{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,27]],"date-time":"2023-10-27T08:47:55Z","timestamp":1698396475316},"reference-count":18,"publisher":"Akademiai Kiado Zrt.","issue":"34","license":[{"start":{"date-parts":[[2023,8,27]],"date-time":"2023-08-27T00:00:00Z","timestamp":1693094400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2023,8,27]]},"abstract":"<jats:p><jats:italic>Bevezet\u00e9s:<\/jats:italic> A teljes g\u00e9geelt\u00e1vol\u00edt\u00e1son \u00e1tesett betegekn\u00e9l a\n                    l\u00e9gcs\u0151 \u00e9s a t\u00fcd\u0151 a SARS-CoV-2 k\u00f6zvetlen fert\u0151z\u00e9s\u00e9nek tov\u00e1bbi helyek\u00e9nt\n                    szolg\u00e1lhat, mivel a l\u00e9g\u00fati \u00e1raml\u00e1s a tracheostom\u00e1n kereszt\u00fcl t\u00f6rt\u00e9nik.\n                        <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic> Tanulm\u00e1nyunk c\u00e9lja volt, hogy megvizsg\u00e1ljuk,\n                        LaryTube<jats:sup>\u2122<\/jats:sup> mellett a betegek k\u00e9pesek-e nagyobb m\u00e9rt\u00e9kben\n                    aeroszolok terjeszt\u00e9s\u00e9re, mint LaryTube<jats:sup>\u2122<\/jats:sup> n\u00e9lk\u00fcl, tov\u00e1bb\u00e1 az, hogy\n                    megfigyelj\u00fck, vizsg\u00e1lhat\u00f3-e k\u00fcl\u00f6nb\u00f6z\u0151 v\u00e9d\u0151eszk\u00f6z\u00f6k felsz\u00edne a h\u0151kamera\n                    seg\u00edts\u00e9g\u00e9vel ebben a betegcsoportban. Fontos c\u00e9lkit\u0171z\u00e9sk\u00e9nt szerepelt az is,\n                    hogy meger\u0151s\u00edts\u00fck a felt\u00e9telez\u00e9st, miszerint a HME (heat and moisture exchanger\n                    \u2013 h\u0151- \u00e9s nedvess\u00e9gcser\u00e9l\u0151) haszn\u00e1lata \u00f6nmag\u00e1ban nem ny\u00fajt v\u00e9delmet\n                    COVID\u201319-pand\u00e9mia eset\u00e9n. V\u00e9g\u00fcl vizsg\u00e1lataink sor\u00e1n pr\u00f3b\u00e1ltunk v\u00e1laszt kapni\n                    arra a felt\u00e9telez\u00e9s\u00fcnkre, hogy a HME belfelsz\u00edn\u00e9r\u0151l vett minta tesztelhet\u0151-e\n                    SARS-CoV-2 ir\u00e1ny\u00e1ban. <jats:italic>M\u00f3dszer:<\/jats:italic> Teljes g\u00e9geelt\u00e1vol\u00edt\u00e1son \u00e1tesett\n                    23 beteg kil\u00e9legzett leveg\u0151j\u00e9nek sebess\u00e9g\u00e9t m\u00e9rt\u00fck HME-vel \u00e9s HME n\u00e9lk\u00fcl,\n                        LaryTube<jats:sup>\u2122<\/jats:sup> haszn\u00e1lat\u00e1val, illetve an\u00e9lk\u00fcl. Az \u00e1ltalunk\n                    kiv\u00e1lasztott v\u00e9d\u0151eszk\u00f6z\u00f6k felsz\u00edn\u00e9n h\u0151kamer\u00e1s vizsg\u00e1latot v\u00e9gezt\u00fcnk, melyeket\n                    minden esetben a beteg stom\u00e1ja el\u00e9 helyezt\u00fcnk. A HME belfelsz\u00edn\u00e9r\u0151l \u00e9s a trachea\n                    h\u00e1ts\u00f3 fal\u00e1r\u00f3l vett v\u00e1lad\u00e9kot az esetleges SARS-CoV-2-pozitivit\u00e1s miatt\n                    PCR-vizsg\u00e1latnak vetett\u00fck al\u00e1. <jats:italic>Eredm\u00e9nyek:<\/jats:italic>\n                    LaryTube<jats:sup>\u2122<\/jats:sup>-bal ell\u00e1tott f\u00e9rfi betegeink HME n\u00e9lk\u00fcl 43%-kal gyorsabban\n                    f\u00fajt\u00e1k ki leveg\u0151j\u00fcket, mint a LaryTube<jats:sup>\u2122<\/jats:sup> n\u00e9lk\u00fcliek. N\u0151k eset\u00e9ben ez az\n                    \u00e9rt\u00e9k 39% f\u00f6l\u00f6tt volt. A legalacsonyabb felsz\u00edni h\u0151m\u00e9rs\u00e9kletet az FFP2-es maszk\n                    eset\u00e9ben regisztr\u00e1ltuk. A k\u00fcld\u00f6tt mint\u00e1k PCR seg\u00edts\u00e9g\u00e9vel