Introducing a Method for Safe Air Evacuation from Oxygenator in Cardiac Surgery Operating Rooms during COVID-19 Pandemic
Journal of Cellular & Molecular Anesthesia,
Vol. 5 No. 2 (2020),
21 July 2020
,
Page 125-128
https://doi.org/10.22037/jcma.v5i2.30415
Abstract
Covid-19 pandemic provides new perspectives and possibly permanent changes in some existing guidelines and safety principles. Evacuated air from the exhaust reservoir and oxygenator, after close contact with the patient’s blood added contaminated secretions, drain into the operating room, a potential source for contamination. There are two air exhaust ways from the oxygenator in cardiopulmonary bypass (CPB) circuit; which might be the potential carrier of the Covid-19 virus and resulting contamination. In the current design, these two exhausts are connected to one antibacterial and antiviral filter and then they will attach to the ventilator's exhaust port with a three-way connector, in such a way that the contaminated air will be vented outside the operating room. It is recommended to use antibacterial and antiviral filters in the passage way of the contaminated air coming from Reservoir and Oxygenator exhaust, to be directly guided outside the operating room. In this article, this design is fully described.
- Covid-19
- Cardiac Surgery
- Oxygenator
- Personal Protection
- Cardio Pulmonary Bypass.
How to Cite
References
Eghbali A, Shokrollahi S, Mahdavi N, Mahdavi S, Dabbagh A. COVID-19 in pediatric patients: A case series. J cell Mol Anesth. 2020;5(1):3-5.
Smereka J, Puslecki M, Ruetzler K, Filipiak KJ, Jaguszewski M, Ladny JR, et al. Extracorporeal membrane oxygenation in COVID-19. Cardiol J. 2020;27(2):216-7.
Asdaghpour E, Baghaei R, Jalilifar N, Radmehr H, Shirzad M, Mirzaaghayan MR, et al. Iranian Society of Cardiac Surgeons Position Statement for the Treatment of Patients in Need of Cardiac Surgery in the COVID-19 Pandemic Period (Version I). Multidiscip Cardio Annal. 2020;11(1):e104296
Shander A, Goobie SM, Warner MA, Aapro M, Bisbe E, Perez-Calatayud AA, et al. Essential Role of Patient Blood Management in a Pandemic: A Call for Action. Anesth Analg. 2020;131(1):74-85.
Pourhossein B, Dabbagh A, Fazeli M. Insights into the SARS-CoV-2 Outbreak; the Great Global Challenge: A Mini Review. J Cell Mol Anesth. 2020;5(1):23-6.
Wang W, Xu Y, Gao R, Lu R, Han K, Wu G, et al. Detection of SARS-CoV-2 in Different Types of Clinical Specimens. JAMA. 2020;323(18):1843-4.
Chang L, Yan Y, Wang L. Coronavirus Disease 2019: Coronaviruses and Blood Safety. Transfus Med Rev. 2020;34(2):75-80.
Squiccimarro E, Rociola R, Haumann RG, Grasso S, Lorusso R, Paparella D. Extracorporeal oxygenation and COVID-19 epidemic: is the membrane fail-safe to cross contamination? ASAIO J. 2020 May 7;10.1097/MAT.0000000000001199.
Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A Novel Coronavirus from Patients with Pneumonia in China, 2019. N Engl J Med. 2020;382(8):727-33.
Fragomeni G, Terzini M, Comite A, Catapano G. The Maximal Pore Size of Hydrophobic Microporous Membranes Does Not Fully Characterize the Resistance to Plasma Breakthrough of Membrane Devices for Extracorporeal Blood Oxygenation. Front Bioeng Biotechnol. 2020;7:461.
Zhan WQ, Li MD, Xu M, Lu YB. Successful treatment of COVID-19 using extracorporeal membrane oxygenation, a case report. Eur Rev Med Pharmacol Sci. 2020;24(6):3385-9.
- Abstract Viewed: 230 times
- PDF Downloaded: 153 times