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Research ArticleComplications

Operative Field Debris Often Rises to the Level of the Surgeon's Face Shield During Spine Surgery: Are Orthopedic Space Suits a Reasonable Solution?

CHRISTOPHER R. COOK, TARA GASTON, BARRETT WOODS, FABIO OROZCO, ALVIN ONG and KRIS RADCLIFF
International Journal of Spine Surgery December 2019, 13 (6) 501-506; DOI: https://doi.org/10.14444/6067
CHRISTOPHER R. COOK
1Orthopedic Spine Surgery Fellow, Kaiser Permanente Oakland Medical Center, Berkeley, California
DO
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TARA GASTON
2Orthopedic Surgery Resident, Rowan SOM
DO
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BARRETT WOODS
3Rothman Institute, Philadelphia, Pennsylvania
MD
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FABIO OROZCO
3Rothman Institute, Philadelphia, Pennsylvania
MD
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ALVIN ONG
3Rothman Institute, Philadelphia, Pennsylvania
MD
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KRIS RADCLIFF
3Rothman Institute, Philadelphia, Pennsylvania
MD
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    Figure 1

    Lateral (a), oblique (b), and axial (c) images of a space suit with integrated headlight. The face shield is far enough anterior that it does not contact or impede the loupes. The orientation of the headlight and relative posterior position of the light relative to the loupes prevent glare by the light from impeding the visualization of the loupes.

  • Figure 2
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    Figure 2

    Frontal view (a) of a face shield inspection following a transforaminal lumbar interbody fusion. There is abundant gross blood splatter visualized on the part of the gown underneath the face shield (covering the surgeon's neck). An oblique view (b) demonstrates that the blood splatter goes up to the top of the face shield corresponding to the surgeon's upper forehead and hairline.

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International Journal of Spine Surgery
Vol. 13, Issue 6
1 Dec 2019
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Operative Field Debris Often Rises to the Level of the Surgeon's Face Shield During Spine Surgery: Are Orthopedic Space Suits a Reasonable Solution?
CHRISTOPHER R. COOK, TARA GASTON, BARRETT WOODS, FABIO OROZCO, ALVIN ONG, KRIS RADCLIFF
International Journal of Spine Surgery Dec 2019, 13 (6) 501-506; DOI: 10.14444/6067

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Operative Field Debris Often Rises to the Level of the Surgeon's Face Shield During Spine Surgery: Are Orthopedic Space Suits a Reasonable Solution?
CHRISTOPHER R. COOK, TARA GASTON, BARRETT WOODS, FABIO OROZCO, ALVIN ONG, KRIS RADCLIFF
International Journal of Spine Surgery Dec 2019, 13 (6) 501-506; DOI: 10.14444/6067
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Keywords

  • space suit
  • surgical site infection
  • face shield
  • eye protection
  • contamination
  • sterility
  • debris

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