Author/Authors :
Hekmat, Manouchehr Department of Cardiovascular Surgery - Shahid Modarres Hospital - Shahid Beheshti University of Medical Sciences, Tehran , Ghaderi, Hamid Department of Cardiovascular Surgery - Shahid Modarres Hospital - Shahid Beheshti University of Medical Sciences, Tehran , Ansari Aval, Zahra Clinical Research and Development Center Shahid Modarres Hospital - Department of Cardiovascular Surgery - Shahid Beheshti University of Medical Sciences, Tehran , Fani, Kamal Department of Anesthesiology - Shahid Modarres Hospital - Shahid Beheshti University of Medical Sciences, Tehran , Foroughi, Mahnoosh Cardiovascular research center - Department of Cardiovascular Surgery - Shahid Modarres Hospital - Shahid Beheshti University of Medical Sciences, Tehran , Mirjafari, Adeleh Department of Pediatrics - Ali Asghar Children`s Hospital - Iran University of Medical Sciences, Tehran , Hekmat, Mahya Hormozgan University of Medical Sciences - Bandar Abbas
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.
Keywords :
Covid-19 , Cardiac surgery , Personal protection , Cardio pulmonary bypass , SARS-CoV-2