Surgical clean air conditioning equipment can be the same floor as the operating room

The operating room is a combination of modern medical technology and engineering technology, is the most core part of the surgical; clean operating room is an important symbol of modernization, it reflects the modern level of facilities, medical level and management level. Modern clean operating room should be what kind of look I think it should be clean, digital and humane three constitute an organic unity. Modern clean operating room is the premise of cleanliness, humanization and digitalization is the development trend, but also in the next few years the sign of a high standard operating room. First, clean operating room sterile environment is an important guarantee for the success of surgery. The purpose of the clean operating room is to maximize the maintenance of a near-sterile environment, reducing intraoperative infections; at present, China's construction of clean operating rooms based on the standards promulgated by the Ministry of Construction in 2002, "Clean Surgery Department Building Technical Specifications". There are several noteworthy issues in the construction of modern clean operating room.1. The location of clean operating room operating room should meet the requirements of integration with the instrument supply room and technical level. Operating room and supply room to achieve integrated management, is conducive to strengthening the management of surgical instruments, simplify the workflow. In the design and construction of the operating room, the operating room should be designed as far as possible in the supply room, the technical floor between the upper and lower floors, as far as possible to form a vertical connection, between the floors should be equipped with an internal elevator or logistics system. At the same time, the operating room should be adjacent to the blood bank, pathology and other related departments, and has a convenient information channel and logistics channel.2. The layout of the operating room in the plane layout is more common plan layout design has a central clean, central supply type, peripheral supply type, peripheral recycling type, one-way through the type of five types; each type has its own characteristics. I found in foreign countries to visit the central clean and central supply type two layout application more, through comparison, I think the central clean and central supply type combination is more reasonable. The center of the Department of Surgery set up for the sterile goods area, set up around the operating room, the middle of the clean corridor connected; dirt walk outside the corridor, not only in line with the principle of clean and dirty flow of asepsis, but also to meet the fast and convenient supply of goods, can effectively improve work efficiency. In short, in the plane and channel layout to follow the function of conformity, short process, clean and dirty separation of the principle. 3. purification air-conditioning system purification air-conditioning system for air purification is a clean operating room to maintain cleanliness, reduce the rate of infection of postoperative wounds of key technical measures. Noise exceeds the standard and the new air volume is insufficient to many of the current domestic operating rooms built problems, should attract great attention. Noise mainly comes from the air volume control motor and air supply pipe, can be installed through the muffler, increase the caliber of air inlet, reasonable control and distribution of flow rate, duct turn and other technical measures for noise reduction. Insufficient new air volume is mainly due to irrational design or due to filter blocking; when designing the air volume value, attention should be paid to matching the cleanliness requirements and reasonable settings. Due to filter blockage caused by the lack of new air volume can be resolved through management measures and technical means; such as seasonal changes in the amount of dust differences in the development of appropriate maintenance and cleaning programs and reasonable configuration of filtering devices, timely and effective cleaning of the filter. Improve the air volume control motor speed although it can also increase the new air volume but at the same time will bring the problem of increased energy consumption and noise. Second, the humanization of the operating room surgery patients with the weakest psychological tolerance, psychological needs of the most special, in the design of the indoor environment of the Department of Clean Surgery should pay more attention to the factors of environmental psychology. Humanized design of the operating room, including operating room color and lighting, background music, indoor microclimate creation. These can reduce the nervous psychological emotions of surgical patients and enable surgical medical staff to work in an orderly and pleasant environment, which will greatly help to improve the success rate of surgery and the efficiency of the entire operating room. We can start from the following aspects, reconstructing the indoor environment of the operating room. 1. Clean and pleasant visual environment of the internal environment of the operating room can make the patient feel safe and reliable, eliminating the fear of the heart, so as to cooperate with the surgery in the best psychological state. Therefore, indoor medicines, instruments and other items must be well-prepared and neatly placed; the use of surgical towers, medical equipment, instruments, etc. will be concentrated in the tower, to facilitate the operation of medical staff; clear the ground, to avoid equipment and cables kicked and touched by the staff and accidents occur. The psychological feeling of color is also a factor that deserves attention. Only colorful space can form a psychological environment that caters to human nature. White monotonous, indifferent, easy to make the patient fear, the current building interior design has been developed from the traditional single white to multi-color direction, clean operating room color should also be rich, all types of operating room color is usually used in the green system, because the green and the red of the blood complement each other, can reduce eye fatigue of health care workers, but also to promote the role of the patient's psychological calm. Changing beds, anesthesia, clean corridors and other places where patients must go through, the walls and ceilings can be used with higher brightness, lower color purity of soft tones, so that the atmosphere of the space is bright, to reduce the sense of closure and a sense of oppression. 