Assessment of liposuction cannulas' interior: insights from visual inspection using a borescope
DOI:
https://doi.org/10.26694/repis.v10i1.5726Palavras-chave:
Surgical Instruments, Sterilization, Infection Control, Perioperative NursingResumo
Introduction: Alterations in liposuction cannulas compromise their use and patient safety in healthcare services. Aim: to evaluate the interior of liposuction cannulas through visual inspection aided by a borescope. Design: this is a descriptive, quantitative study conducted at a materials and sterilization center of a public hospital in Minas Gerais, Brazil, from October 2023 to January 2024. Liposuction cannulas were randomly selected, chosen systematically. Visual inspection assisted by a borescope was conducted, and the data were recorded in a semi-structured instrument, analyzed using descriptive statistics. Results: Liposuction cannulas of sizes 3.0 mm and 4.0 mm were evaluated with equal frequency, as they are reusable devices without control regarding the number of sterilizations they have undergone since acquisition. The majority exhibited alterations detected through the borescope (66.7%), with notable occurrences of oxidation, stains, and/or discoloration (60.0%), residues or debris (33.3%), and grooves (25.0%). Implications: Tracking of liposuction cannulas identified alterations that compromise their usage, observed with the assistance of a borescope. The findings call for changes in current legislation within sterilization centers due to the absence of indication of this equipment as mandatory for aiding visual inspection.
Referências
Anvisa. Agência Nacional de Vigilância Sanitária. Resolução da Diretoria Colegiada - RDC nº 15, de 15 de março de 2012. Brasília: Anvisa; 2012. Available from: https://bvsms.saude.gov.br/bvs/saudelegis/anvisa/2012/rdc0015_15_03_2012.html
Yamamoto SS, Moura GMSS, Costa DGD, Magalhães AMM, Bronzatti JAG. Patient safety culture in central sterile supply departments: nurses’ perceptions. Rev Gaúcha Enferm [Internet]. 2022 [cited 2023 Aug 21];43(spe):e20210337. Available from: https://doi.org/10.1590/1983-1447.2022.20210337.en
Pereira AL, Ferreira NKF, Barbosa KTN, Silva JM, Domingos SPdaS, Souza MDGde, Silva CdeC. A importância da atuação dos profissionais do centro de material e esterilização para o cuidado em saúde. Enferm Brasil [Internet]. 2021 [cited 2023 Aug 21];20(2):177-190. Available from: http://dx.doi.org/10.33233./eb.v20i2.4507
Cavalcante FML, Barros LM. O trabalho do enfermeiro no centro de material e esterilização: uma revisão integrativa. Rev SOBECC [Internet]. 2020 [cited 2023 Aug 21];25(3):171-78. Available from: http://dx.doi.org/10.5327/z1414-4425202000030007
Haque M, McKimm J, Sartelli M, Dhingra S, Labricciosa FM, Islam S, et al. Strategies to Prevent Healthcare-Associated Infections: a narrative overview. Risk Manag Healthc Policy [Internet]. 2020 [cited 2023 Aug 21];13:1765-1780. Available from: http://dx.doi.org/10.2147/RMHP.S269315
Anvisa. Agência Nacional de Vigilância Sanitária. Boletim Segurança do Paciente e Qualidade em Serviços de Saúde n° 19 GVIMS/GGTES/Anvisa: Notificações de casos de micobactéria de crescimento rápido (MCR) - Atualizado: dados de 1998 a 25 de julho de 2023. Available from: https://www.gov.br/anvisa/pt-br/assuntos/servicosdesaude/prevencao-e-controle-de-infeccao-e-resistencia-microbiana/infeccoes-por-micobacteria-de-crescimento-rapido-mcr
Bronzatti JAG. Avaliação da limpeza e esterilização de cânulas de lipoaspiração após contaminação com gordura, Mycobacteroides abscessus subespécie bolletii e Geobacillus stearothermophilus: estudo experimental. 2029. Tese (Doutorado em Ciências) – Universidade de São Paulo, São Paulo; 2019. Available from: https://www.teses.usp.br/teses/disponiveis/7/7139/tde-22022021-152800/publico/Jeane_AG_Bronzatti.pdf
