\u00dear sem fyrirhuga\u00f0ar skur\u00f0a\u00f0ger\u00f0ir halda \u00e1fram \u00e1 sj\u00fakrah\u00fasum, samhli\u00f0a um\u00f6nnun Covid-19 sj\u00faklinga, eru var\u00fa\u00f0arr\u00e1\u00f0stafanir sem byggjast \u00e1 smiti enn mikilv\u00e6gar til a\u00f0 l\u00e1gmarka \u00e1h\u00e6ttu og tryggja a\u00f0 m\u00e1lsme\u00f0fer\u00f0 gangi eftir. En hra\u00f0i loftskipta sem m\u00f6gulegar eru \u00e1 skur\u00f0stofum er l\u00edka lykilatri\u00f0i.<\/p>\n
Fyrir utan a\u00f0 draga \u00far h\u00e6ttu \u00e1 s\u00fdkingu getur s\u00e1 t\u00edmi sem \u00fearf til a\u00f0 losa \u00fa\u00f0abr\u00fasa af kl\u00edn\u00edskum sv\u00e6\u00f0um me\u00f0 loftr\u00e6stikerfi haft veruleg \u00e1hrif \u00e1 \u00feann t\u00edma sem \u00fearf \u00e1 milli skur\u00f0a\u00f0ger\u00f0a og greiningara\u00f0ger\u00f0a og \u00fear af lei\u00f0andi skilvirkni \u00e1 skur\u00f0stofum og skur\u00f0stofum.<\/p>\n
L\u00e1gmarka \u00e1h\u00e6ttu<\/strong><\/p>\n \u00c1h\u00e6ttu\u00fe\u00e6ttir sem geta haft \u00e1hrif \u00e1 s\u00fdkingu \u00ed kvikmyndah\u00fasum eru me\u00f0al annars l\u00edkur \u00e1 a\u00f0 sj\u00faklingar f\u00e1i Covid-19 \u00ed fyrsta lagi, sem aftur veltur \u00e1 fulln\u00e6gjandi og \u00e1rangursr\u00edkri einangrun og forskimun sj\u00faklinga, svo og almennu algengi v\u00edrusinn og flutningshra\u00f0a samf\u00e9lagsins.<\/p>\n \u00c1h\u00e6ttustig \u00feegar r\u00e1\u00f0ist er \u00ed valbundnar skur\u00f0a\u00f0ger\u00f0ir og greiningara\u00f0ger\u00f0ir er einnig h\u00e1\u00f0 \u00fev\u00ed a\u00f0 sta\u00f0bundin fylgni vi\u00f0 vi\u00f0eigandi var\u00fa\u00f0arr\u00e1\u00f0stafanir gegn s\u00fdkingum, svo sem undirb\u00faningi sj\u00faklings, hand\u00fevotti og notkun vi\u00f0eigandi pers\u00f3nuhl\u00edfa.<\/p>\n En jafnvel \u00fear sem margv\u00edslegar r\u00e1\u00f0stafanir eru ger\u00f0ar til a\u00f0 komast inn \u00e1 brautina sem ekki er Covid, svo sem sj\u00e1lfeinangrun, skimun fyrir fjarveru einkenna, h\u00e6kka\u00f0ur l\u00edkamshiti og neikv\u00e6\u00f0 m\u00f3tefnavakapr\u00f3f fyrir innl\u00f6gn, er enn nokkur h\u00e6tta \u00e1. Til a\u00f0 draga enn frekar \u00far \u00feessari h\u00e6ttu er \u00fe\u00f6rf \u00e1 frekari var\u00fa\u00f0arr\u00e1\u00f0st\u00f6funum til a\u00f0 tryggja a\u00f0 s\u00fdking berist ekki \u00ed gegnum lofti\u00f0.<\/p>\n Lofts\u00edunarkerfi \u00e1 skur\u00f0stofum draga \u00far h\u00e6ttu \u00e1 s\u00fdkingu fr\u00e1 loftbornum \u00f6gnum. HEPA s\u00edan tryggir a\u00f0 lofti\u00f0 sem kemur inn \u00ed leikh\u00fasi\u00f0 s\u00e9 hreint, loftskiptin tryggja a\u00f0 ferskt loft s\u00e9 veitt \u00ed n\u00e6gu magni til a\u00f0 \u00feynna agnir \u00ed herberginu upp \u00ed h\u00e6filegt magn, en j\u00e1kv\u00e6\u00f0ur \u00fer\u00fdstingur tryggir a\u00f0 lofti\u00f0 sem fer inn \u00ed leikh\u00fasi\u00f0 geri \u00fea\u00f0 \u00ed stj\u00f3rna\u00f0an h\u00e1tt.