수술 중 X-ray 검사 시 Cassette Draping에 대한 고찰

A Study on Cassette Draping during Intra-operative X-Ray Examination

Purpose : Review and find solutions to the problems that may occur in an X-ray examination during surgery Materials and methods : On the 21 subject general hospitals having at least 300 patient beds located in Seoul and the Gyeonggi provincial area, we reviewed the status, types and disinfection for cassette draping performed during the intra-operative x-ray examination, and based on the data obtained through the survey, we undertook penetration compression tests on the five fluid types of water, blood, Betadine, alcohol, and normal saline solution. We also tested the bacterial penetration on cassettes through culturing bacteria. Results : Of the 21 hospitals in which we performed tests, 38% of them were using surgical utility drapes, 24% such plastic- based non- penetrative materials as a Mayo stand cover, and 38% the other non-fluid resistant materials including linen, surgical drapes and sterile towel. In the fluid penetration tests, linen, surgical drapes and sterile towel were easily penetrated by fluid sunder compression, while such plastic-based materials as Mayo stand covers were proved non-penetrative. And only 19% of the hospitals were shown tobe undertaking disinfection on a daily basis in the disinfection survey. In the bacterial cultivation tests, we could also witness bacteria penetrate surgical drapes. Conclusion : Though known to have resistance to fluid penetration, utility drapes were penetrated by all types of fluid under compression in fluid penetration tests. Therefore, hospitals need to use the disinfectant plastic-based drapes or disinfected plastics in order to help prevent the risk of strike-through contamination during intra-operative x-ray examinations.