Surgical smoke and the dermatologist

Lewin, John M.; Brauer, Jeremy A.; Ostad, Ariel

doi:10.1016/j.jaad.2010.11.017

Cited by 76 publications

(74 citation statements)

References 30 publications

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“…Surgical smoke is a known occupational hazard containing UFP [3–11, 27]. An estimated 500,000 healthcare workers are exposed to laser generated surgical smoke each year [27].…”

Section: Discussionmentioning

confidence: 99%

“…To date, little is known regarding exposures to LHR plume, although the surgical plume generated from electro-cautery devices is a known occupational hazard for clinicians [3–11]. A recent study by Chuang et al documented high levels of ultrafine particles (UFP), particles less than 1 μm in aerodynamic diameter, during a LHR procedure [12].…”

Section: Introductionmentioning

confidence: 99%

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Occupational exposures and determinants of ultrafine particle concentrations during laser hair removal procedures

et al. 2017

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BackgroundOccupational exposures to ultrafine particles in the plume generated during laser hair removal procedures, the most commonly performed light based cosmetic procedure, have not been thoroughly characterized. Acute and chronic exposures to ambient ultrafine particles have been associated with a number of negative respiratory and cardiovascular health effects. Thus, the aim of this study was to measure airborne concentrations of particles in a diameter size range of 10 nm to 1 μm in procedure rooms during laser hair removal procedures.MethodsTSI Model 3007 Condensation Particle Counters were used to quantify the particle count concentrations in the waiting and procedure rooms of a dermatology office. Particle concentrations were sampled before, during, and after laser hair removal procedures, and characteristics of each procedure were noted by the performing dermatologist.ResultsTwelve procedures were sampled over 4 days. Mean ultrafine particle concentrations in the waiting and procedure rooms were 14,957.4 particles/cm3 and 22,916.8 particles/cm3 (p < 0.0001), respectively. Compared to background ultrafine particle concentrations before the procedure, the mean concentration in the procedure room was 2.89 times greater during the procedure (p = 0.009) and 2.09 times greater after the procedure (p = 0.007). Duration of procedure (p = 0.006), body part (p = 0.013), and the use of pre-laser lotion/type of laser (p = 0.039), were the most important predictors of ultrafine particle concentrations. Use of a smoke evacuator (a recommended form of local exhaust ventilation) positioned at 30.5 cm from the source, as opposed to the recommended 1–2 in., lowered particle concentrations, but was not a statistically significant predictor (p = 0.49).ConclusionsLaser hair removal procedures can generate high exposures to ultrafine particles for dermatologists and other individuals performing laser hair removal, with exposure varying based on multiple determinants.

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“…Surgical smoke is a known occupational hazard containing UFP [3–11, 27]. An estimated 500,000 healthcare workers are exposed to laser generated surgical smoke each year [27].…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Occupational exposures and determinants of ultrafine particle concentrations during laser hair removal procedures

et al. 2017

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“…In experimental studies on the animals' skin, the transfer of Hepatitis B virus, human papillomavirus (HPV), and Staphylococcus aureus has been indicated from an infected place to an uninfected place using the infected electrocautery electrodes during surgical cutting by electrocautery (13).…”

Section: Discussionmentioning

confidence: 99%

Comparative Effects of Standard and Bipolar Cauterization in Pediatric Orthopedic Surgery

Baghdadi

Arti

Zargarbashi

2018

J Orthop Spine Trauma

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Background: One of the most important issues in the orthopedic surgery, especially pediatric orthopedic surgery, is to prevent or reduce bleeding during the operating time. The goal of local hemostasis is to prevent or blockade the flow of blood from a disrupted vessel that has been incised or transected. Objectives: The aim of this study was to compare the effects of standard (monopolar) and bipolar electrocauterization during the pediatric orthopedic surgery. Methods: In this study, 60 patients were enrolled for the pediatric orthopedic surgery and classified into two groups. Group I included 30 patients undergoing hemostasis with standard electrocautery and group II comprised 30 patients undergoing hemostasis with bipolar electrocautery. The intraoperative bleeding was measured with sterile absorbent gauze. Every gauze could absorb 20 mL of blood. Then, bleeding was compared between the groups.

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“…18 The surgical mask only captures large particles (>5 mm), but does not provide adequate protection in filtering smoke. 19 It has been reported that the incidence of nasopharyngeal lesions because of a CO 2 laser equipment was relatively higher in surgeons as compared with normal controls. This suggests that surgeons are at increased risks of developing nasopharyngeal lesions with the inhalation of laser plumes.…”

Section: Commentsmentioning

confidence: 98%

Comparative Safety Analysis of Surgical Smoke From Transurethral Resection of the Bladder Tumors and Transurethral Resection of the Prostate

Zhao¹,

Kim²,

Kim³

et al. 2013

Urology

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Surgical smoke and the dermatologist

Cited by 76 publications

References 30 publications

Occupational exposures and determinants of ultrafine particle concentrations during laser hair removal procedures

Occupational exposures and determinants of ultrafine particle concentrations during laser hair removal procedures

Comparative Effects of Standard and Bipolar Cauterization in Pediatric Orthopedic Surgery

Comparative Safety Analysis of Surgical Smoke From Transurethral Resection of the Bladder Tumors and Transurethral Resection of the Prostate

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