Santos RK dos, Pozzer CE, Rabaioli CM, Souza R, Santos SGR dos, Caregnato RCA. Centro de materiais e esterilização: rastreamento da limpeza automatizada nas cânulas de lipoaspiração. Rev Gaúcha Enferm [Internet]. 2022 [cited 2023 Aug 21];43:1-8. Available from: https://doi.org/10.1590/1983-1447.2022.20210057.pt
Barros LFL, Teixeira VF, Reis JAP, Ferraz RA, Araújo DC, Vendramin FS. Complicações em lipoaspiração: revisão sistemática. Rev Bras Cir Plást [Internet]. 2023 [cited 2023 Aug 21];38(1):1-10. Available from: https://doi.org/10.5935/2177-1235.2023RBCP0641-PT
Garcia NB. Análise da estrutura interna de endoscópios gastrointestinais por inspeção visual com auxílio de um boroscópio e sua relação com a segurança no processamento desses equipamentos. 2022. Dissertação (Mestrado em Enfermagem) – Universidade Federal de Minas Gerais, Belo Horizonte; 2022. Available from: https://repositorio.ufmg.br/handle/1843/46683
Ofstead CL, Hopkins KM. Sterilization Central: The Value of Borescopes in Detecting Damage, Soil, Fluid, and Foreign Objects in Flexible Endoscopes. Biomed Instrum Technol [Internet]. 2020 [cited 2023 Aug 21];54(2):146-52. Available from: http://dx.doi.org/10.2345/0899-8205-54.2.146
Ofstead CL, Smart AG, Hopkins KM, Wetzler HP. The utility of lighted magnification and borescopes for visual inspection of flexible endoscopes. Am. J. Infect. Control [Internet]. 2023 [cited 2023 Aug 21];51(1):2-10. Available from: http://dx.doi.org/10.1016/j.ajic.2022.08.026
Chen H, Liu J, Zhang M. Incidence of Adverse Events in Central Sterile Supply Department: A Single-Center Retrospective Study. Risk Manag Healthc Policy [Internet]. 2023 [cited 2023 Aug 21];16:1611-1620. Available from: http://dx.doi.org/10.2147/RMHP.S423108
Souza RQde, Barijan AT, Bronzatti JAG, Laranjeira PR, Graziano KU. Validação da limpeza de produtos para saúde no cotidiano do centro de material e esterilização. Rev SOBECC [Internet]. 2020 [cited 2023 Aug 21];25(1):58-64. Available from: http://dx.doi.org/10.5327/z1414-4425202000010009
Hopkins KM, Adams SJ, Lamb LA, Smart AG, Ofstead CL. Beyond Endoscopes: pilot study of surgical instrument lumen inspection. Biomed Instrum Technol [Internet]. 2024 [cited 2023 Aug 21];58(1):25-33. Available from: http://dx.doi.org/10.2345/0899-8205-58.1.25
Anvisa. Agência Nacional de Vigilância Sanitária. Resolução da Diretoria Colegiada - RDC n° 36 de 25 de de julho de 2013. Brasília: Anvisa; 2013. Available from: https://bvsms.saude.gov.br/bvs/saudelegis/anvisa/2013/rdc0036_25_07_2013.html#:~:text=Institui%20a%C3%A7%C3%B5es%20para%20a%20seguran%C3%A7a,sa%C3%BAde%20e%20d%C3%A1%20outras%20provid%C3%AAncias.&text=Objetivo-,Art.,qualidade%20nos%20servi%C3%A7os%20de%20sa%C3%BAde
Ofstead CL, Hopkins KM, Eiland JE. Borescope inspection of endoscope working channels: Why and how? Endosc Int Open [Internet]. 2022 [cited 2023 Aug 21];10(1):109-111. Available from: http://dx.doi.org/10.1055/a-1512-2813
Giroti ALB, Ferreira AM, Carneiro LM, Cury ERJ, Alvim ALS, Junior AGdS, et al. Improving Best Practices in Assessing the Usage Conditions of Hospital and Long-Term Care Mattresses. Health Scope [Internet]. 2024 [cited 2023 Aug 21];13(1):e141912. Available from: https://doi.org/10.5812/healthscope-141912.
Angeloni NLN, Furlan MCR, Barcelos LdaS, Ferreira AM, Sousa AFLde, Valim MD, et al. Multimodal Educational Intervention for Adherence to Standard Precautions in the COVID-19 Pandemic Among Nursing Professionals: A Quasi-Experimental Study. J Nurs Midwifery Sci. [Internet]. 2024 [cited 2023 Aug 21];11(1):e143516. Available from: https://doi.org/10.5812/jnms-143516.
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