• Journal of Chest Surgery
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• v.35 no.5
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• pp.375-380
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• 2002

Background: Sternal infection after open heart surgery is a serious complication associated with high rate of mortality. We reviewed the effect of improved operating room and intensive care unit un the sternal infection by analyzing the incidence and condition of that around the movement of operating room and intensive care unit in July 1997. Material and method: We reviewed a total of 453 patients. Group I contains 237 patients who underwent open heart surgery between January 1997 and December 1978 before we moved the intensive care unit and of operating room, and Group II contains 216 patients who underwent open heart surgery between January 2000 and July 2001 after we moved. We only included adult patients over age 15 who underwent cardiopulmonary bypass through median sternotomy and excluded the mortality cases except sternal infections in this study. Result: Sternal infection developed in 18 patients(8.0%) in Group I, and in only 1 patient(0.49%) in Group II. Emergency operation, cardiopulmonary bypass time, operation tilde, transfusion, tracheostomy, and reoperation are significantly associated with sternal infection among the known risk factors. The logistic regression analysis containing those six factors revealed that the movement of intensive care unit and operating roots is effective on the decreasing sternal infection(p=0.029, 95% confidence interval 0.011 ∼ 0.788). Conclusion: Although there have been studies on manly risk factors associated with the sternal infection after open heart surgery, we think that the improvement of operting room and intensive care unit is a method for decreasing the incidence of sternal infection.

• Journal of the Korea Convergence Society
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• v.8 no.6
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• pp.85-96
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• 2017

The purpose of this study was to evaluate the relationship among verbal violence experience, verbal violence impact and burnout of operating room nurses. The data were collected by structured self-reporting questionnaires from 202 operating room nurses and were analyzed with descriptive statistics, t-test, ANOVA, Scheffe test, Pearson's correlation coefficients and multiple regression. The level of verbal violence experience and verbal violence impact was 1.96 and 1.67. The level of burnout was 3.08. Verbal violence impact and burnout have a significant positive association with verbal violence experience(r=.39, p<.001; r=.41, p<.001). Verbal violence impact was positively associated with burnout(r=.29, p<.001). Factors influencing burnout were verbal violence experience, verbal violence impact and position(staff nurse) which explained 30% of the variance(F=9.15, p<.001). These findings indicate that verbal violence experiences of operating room nurses have influence on stability and productivity in personal, social aspect and suggest developing the verbal violence prevention program in hospital.

• Journal of Cerebrovascular and Endovascular Neurosurgery
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• v.25 no.1
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• pp.50-61
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• 2023

Objective: To describe the roadmapping technique and our three-year experience in the management of intracranial aneurysms in the hybrid operating room. Methods: We analyzed all patients who underwent surgical clipping for cerebral aneurysms with the roadmapping technique from January 2017 to September 2019. We report demographic, clinical, and morphological variables, as well as clinical and radiological outcomes. We further describe three illustrative cases of the technique. Results: A total of 13 patients were included, 9 of which (69.2%) presented with subarachnoid hemorrhage, with a total of 23 treated aneurysms. All patients were female, with a mean age of 47.7 years (range 31-63). All cases were anterior circulation aneurysms, the most frequent location being the ophthalmic segment of the internal carotid artery (ICA) in 11 cases (48%), followed by posterior communicating in 8 (36%), and ICA bifurcation in 2 (8%). Intraoperative clip repositioning was required in 9 aneurysms (36%) as a result of the roadmapping technique in the hybrid operating room. There were no residual aneurysms in our series, nor reported mortality. Conclusions: The roadmapping technique in the hybrid operating room offers a complementary tool for the adequate occlusion of complex intracranial aneurysms, as it provides a real time fluoroscopic-guided clipping technique, and clip repositioning is possible in a single surgical stage, whenever a residual portion of the aneurysm is identified. This technique also provides some advantages, such as immediate vasospasm identification and treatment with intra-arterial vasodilators, balloon proximal control for certain paraclinoid aneurysms, and simultaneous endovascular treatment in selected cases during a single stage.

• Particle and aerosol research
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• v.17 no.4
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• pp.107-114
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• 2021

In this study, the effect of the air purifier located in the living room on the reduction of PM_2.5 concentration in the living room and bedroom was investigated. Measurements were carried out in real-life for about 2 weeks in a Korean apartment building where a 3-person household had lived and the exclusive private area was 84.9 m². When the air purifier in the living room was operating, the change in PM_2.5 concentration was measured when the door to the bedroom connected to the living room was opened and closed. In the case of living with the bedroom door open, the average PM_2.5 concentrations in the living room and bedroom were almost the same. When living with the bedroom door closed, the average PM_2.5 in the living room was higher than in the bedroom. The ventilation and cooking effects in the living room mainly affected the PM_2.5 concentration in the living room. Only one air purifier in the living room was able to keep the PM_2.5 concentration in the living room and bedroom low.

