Health Risk Assessment of VOCs from Surgical Smoke

She, Shaohua; Lu, G.; Yang, Wah; Hong, Mianwei; Zhu, Lingfei

doi:10.20944/preprints201707.0042.v1

Cited by 3 publications

(5 citation statements)

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“…In the study of Choi et al (2014), cancer risk assessment of chemicals in surgical smoke revealed that toluene and xylenes are to be included in the group of non-carcinogenic chemicals which are still hazardous to health. She et al (2017) report that surgical smoke generated in the laboratory using pork and pig liver does not exceed the threshold values of toluene, ethylbenzene, xylene, and naphthalene in terms of non-carcinogenic health risks associated with indoor air quality. In the same way, although toluene, ethylbenzene, xylene, and naphthalene were measured at higher values at the time of surgery than before and after surgery, their average values remained below the set limit value in this study.…”

Section: Discussionmentioning

confidence: 99%

“…According to the results of cancer risk assessment studies conducted with benzene, it is reported to increase the risk of cancer (Moslem et al, 2020). She et al (2017) stated that benzene also has a detrimental effect on human health, and that prolonged exposure to surgical smoke poses a great cancer risk. In et al (2015) examined living cells in surgical smoke by cauterizing cancer tissue and reported that the cancer cells found in surgical smoke were the same as the cancer cells cauterized, and when they applied these cancer cells in the surgical smoke to the back of rats, they observed them to grow.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of the Effects of Surgical Smoke on the Air Quality and on the Physical Symptoms of Operating Room Staff

Soysal

İlçe

Lakestani

et al. 2023

Biological Research For Nursing

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Background Surgical smoke can be a hazard because e it contains toxic gases with carcinogenic effects that may threaten health. This study aims to determine the effect of surgical smoke containing toxic chemicals on indoor air quality and examine employees’ physical symptoms in the operating room. Method The study was conducted in the operating room between June 2020 and July 2020. In the study, 45 air samples were taken before, during, and after surgery using the active sampling method. Nineteen employees working in the operating room were asked about their physical complaints and their throat cultures were taken before and after surgery. These results were compared with those of the employees working in internal units. Results The Total Volatile Organic Compounds value at the time of surgery was significantly higher ( p ≤ 0.05). Benzene concentrations remained constantly high ( p ≤ 0.05) throughout the surgery, exceeding the limit values. Other VOCs (Volatile Organic Compounds) were significantly higher during surgery and remained below the limit values ( p ≤ 0.05). When compared in terms of open and laparoscopic surgery, no difference between VOC concentrations was observed ( p ≤ 0.05). The physical symptoms of the surgical team increased during the operation, and they experienced more complaints of tearing, burning in the eyes, hair odor, nausea, and cough than those working in the internal units (e.g., internal medicine, dermatology; ( p ≤ 0.05). Conclusions Surgical smoke was an important contaminant for indoor air quality in the operating room.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Comparison of the Effects of Surgical Smoke on the Air Quality and on the Physical Symptoms of Operating Room Staff

Soysal

İlçe

Lakestani

et al. 2023

Biological Research For Nursing

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“…Cerrahi dumanın içerisinde ayrıca fenol, etanol, klorofom, benzen, toluen, etilbenzen, ksilenler venaftalin gibi 150 toksik kimyasal maddenin bulunduğu belirtilmektedir 11,12 . Cerrahi dumanın içinde bulunan bu kimyasallar genetik mutasyonların ve kanserin tetikleyicisi olabilmektedir.…”

Section: Cerrahi Dumanın Kimyasal Ve Toksik Etkileriunclassified

“…Filtre içindeki hava akımı saniyede 1-2 cm'dir. ULPA filtre ya da ultra düşük penetrasyonlu hava filtresi 0,12 mikron ve daha büyük partikülleri uzaklaştırmada %99,9 verimlilik oranına sahiptir 12 . Günümüzde ameliyathanelerde yeni yeni kullanılmaya başlayan duman tahliye sistemleri taşınabilir cihazlara göre daha sessiz ve çekiş gücü kuvvetlidir 21 .…”

Section: Cerrahi Dumandan Korunmaya Yönelik Alınması Gereken öNlemlerunclassified