<\/p>\n \u00de\u00f6rf er \u00e1 auknum var\u00fa\u00f0arr\u00e1\u00f0st\u00f6funum \u00ed lofti \u00feegar \u00fa\u00f0amyndandi a\u00f0ger\u00f0 (AGP) er framkv\u00e6md \u00e1 sj\u00faklingi sem vita\u00f0 er a\u00f0 er s\u00fdktur af Covid-19 e\u00f0a \u00fear sem \u00e1stand Covid-19 er \u00f3\u00feekkt, e\u00f0a a\u00f0ger\u00f0 er framkv\u00e6md \u00e1 \u201eheitum reit\u201c, eins og skilgreint er af Lei\u00f0beiningar um Public Health England (PHE).<\/a>.<\/p>\n PHE skilgreinir sem stendur hva\u00f0a skur\u00f0stofu \u00fear sem a\u00f0ger\u00f0ir til a\u00f0 mynda \u00fa\u00f0abr\u00fasa eru reglulega ger\u00f0ar sem \u201eheitur reitur\u201c sta\u00f0setning e\u00f0a meiri h\u00e6ttu \u00e1 br\u00e1\u00f0asv\u00e6\u00f0i<\/a>. A\u00f0 l\u00e1gmarki \u00e6ttu \u00f6ryggishl\u00edfar fyrir starfsf\u00f3lk \u00ed leikh\u00fasum \u00fear sem \u00fa\u00f0abr\u00fasamyndandi a\u00f0ger\u00f0ir eru ger\u00f0ar a\u00f0 innihalda v\u00f6kva\u00feolna skur\u00f0gr\u00edmu til a\u00f0 l\u00e1gmarka h\u00e6ttuna \u00e1 dreifingu dropa.<\/p>\n A\u00f0ger\u00f0ir sem mynda \u00fa\u00f0abr\u00fasa<\/a> m\u00e1 skipta \u00ed \u00f6ndunar- og skur\u00f0a\u00f0ger\u00f0ir, \u00fear sem venjulega er l\u00edklegt a\u00f0 skur\u00f0a\u00f0ger\u00f0ir s\u00e9u \u00ed minni eigin \u00e1h\u00e6ttu, \u00fe\u00f3 a\u00f0 \u00fe\u00e6r geti mynda\u00f0 \u00fa\u00f0abr\u00fasa \u00ed lengri t\u00edma. D\u00e6mi um algengar AGPs eru \u00fer\u00e6\u00f0ing, extubation, barkabrottengdar a\u00f0ger\u00f0ir, \u00f3\u00edfarandi loftr\u00e6sting, berkjuspeglun, efri meltingarvegi og \u00e1kve\u00f0nar tanna\u00f0ger\u00f0ir.<\/p>\n Hversu margar loftskipti \u00fearf \u00e1 skur\u00f0stofu fer eftir tegund a\u00f0ger\u00f0a sem ger\u00f0 er \u00e1 henni og \u00feeim lei\u00f0beiningum sem h\u00fan \u00fearf a\u00f0 fara eftir.<\/p>\n \u00de\u00f3 a\u00f0 venjuleg skur\u00f0stofa \u00feurfi a\u00f0 hafa 20 loftskipti \u00e1 klukkustund, \u00fe\u00e1 er fari\u00f0 reglulega yfir \u00feennan hra\u00f0a og lagskipt fl\u00e6\u00f0isstofur hafa tilhneigingu til a\u00f0 hafa mun h\u00e6rri hra\u00f0a en \u00fea\u00f0. Lagskipt fl\u00e6\u00f0iskerfi gera kleift a\u00f0 stj\u00f3rna loftfl\u00e6\u00f0i betur yfir a\u00f0ger\u00f0asv\u00e6\u00f0i\u00f0.