• Journal of the Korean Burn Society
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• v.22 no.2
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• pp.34-37
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• 2019

Fires in operating rooms rarely occur. However, this type of disaster can complicate almost any surgical procedure. Fuel, heat and oxygen are related with fire outbreak. When ignition sources such as alcohol-based surgical preparation solutions are present, the risk of an operating room fire increases, and burns are more severe in such conditions. Many manufacturers recommend waiting at least three minutes after application to allow complete drying for reduce fire risk. There are a few studies regarding flame burns in the operation room, although most of these studies are related to preoperative skin preparation. However, alcohol containing solutions can be used occasionally for cleansing of the operation field after the surgery, therefore, the surgical team should pay attention to surgical fires, even if they have completed the operation successfully. We present our case of a post-operative flame burn and introduce some precautions that will reduce the risk of alcohol burns.

• Fire Science and Engineering
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• v.18 no.4
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• pp.78-85
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• 2004

This research analyzes Clean Room accidents, and presents research Clean Room, major fire prevention standards of Clean Room (FM, IRI, and NFPA Code), various results from Fire Simulation of analysis. The results are : the smoke diffusion is very quick coupled with the Heating, Ventilating, and Air Conditioning (HVAC) systems under fire ; the possibility of getting the result and the possibility the role of the Sprinkler systems to reduce the diffusion of the smoke. We learn about the importance to stop operating Heating, Ventilating, and Air Conditioning (HVAC) systems and to operate the Sprinkler system for securing safety with fire detection. Therefore, This research will be contributing to secure safety of Clean Room.

• International Journal of Air-Conditioning and Refrigeration
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• v.6
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• pp.136-147
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• 1998

An experimental facility consisting of two 3$\times$4.4$\times$2.8m rooms identical in construction is built. Each room has a control system and storage tank supplying hot water to the radiant floor heating system. The facility enables simultaneous comparison of two different control strategies each implemented in a separate room. The operating performance of three kinds of flow control scheme is tested and compared in this study: (ⅰ) conventional on-off control based on feedback from room air temperature (ⅱ) TPSC(two parameter switching control )(ⅲ) TPOC(two parameter on-off control). Results show that TPSC and TPOC using room air and surface temperature sequentially as feedback signal to control hot water supply is the better temperature regulation scheme than conventional control based on feedback from only room air temperature. They are good candidates for the room with radiant floor heating system under continuous and intermittent heating mode.

• Korean Journal of Air-Conditioning and Refrigeration Engineering
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• v.1 no.1
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• pp.32-45
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• 1989

The airflow characteristics of clean tunnel type clean room were experimentally investigated with the change of operating speed and exit type. Distributions of air velocity and pressure were measured in clean room which is located lower than HEPA filters, and the pressure distribution was also measured in upper plenum which is located above the HEPA filters, to identify the performance of clean room. Through the analysis it was turned out that air velocity characteristics in clean room were significantly affected by the upper plenum flow conditions such as pressure distribuion. This results will be useful in the actual clean room design to enhance the performance.

• Investigative Magnetic Resonance Imaging
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• v.20 no.3
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• pp.152-157
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• 2016

Purpose: Operating room management is the serious and complex task for hospital managers and the common approach is to develop relevant standard operational procedures. From patient and staff safety perspective, operating room management should be well-studied and hospital should identify and address any potential risks. Simultaneous usage of different imaging and less-invasive treatment technologies demands strong management control. Materials and Methods: We have formed the multidisciplinary expert panel (surgeons, anesthesiologists, radiologists, healthcare managers etc.) for hybrid theater management standard operational procedure development. On the first stage the general concept of hybrid room design and patient routing was developed. The second stage included the technical details discussion. For patient safety improvement we modified the Surgical Safety Check-list in accordance with potential MRI-related safety challenges and concerns. Results: WHO Surgical Safety Checklist is a simple and easy-to use tool which includes three blocks of question (grouped by the surgery process). We have developed two additional blocks of questions for the intraoperative magnetic resonance investigation. It is very important to have a special detailed routing with a strong control of ferromagnetic devices and anesthesiology care. Conclusion: High-energy MRI (1.5-3.0T) is characterized by potential influence on patient and staff safety in case of hybrid surgery. It is obvious to have a strong managerial control of ferromagnetic devices and anesthesiology care. Surgical Safety Checklist is the validated tool for improving patient safety. Modification and customization of this check-list potentially provides the opportunity for surgery processes improving.

• The Academic Congress of Korean Shoulder and Elbow Society
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• 2005.11a
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• pp.193-197
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• 2005