gallbladders. Release of bioaerosols was initiated by performing high-frequency electrosurgery with a monopolar electro hook (MP-HOOK) force at 40 W (MP-HOOK40) and 60 W (MP-HOOK60), as well as by ultrasonic cutting (USC). Particle number concentrations (PNC) of arising aerosols were analyzed with a condensation particle counter (CPC). Aerosol samples were taken i) within the pelvitrainer near to the source, ii) outside the pelvitrainer at the working trocar and iii) in the breathing zone of the surgeon.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Within the pelvitrainer, MP-HOOK40 (6.4 x 10<sup>5</sup> cm<sup>-3</sup>) and MP-HOOK60 (7.3 x 10<sup>5</sup> cm<sup>-3</sup>) showed significant higher median PNCs compared to USC (4.4 x 10<sup>5</sup> cm<sup>-3</sup>) (p = 0.001). EAP lead to a significant decrease of the median PNCs in all three groups. A high linear correlation with Pearson correlation coefficients of 0.852, 0.825 and 0.759 were observed by comparing MP-HOOK40 (+/- EAP), MP-HOOK60 (+/- EAP) and USC (+/- EAP), respectively. During ex-vivo LC and CAE, significant bioaerosol contaminations of the operating room occurred. Ex-vivo LC with EAP lead to a considerable reduction of the bioaerosol concentration.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">EAP was found to be efficient for intraoperative bioaerosol elimination and reducing the risk of bioaerosol exposure for surgical staff.</AbstractText><CopyrightInformation>Copyright © 2020. Published by Elsevier Inc.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Buggisch</LastName><ForeName>Jonathan R</ForeName><Initials>JR</Initials><AffiliationInfo><Affiliation>CNRS UPS44, CIPA, PHENOMIN-TAAM, Orléans, France. Electronic address: j_bugg01@uni-muenster.de.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Göhler</LastName><ForeName>Daniel</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Technologie-orientierte Partikel-, Analysen- und Sensortechnik, Topas GmbH, Dresden, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Le Pape</LastName><ForeName>Alain</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>CNRS UPS44, CIPA, PHENOMIN-TAAM, Orléans, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Roger</LastName><ForeName>Sébastien</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>EA4245 Transplantation, Immunologie, Inflammation, Université de Tours, France; Institut Universitaire de France, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ouaissi</LastName><ForeName>Mehdi</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>EA4245 Transplantation, Immunologie, Inflammation, Université de Tours, France; Department of Digestive, Oncological, Endocrine, Hepato-Biliary, Pancreatic and Liver Transplant Surgery, University Hospital of Tours, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Stintz</LastName><ForeName>Michael</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Research Group Mechanical Process Engineering, Institute of Process Engineering and Environmental Technology, Technische Universität Dresden, Dresden, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rudolph</LastName><ForeName>Andreas</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Technologie-orientierte Partikel-, Analysen- und Sensortechnik, Topas GmbH, Dresden, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Giger-Pabst</LastName><ForeName>Urs</ForeName><Initials>U</Initials><AffiliationInfo><Affiliation>Chirurgische Klinik I, Mathias-Spital Rheine, Germany.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>09</Month><Day>03</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Am Coll Surg</MedlineTA><NlmUniqueID>9431305</NlmUniqueID><ISSNLinking>1072-7515</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Laparoscopic surgery</Keyword><Keyword MajorTopicYN="N">bioaerosol</Keyword><Keyword MajorTopicYN="N">electrostatic aerosol precipitation</Keyword><Keyword MajorTopicYN="N">electrosurgery</Keyword><Keyword MajorTopicYN="N">occupational safety</Keyword><Keyword MajorTopicYN="N">ultrasonic cutting</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>07</Month><Day>02</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>08</Month><Day>20</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>08</Month><Day>21</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>9</Month><Day>6</Day><Hour>20</Hour><Minute>25</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>9</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>9</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32891798</ArticleId><ArticleId IdType="pii">S1072-7515(20)32299-7</ArticleId><ArticleId IdType="doi">10.1016/j.jamcollsurg.2020.08.759</ArticleId><ArticleId 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IdType="pubmed">27484956</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>Allemagne</li><li>France</li></country><region><li>Centre-Val de Loire</li><li>District de Dresde</li><li>Région Centre</li><li>Saxe (Land)</li><li>Île-de-France</li></region><settlement><li>Dresde</li><li>Orléans</li><li>Paris</li><li>Tours</li></settlement><orgName><li>Université de Tours</li><li>Université technique de Dresde</li></orgName></list><tree><country name="France"><region name="Centre-Val de Loire"><name sortKey="Buggisch, Jonathan R" sort="Buggisch, Jonathan R" uniqKey="Buggisch J" first="Jonathan R" last="Buggisch">Jonathan R. Buggisch</name></region><name sortKey="Le Pape, Alain" sort="Le Pape, Alain" uniqKey="Le Pape A" first="Alain" last="Le Pape">Alain Le Pape</name><name sortKey="Ouaissi, Mehdi" sort="Ouaissi, Mehdi" uniqKey="Ouaissi M" first="Mehdi" last="Ouaissi">Mehdi Ouaissi</name><name sortKey="Roger, Sebastien" sort="Roger, Sebastien" uniqKey="Roger S" first="Sébastien" last="Roger">Sébastien Roger</name></country><country name="Allemagne"><region name="Saxe (Land)"><name sortKey="Gohler, Daniel" sort="Gohler, Daniel" uniqKey="Gohler D" first="Daniel" last="Göhler">Daniel Göhler</name></region><name sortKey="Giger Pabst, Urs" sort="Giger Pabst, Urs" uniqKey="Giger Pabst U" first="Urs" last="Giger-Pabst">Urs Giger-Pabst</name><name sortKey="Rudolph, Andreas" sort="Rudolph, Andreas" uniqKey="Rudolph A" first="Andreas" last="Rudolph">Andreas Rudolph</name><name sortKey="Stintz, Michael" sort="Stintz, Michael" uniqKey="Stintz M" first="Michael" last="Stintz">Michael Stintz</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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