“…Dakikada en az 5 kaf basıncı çekmektedir. Duman tahliye cihazları ise cerrahi dumandan korunmada ilk aşamada yer almaktadır 12 . Etkili bir tahliye cihazı ise havadaki mikrobiyal parçacık konsantrasyonunu azaltmalı, iyi bir çekim gücüne sahip olmalı ve aynı zamanda da ortamda var olan kokuyu azaltmalıdır.…”

Section: Cerrahi Dumandan Korunmaya Yönelik Alınması Gereken öNlemlerunclassified

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Ameliyathanedeki Görünmez Tehlike: Cerrahi Duman

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BAYRAK³

2022

Arşiv Kaynak Tarama Dergisi

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Operating rooms, where professional groups from different disciplines work, are areas that require fast and accurate decision-making, where tools of different technology are used. Protein and other organic substances are broken down in the tissue exposed to high heat during the surgical procedure and rise with the evaporated water. The content of surgical smoke varies according to the technique of the procedure and the size of the treated tissue. Surgical smoke containing toxic substances settles in different areas in the respiratory system according to the amount of particle size and causes various health problems on health workers.

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Surgical Smoke Exposure in Operating Room Personnel

2019

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t is widely accepted that inhalation of smoke, specifically, the particulate matter (PM) found within smoke, can cause adverse effects on health. When diathermy devices, such as electrocauterization instruments, lasers, and ultrasonic scalpels, are used during surgery, surgical smoke, also called cautery smoke, surgical plume, laser plume, and diathermy plume, is released into the ambient environment. This process occurs in open surgery as well as laparoscopic surgery, as ports are often vented into the atmosphere. There is a lack of studies regarding the long-term effects of surgical smoke; findings from such studies may inform methods to prevent adverse outcomes on the health of operating room personnel. There are several other forms of smoke that the general population encounters, including secondhand smoke, cooking smoke, and environmental pollution. There have been more in-depth studies on these forms of smoke than of surgical smoke, and they can help bolster the present knowledge of the danger of surgical smoke.Although smoke evacuation devices exist, they are not often used in practice owing to inconvenience and lack of awareness. A study done in 2016 reported that 14% of operating room personnel always used local exhaust ventilation during electrosurgery. 1 These respon-dents were also more likely to report training and employer standard procedures regarding the hazards of surgical smoke. The largest difference in consistent use of local exhaust ventilation was attributed to knowledge and training on the hazards of surgical smoke. 1 Most operating room staff acknowledge adverse symptoms (eg, coughing, headache) from surgical smoke, yet few wear effective personal protection. 2 Although multiple health organizations, such as the Occupational Safety and Health Administration and the National Institute for Occupational Safety and Health, have created guidelines regarding exposure to surgical smoke, no laws mandate that protective measures be taken. 3,4 However, there has been increasing research and awareness of the harmful effects of surgical smoke on operating room personnel, leading to a push to increase regulation of surgical smoke exposure, for example, in the California legislature. 5 Signs regarding the dangers of surgical smoke can be found outside the operating room. 6 The medical community is becoming more sensitive to the possible hazards of surgical smoke exposure. 7 While emphasizing the importance of using current evacuation techniques is important, there are new modalities that could improve smoke evacuation beyond the simple vacuum and filter system. IMPORTANCE Smoke generated during surgical procedures has long been thought to be hazardous to hospital personnel; however, the degree of danger has yet to be determined.OBSERVATIONS The dangers of surgical smoke are associated with the composition of the plume. Small-particulate matter is found in the smoke that is easily inhaled. Particulates deposit in the lungs, circulatory system, and other organs, which may cause numerous health problems....

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Health Risk Assessment of VOCs from Surgical Smoke

Cited by 3 publications

References 21 publications

Comparison of the Effects of Surgical Smoke on the Air Quality and on the Physical Symptoms of Operating Room Staff

Comparison of the Effects of Surgical Smoke on the Air Quality and on the Physical Symptoms of Operating Room Staff

Ameliyathanedeki Görünmez Tehlike: Cerrahi Duman

Surgical Smoke Exposure in Operating Room Personnel

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