2. low noise and comfortable auditory environment noise will increase the patient's irritability, but also to the surgeon to have an impact on the elimination of noise is the design of the operating room must be taken into account (noise, including the operating room) (Noise includes both internal and external aspects of the operating room). At present, large-scale modernization in the design of the operating room has been the background music system as a necessary facility, during the waiting period and the surgical process, play a slow rhythm, lyrical, smooth background music, to create a comfortable, harmonious environment and atmosphere, which can make the patient's nervousness can be relieved, but also eliminate the fatigue of the surgical staff, to the health care personnel to create a pleasant working environment. 3. Indoor microclimate to create the patient is the body has a disease, the feeling of the air quality is particularly sensitive to the advantages and disadvantages of the feeling of the patient's psychological state has a great impact. Therefore, to improve the microclimate of clean medical space, so that patients feel comfortable and natural is also an important means of creating a good psychological environment. Clean operating room room temperature and relative humidity controlled by the air conditioning system, and room temperature and relative humidity must be determined at the same time to take into account conducive to the control of bacterial reproduction, so that patients feel comfortable and other factors. Humanization into the construction of the operating room, completely free from the influence of the traditional medical model, the focus of the operating room from purely around the operation to serve the patient, so that surgical patients to get loved ones like care and concern, to alleviate the patient's psychological and physiological pain, and to fully embodied the people-centered, patient-centered service concepts as a whole. Third, the digital operating room Digital operating room, is through the use of digital technology to the operating room in a specific environment, so that doctors can obtain a large number of important information related to the patient in real time, greatly improving the efficiency of the work. The development of information network technology, the popularity of medical equipment digitalization, PACS technology and the wide application of system integration control, so that the operating room digitalization has become an inevitable trend. 1. Medical equipment digitalization of the current development of medical imaging technology is very rapid, preoperative examination of various types of medical images, biochemical and physiological indicators, electronic medical records, and the patient's vital signs parameters can be displayed through the operating room terminal; and can be selected or centrally displayed according to the doctor's needs. According to the doctor's need to selectively or centrally displayed in the surgical field of vision range. This makes it convenient and intuitive for the surgeon. Modern surgery requires as much precision and trauma reduction as possible; therefore, digital surgical treatment planning systems and precise positioning systems (e.g., brain stereotactic surgery) are used in a large number of surgical treatments. Various digital imaging technologies provide a wealth of tools for surgical planning and surgical procedure guidance. For intraoperative imaging or monitoring, various intraoperative digital devices can directly provide real-time images and data for doctors' diagnostic reference; at the same time, they are inputted into the PACS system located in the operating room. Various types of digital medical equipment and PACS system in the operating room application greatly facilitates the doctor at the same time improve the success rate and efficiency of the operation. 2. Digital system control in addition to digital medical instruments, clean operating room itself is a digital control equipment system, only the air conditioning system to monitor and control the temperature, humidity, pressure, ventilation, fresh air and other parameters of each operating room and to maintain the pressure difference between the different clean areas. Maintain the pressure difference between different clean areas. Clean operating room to strictly control the flow of personnel, improve the internal communication system, can ensure that the operation of medical personnel information communication. In order to intuitively understand the use of the room with surgery, the installation of a full range of digital TV monitoring system has also become necessary. Surgical arrangements, personnel arrangements, sterilization of equipment, and consumables reserve management, as well as the management of the entire process of each operation records (time, personnel, anesthesia, surgical information release), this series of complex processes should also be computerized integrated information management. By setting up a central control room in the operating room, these devices and systems are centrally controlled and managed, integrated into a central control system, so that the entire operating room can be visualized and controlled within the situation. At the same time after the interface can also be exchanged with the outside world information. 3. Surgical teaching relay system digital live teaching of surgery, academic exchanges, remote consultation and monitoring is also being widely used. The patient's family can watch the operation process according to their needs; on the other hand, in case of medical malpractice or medical disputes, it is possible to do so with evidence. Finally, each digital system within the surgery is integrated with the existing information system (including HIS and PACS), and after integration, it is incorporated into the information **** enjoyment platform through the interface to realize real-time data monitoring and querying. The implementation of digital and networked management allows for convenient teaching, seminars, and consultations while operating. Because of the cost, concept and technology, the number of domestic operating room digitalization is still very small, so in the construction and renovation of the operating room must be reserved for the relevant interfaces and wiring, for the future upgrade of digital ready. Modernization of clean operating room construction is a complex systematic project, involving many disciplines, departmental collaboration and development, which emphasizes not a single operating room to achieve a particular target, but the whole process, all-round control of the modern engineering and management system. The construction of a modern operating room must be based on cleanliness, humanization and digitalization. Can look forward to the future construction of the operating room in the digital, networked perfect at the same time, the implementation of logistics automation, and logistics and information flow of the two systems in the operating room to achieve an organic fusion, an important symbol of the future of intelligent operating room.