<\/p>\n V\u00ed\u00f0a sam\u00feykkt al\u00fej\u00f3\u00f0legar lei\u00f0beiningar<\/a> v\u00edsa til gagna sem gefa til kynna a\u00f0 hver loftskipti fjarl\u00e6gi um \u00fea\u00f0 bil 63% af mengunarefnum \u00ed lofti, \u00fear sem >99% er fjarl\u00e6gt eftir fimm loftskipti. Mi\u00f0a\u00f0 vi\u00f0 \u00feessa forsendu eru a\u00f0eins 0,004% eftir af \u00fa\u00f0abr\u00fasa \u00ed hringr\u00e1s eftir 10 skipti. \u00der\u00e1tt fyrir a\u00f0 takmarka\u00f0ar v\u00edsbendingar s\u00e9u til a\u00f0 sty\u00f0ja \u00feessa \u00fatreikningsa\u00f0fer\u00f0 er h\u00fan miki\u00f0 notu\u00f0 og PHE lei\u00f0beiningarnar v\u00edsa til hennar.<\/p>\n Hversu langan t\u00edma tekur tiltekinn fj\u00f6ldi loftbreytinga a\u00f0 framkv\u00e6ma fer eftir loftr\u00e6stikerfinu \u00ed leikh\u00fasinu, herberginu e\u00f0a byggingunni sem notu\u00f0 er. \u00datreikningurinn<\/a> fyrir \u201e\u00fa\u00f0abr\u00fasa\u00fathreinsunart\u00edma\u201c (ACT) - t\u00edminn sem \u00fea\u00f0 tekur \u00ed m\u00edn\u00fatum fyrir loftskipti \u00ed herbergi - er 60 deilt me\u00f0 fj\u00f6lda loftskipta \u00e1 klukkustund sem m\u00e6ld er e\u00f0a \u00e1\u00e6tla\u00f0ur fyrir \u00fea\u00f0 herbergi. T\u00edminn sem myndast \u00ed m\u00edn\u00fatum er s\u00ed\u00f0an margfalda\u00f0ur me\u00f0 fj\u00f6lda loftskipta sem \u00fearf.<\/p>\n Hins vegar \u00e6tti a\u00f0 nota almennar lei\u00f0beiningar og r\u00e1\u00f0leggingar me\u00f0 var\u00fa\u00f0. \u00cd raun og veru er \u00fathreinsunart\u00edmi \u00fa\u00f0abr\u00fasa h\u00e1\u00f0 eiginleikum herbergisins og er sta\u00f0setningars\u00e9rt\u00e6kur. Til \u00feess a\u00f0 reikna \u00fat \u00fa\u00f0abr\u00fasahreinsunart\u00edma fyrir einstaka stofu e\u00f0a leikh\u00fas \u00fearf heilbrig\u00f0is\u00fej\u00f3nustan a\u00f0 \u00feekkja loftgengi hvers leikh\u00fass. \u00de\u00f3 a\u00f0 flestar skur\u00f0stofur hafi mikla loftr\u00e6stingu, venjulega vi\u00f0 20 e\u00f0a fleiri loftskipti \u00e1 klukkustund, getur \u00feetta veri\u00f0 breytilegt og \u00fea\u00f0 er l\u00f6gbundin krafa<\/a> a\u00f0 loftr\u00e6stihra\u00f0i s\u00e9 m\u00e6ldur \u00e1 14 m\u00e1na\u00f0a fresti. <\/strong><\/p>\n A br\u00e9f fr\u00e1 F\u00e9lagi sv\u00e6fingal\u00e6kna<\/a> \u00ed j\u00fan\u00ed lag\u00f0i til a\u00f0 \u00fa\u00f0ahreinsunart\u00edmi (ACT) sem jafngildir \u00feeim t\u00edma sem \u00fea\u00f0 tekur fimm loftskipti a\u00f0 fara \u00ed gegnum - eins og m\u00e6lt er fyrir tilteki\u00f0 leikh\u00fas - \u00e6tti a\u00f0 vera \u00e1 milli a\u00f0ger\u00f0a til a\u00f0 leyfa n\u00e6gilega \u00fa\u00f0a\u00fathreinsun. Almennt er v\u00edsa\u00f0 til \u00feessara tilm\u00e6la, en \u00e1\u00e6tlanir fr\u00e1 \u00f6\u00f0rum a\u00f0ilum eru allt fr\u00e1 tveimur ACTs upp \u00ed 10-15 ACTs.