SARS-CoV-2-re\n                    tesztelhet\u0151k, v\u00edrus jelenl\u00e9t\u00e9t nem mutatt\u00e1k ki. <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic>\n                    A teljes g\u00e9geelt\u00e1vol\u00edt\u00e1son \u00e1tesett betegek LaryTube<jats:sup>\u2122<\/jats:sup> n\u00e9lk\u00fcl kisebb\n                    es\u00e9llyel k\u00e9pesek az aeroszolok terjeszt\u00e9s\u00e9re, mivel hi\u00e1nyzik a tubus mint a\n                    stoma sz\u0171k\u00edt\u0151 t\u00e9nyez\u0151je. Ezen betegeknek aj\u00e1nlott COVID\u201319-pand\u00e9mia idej\u00e9n a\n                    v\u00edrussz\u0171r\u0151vel ell\u00e1tott HME haszn\u00e1lata, s\u0151t a legracion\u00e1lisabb megold\u00e1s a tubus\n                    elhagy\u00e1sa \u00e9s tapaszra cser\u00e9l\u00e9se a HME r\u00f6gz\u00edt\u00e9se miatt. A haszn\u00e1lt v\u00e9d\u0151eszk\u00f6z\u00f6k\n                    felsz\u00edne h\u0151kamer\u00e1val vizsg\u00e1lhat\u00f3 laryngectomi\u00e1n \u00e1tesett betegek eset\u00e9ben is.\n                    Sz\u00fcks\u00e9g eset\u00e9n bevezethet\u0151 a klinikai gyakorlatba a HME belfelsz\u00edn\u00e9r\u0151l vett\n                    minta PCR-tesztel\u00e9se SARS-CoV-2 ir\u00e1ny\u00e1ban, mely sokkal biztons\u00e1gosabb m\u00f3dszernek\n                    bizonyult. Orv Hetil. 2023; 164(34): 1327\u20131336.<\/jats:p>","DOI":"10.1556\/650.2023.32828","type":"journal-article","created":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T07:25:16Z","timestamp":1693293916000},"page":"1327-1336","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["K\u00fcl\u00f6nb\u00f6z\u0151 v\u00e9d\u0151eszk\u00f6z\u00f6k h\u0151kamer\u00e1s vizsg\u00e1lata \u00e9s a kil\u00e9legzett leveg\u0151 sebess\u00e9g\u00e9nek m\u00e9r\u00e9se teljes g\u00e9geelt\u00e1vol\u00edt\u00e1son \u00e1tesett betegekben COVID\u201319-pand\u00e9mia idej\u00e9n."],"prefix":"10.1556","volume":"164","author":[{"given":"Zolt\u00e1n","family":"Iszlai","sequence":"first","affiliation":[{"name":"Borsod-Aba\u00faj-Zempl\u00e9n V\u00e1rmegyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, F\u00fcl-orr-g\u00e9g\u00e9szeti \u00e9s Fej-nyakseb\u00e9szeti Oszt\u00e1ly Miskolc, Szentp\u00e9teri kapu 72\u201376., 3526 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B\u00e9la","family":"Fodor","sequence":"additional","affiliation":[{"name":"Miskolci Egyetem, \u00c1raml\u00e1s- \u00e9s H\u0151technikai G\u00e9pek Tansz\u00e9ke Miskolc Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ren\u00e1ta","family":"Szab\u00f3","sequence":"additional","affiliation":[{"name":"Borsod-Aba\u00faj-Zempl\u00e9n V\u00e1rmegyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, F\u00fcl-orr-g\u00e9g\u00e9szeti \u00e9s Fej-nyakseb\u00e9szeti Oszt\u00e1ly Miskolc, Szentp\u00e9teri kapu 72\u201376., 3526 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zolt\u00e1n","family":"Szekanecz","sequence":"additional","affiliation":[{"name":"Debreceni Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, Reumatol\u00f3giai Klinika Debrecen Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tam\u00e1s","family":"Karosi","sequence":"additional","affiliation":[{"name":"Borsod-Aba\u00faj-Zempl\u00e9n V\u00e1rmegyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, F\u00fcl-orr-g\u00e9g\u00e9szeti \u00e9s Fej-nyakseb\u00e9szeti Oszt\u00e1ly Miskolc, Szentp\u00e9teri kapu 72\u201376., 3526 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","unstructured":"1 Johns Hopkins University & Medicine. 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