Current practice and perceptions of safety protocols for the use of intraperitoneal chemotherapy in the operating room: results of the IP-OR international survey

Details

Serval ID
serval:BIB_6CED330173D4
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Current practice and perceptions of safety protocols for the use of intraperitoneal chemotherapy in the operating room: results of the IP-OR international survey
Journal
Pleura and Peritoneum
Author(s)
Clerc Daniel, Hübner Martin, Ashwin K.R., Somashekhar S.P., Rau Beate, Ceelen Wim, Willaert Wouter, Bakrin Naoual, Laplace Nathalie, Al Hosni Mohammed, Garcia Lozcano Edgar Luis, Blaj Sebastian, Piso Pompiliu, Di Giorgio Andrea, Vizzelli Giuseppe, Brigand Cécile, Delhorme Jean-Baptiste, Klipfel Amandine, Archid Rami, Nadiradze Giorgi, Reymond Marc A., Sgarbura Olivia
ISSN
2364-768X
2364-7671
Publication state
Published
Issued date
26/02/2021
Volume
6
Number
1
Pages
39-45
Language
english
Abstract
Objectives: To assess the risk perception and the uptake of measures preventing environment-related risks in the operating room (OR) during hyperthermic intraperitoneal chemotherapy (HIPEC) and pressurized intraperitoneal aerosol chemotherapy (PIPAC).
Methods: A multicentric, international survey among OR teams in high-volume HIPEC and PIPAC centers: Surgeons (Surg), Scrub nurses (ScrubN), Anesthesiologists (Anest), Anesthesiology nurses (AnesthN), and OR Cleaning staff (CleanS). Scores extended from 0-10 (maximum).
Results: Ten centers in six countries participated in the study (response rate 100%). Two hundred and eleven responses from 68 Surg (32%), 49 ScrubN (23%), 45 Anest (21%), 31 AnesthN (15%), and 18 CleanS (9%) were gathered. Individual uptake of protectionmeasureswas 51.4%, similar among professions and between HIPEC and PIPAC. Perceived levels of protection were 7.57 vs. 7.17 for PIPAC and HIPEC, respectively (p<0.05), with Anesth scoring the lowest (6.81). Perceived contamination risk was 4.19 for HIPEC vs. 3.5 for PIPAC (p<0.01). Information level was lower for CleanS and Anesth for HIPEC and PIPAC procedures compared to all other responders (6.48 vs. 4.86, and 6.48 vs. 5.67, p<0.01). Willingness to obtain more information was 86%, the highest among CleanS (94%).
Conclusions: Experience with the current practice of safety protocols was similar during HIPEC and PIPAC. The individual uptake of protection measures was rather low. The safety perception was better for PIPAC, but the perceived level of protection remained relatively low. The willingness to obtain more information was high. Intensified, standardized training of all OR teammembers involved in HIPEC and PIPAC is meaningful.
Web of science
Open Access
Yes
Create date
22/02/2021 13:08
Last modification date
04/04/2021 6:37
Usage data