<\/p>\n Mi\u00f0a\u00f0 vi\u00f0 \u00fe\u00e1 forsendu a\u00f0 fimm loftskipti s\u00e9u nau\u00f0synleg \u00e1 milli a\u00f0ger\u00f0a myndi venjuleg skur\u00f0stofa me\u00f0 20 loftskiptum \u00e1 klukkustund \u00feurfa 15 m\u00edn\u00fatna \u00fathreinsunart\u00edma. Loftr\u00e6stikerfi me\u00f0 lagskiptu fl\u00e6\u00f0i geta haft miklu meiri loftskipti \u00e1 klukkustund, sem \u00fe\u00fd\u00f0ir a\u00f0 styttri t\u00edmi \u00fearf \u00e1 milli a\u00f0ger\u00f0a.<\/p>\n \u00dea\u00f0 er hvers heilbrig\u00f0isstarfsmanns a\u00f0 \u00e1kve\u00f0a s\u00edna eigin stefnu hva\u00f0 var\u00f0ar t\u00ed\u00f0ni loftskipta sem er \u00e1s\u00e6ttanleg fyrir \u00f6rugga \u00fathreinsun \u00fa\u00f0abr\u00fasa, byggt \u00e1 \u00feekktum loftskiptum \u00feeirra \u00e1 kl\u00edn\u00edskum sv\u00e6\u00f0um. \u00de\u00f3 a\u00f0 d\u00e6miger\u00f0 svi\u00f0 fyrir mismunandi tegundir a\u00f0st\u00f6\u00f0u s\u00e9u tilt\u00e6k, getur notkun \u00e1\u00e6tlana frekar en erfi\u00f0ra gagna tengst \u00e1h\u00e6ttu.<\/p>\n A\u00f0 auki, fyrir Covid-j\u00e1kv\u00e6\u00f0a sj\u00faklinga e\u00f0a sj\u00faklinga \u00fear sem Covid-sta\u00f0an er \u00f3\u00feekkt, g\u00e6ti \u00feurft neikv\u00e6\u00f0an \u00fer\u00fdsting til a\u00f0 draga \u00far h\u00e6ttu \u00e1 s\u00fdkingu utan leikh\u00fasumhverfisins.<\/p>\n A\u00f0 b\u00e6ta afgrei\u00f0slut\u00edma leikh\u00fasa<\/strong><\/p>\n Burts\u00e9\u00f0 fr\u00e1 fj\u00f6lda loftskipta \u00e1 sj\u00fakrah\u00fasi \u00e1 milli a\u00f0ger\u00f0a er enginn vafi \u00e1 \u00fev\u00ed a\u00f0 s\u00fa stefna sem hvert sj\u00fakrah\u00fas \u00e1kve\u00f0ur getur haft veruleg \u00e1hrif \u00e1 framlei\u00f0ni leikh\u00fasa. Minnkun \u00e1 t\u00edma sem teki\u00f0 er fyrir hverja loftskipti, og \u00fear me\u00f0 bi\u00f0t\u00edma leikh\u00fasa, getur leitt til aukins \u00e1rangurs og haft bein \u00e1hrif \u00e1 hversu marga sj\u00faklinga er h\u00e6gt a\u00f0 me\u00f0h\u00f6ndla \u00e1 einum degi.<\/p>\n \u00dev\u00ed h\u00e6rra sem loftstreymi og fj\u00f6ldi loftskipta \u00e1 klukkustund sem m\u00f6gulegar eru \u00ed herbergi e\u00f0a leikh\u00fasi, \u00fev\u00ed hra\u00f0ar H\u00e6gt er a\u00f0 hreinsa \u00fa\u00f0abr\u00fasa<\/a>, og \u00fev\u00ed flj\u00f3tari sem afgrei\u00f0slut\u00edmi sj\u00faklinga getur veri\u00f0. \u00de\u00f3 a\u00f0 munurinn og t\u00edminn sem sparast \u00e1 milli hverrar a\u00f0ger\u00f0 kann a\u00f0 vir\u00f0ast l\u00edtill, getur \u00fea\u00f0 skipt verulegu m\u00e1li \u00e1 fj\u00f6lda a\u00f0ger\u00f0a sem ger\u00f0ar eru \u00e1 einum degi e\u00f0a viku, og \u00e1 endanum dregi\u00f0 \u00far bi\u00f0t\u00edma sj\u00faklinga eftir fyrirhugu\u00f0um skur\u00f0a\u00f0ger\u00f0um og greiningara\u00f0ger\u00f0um.