Introducing a Method for Safe Air Evacuation from Oxygenator in Cardiac Surgery Operating Rooms during COVID-19 Pandemic

authors:

avatar Dr Hekmat ORCID 1 , * , avatar hamid ghaderi ORCID 2 , avatar Zahra Ansari Aval ORCID 3 , avatar Kamal Fani ORCID 4 , avatar Mahnoosh Foroughi ORCID 2 , avatar Seyedeh Adeleh Mirjafari ORCID 5 , avatar mahya hekmat 6

Department of Cardiovascular Surgery, Shahid Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Cardiovascular Research Center, Department of Cardiovascular Surgery, Shahid Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Clinical Research and Development Center Shahid Modarres Hospital, Department of Cardiovascular Surgery, Shahid Beheshti University of Medical Sciences ,Tehran ,Iran
Anesthesiology Research Center, Department of Anesthesiology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Department of Pediatrics, Ali-Asghar Children`s Hospital, Iran University of Medical Sciences, Tehran, Iran
DDS, Researcher, Hormozgan University of Medical Sciences, Bandar Abbas, Iran

how to cite: Hekmat D, ghaderi H, Ansari Aval Z , Fani K, Foroughi M, et al. Introducing a Method for Safe Air Evacuation from Oxygenator in Cardiac Surgery Operating Rooms during COVID-19 Pandemic. J Cell Mol Anesth. 2020;5(2):e150184. 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.