학술논문
Current practice and perceptions of safety protocols for the use of intraperitoneal chemotherapy in the operating room: results of the IP-OR international survey
Document Type
research-article
Author
Clerc, Daniel; Hübner, Martin; Ashwin, K.R.; Somashekhar, S.P.; Rau, Beate; Ceelen, Wim; Willaert, Wouter; Bakrin, Naoual; Laplace, Nathalie; Al Hosni, Mohammed; Garcia Lozcano, Edgar Luis; Blaj, Sebastian; Piso, Pompiliu; Di Giorgio, Andrea; Vizzelli, Giuseppe; Brigand, Cécile; Delhorme, Jean-Baptiste; Klipfel, Amandine; Archid, Rami; Nadiradze, Giorgi; Reymond, Marc A.; Sgarbura, Olivia
Source
Pleura and Peritoneum. 6(1):39-45
Subject
Language
English
ISSN
2364-768X
2364-7671
2364-7671
Abstract
ObjectivesTo assess the risk perception and the uptake of measures preventing environment-related risks in the operating room (OR) during hyperthermic intraperitoneal chemotherapy (HIPEC) and pressurized intraperitoneal aerosol chemotherapy (PIPAC).MethodsA multicentric, international survey among OR teams in high-volume HIPEC and PIPAC centers: Surgeons (Surg), Scrub nurses (ScrubN), Anesthesiologists (Anest), Anesthesiology nurses (AnesthN), and OR Cleaning staff (CleanS). Scores extended from 0–10 (maximum).ResultsTen centers in six countries participated in the study (response rate 100%). Two hundred and eleven responses from 68 Surg (32%), 49 ScrubN (23%), 45 Anest (21%), 31 AnesthN (15%), and 18 CleanS (9%) were gathered. Individual uptake of protection measures was 51.4%, similar among professions and between HIPEC and PIPAC. Perceived levels of protection were 7.57 vs. 7.17 for PIPAC and HIPEC, respectively (pConclusionsExperience with the current practice of safety protocols was similar during HIPEC and PIPAC. The individual uptake of protection measures was rather low. The safety perception was better for PIPAC, but the perceived level of protection remained relatively low. The willingness to obtain more information was high. Intensified, standardized training of all OR team members involved in HIPEC and PIPAC is meaningful.