<\/p>\n Fars\u00edma- og einingaskur\u00f0stofur t\u00e1kna mj\u00f6g st\u00fdrt umhverfi, sem au\u00f0veldar \u00fatreikning \u00e1 fj\u00f6lda loftskipta sem \u00fearf \u00ed hverju tilviki. Auk \u00feess a\u00f0 b\u00e6ta vi\u00f0 afkastagetu til a\u00f0 draga \u00far bi\u00f0listum geta \u00feessar einingar \u00ed sumum tilfellum bo\u00f0i\u00f0 upp \u00e1 fleiri loftskipti \u00e1 klukkustund en innri a\u00f0sta\u00f0a sj\u00fakrah\u00fass, og auka afk\u00f6st enn frekar.<\/p>\n Vanguard fars\u00edma skur\u00f0stofur<\/a> og endoscopy sv\u00edtur<\/a> bj\u00f3\u00f0a upp \u00e1 HEPA-s\u00edua\u00f0 umhverfisloft me\u00f0 allt a\u00f0 30 ferskum loftskiptum \u00e1 klukkustund sem fer yfir sj\u00faklinginn, \u00e1 me\u00f0an a hreyfanlegur laminar fl\u00e6\u00f0i leikh\u00fas<\/a> getur framkv\u00e6mt allt a\u00f0 60 loftskipti \u00e1 klukkustund \u00ed leikh\u00fasinu.<\/p>\n N\u00e1nari uppl\u00fdsingar er a\u00f0 finna \u00ed 'Stj\u00f3rna leikh\u00fasferlum fyrir fyrirhuga\u00f0a skur\u00f0a\u00f0ger\u00f0 milli COVID-19 bylgja<\/a>', sameiginlegt lei\u00f0beiningarskjal fr\u00e1 The Faculty of Intensive Care Medicine, the Intensive care Society, Association of Anesthetists og Royal College of Anaesthetists, einnig sam\u00feykkt af Royal College of Surgeons of England.<\/p>\n The Royal College of Surgeons<\/a> af Englandi, the F\u00e9lag kvi\u00f0sj\u00e1rskur\u00f0l\u00e6kna \u00e1 Bretlandi og \u00cdrlandi<\/a> og an millih\u00e1sk\u00f3lah\u00f3pur<\/a> skur\u00f0l\u00e6knastofnana hafa einnig gefi\u00f0 \u00fat lei\u00f0beiningarskj\u00f6l um skur\u00f0a\u00f0ger\u00f0a\u00fe\u00e6tti fyrirhuga\u00f0ra ferla og sj\u00faklingastj\u00f3rnunar me\u00f0an \u00e1 Covid-19 stendur.<\/p>","protected":false},"excerpt":{"rendered":" \u00dear sem fyrirhuga\u00f0ar skur\u00f0a\u00f0ger\u00f0ir halda \u00e1fram \u00e1 sj\u00fakrah\u00fasum, samhli\u00f0a um\u00f6nnun Covid-19 sj\u00faklinga, eru var\u00fa\u00f0arr\u00e1\u00f0stafanir sem byggjast \u00e1 smiti enn mikilv\u00e6gar til a\u00f0 l\u00e1gmarka \u00e1h\u00e6ttu og tryggja a\u00f0 m\u00e1lsme\u00f0fer\u00f0 gangi eftir. En hra\u00f0i loftskipta sem m\u00f6gulegar eru \u00e1 skur\u00f0stofum er l\u00edka lykilatri\u00f0i.<\/p>","protected":false},"author":1,"featured_media":1366,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2,115],"tags":[137,5,122],"class_list":["post-3619","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","category-products-and-services","tag-endoscopy-suite","tag-mobile","tag-operating-theatre"],"acf":[],"yoast_head":"\nA\u00f0fer\u00f0ir til a\u00f0 mynda \u00fa\u00f0abr\u00fasa (AGP)<\/strong><\/h4>\n
Aerosol Clearance Times (ACTs)<\/strong><\/h4>\n
\u00dathreinsunart\u00edmi \u00e1 milli a\u00f0ger\u00f0a<\/strong><\/h4>\n