Experimental study on influence of personnel activity and surgical smoke on indoor environment inside clean operating room

Cheng, Jianjie; Niu, Xiaoyi; Zhang, Rui; Zhu, Xidong; Lu, Song; Zhou, Bin; Li, Xianting

doi:10.1080/14733315.2019.1704539

Cited by 5 publications

(7 citation statements)

References 32 publications

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“…It has been proved that surgical smoke is harmful to medical personnel working in the OR 13 . Cheng et al concluded that the particle sizes of surgical smoke are less than 1 μm mostly, and the average aerodynamic diameter of PM generated by electrosurgical tools is about 0.07 μm 14 . These hazardous substances can be inhaled and deposit on the upper respiratory tract, then cause respiratory diseases like chronic obstructive pulmonary disease, asthma, bronchitis, and even lung cancer 15 .…”

Section: Introductionmentioning

confidence: 99%

Investigating surgical smoke in otolaryngology operating rooms

Chou

Pai

et al. 2022

Sci Rep

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Surgical smoke is a common chemical hazard produced from the use of electrocautery, laser, or ultrasonic scalpels during surgery. It has been proved harmful to medical personnel. Thus, it is important to monitor surgical smoke concentrations in the operating room. In the past decade, many researches regarding surgical smoke were discussed in different professional healthcare fields, but few showed the correlation between surgical smoke and otolaryngology surgery. In this study, the concentrations of particulate matter and formaldehyde were measured during thirty cases of several types of otolaryngology surgery in a regional research hospital in Taiwan. The concentrations of 0.3 µm and 0.5 µm particulate matter raised rapidly in the main knife range at the beginning of the electrocautery knife used, and then decreased by half after 5–10 min of use. The concentrations of formaldehyde were ranged from 1 to 2 ppm during the surgery, which is higher than the permissible exposure limit. While many medical staffs are working in the operating room and are exposed to the smoke hazard, effective strategies for collecting and eliminating the smoke should be taken in all medical facilities.

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Section: Introductionmentioning

confidence: 99%

Investigating surgical smoke in otolaryngology operating rooms

Chou

Pai

et al. 2022

Sci Rep

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“…is working on [1,2,5,6]. 95% of odorous and visible surgical smoke is water; but the remaining 5% consists of dead and living cellular material, blood fragments, viruses, bacteria and toxic gas [6][7][8][9][10]. Bacteria in surgical smoke and viruses can live for up to 72 hours and can travel up to 1 meter away from the study area as the particle size increases [9,11].…”

Section: Introductionmentioning

confidence: 99%

“…Bacteria in surgical smoke and viruses can live for up to 72 hours and can travel up to 1 meter away from the study area as the particle size increases [9,11]. Surgical smoke is mutagenic and carcinogenic, although smelly, causing various health problems for patients and operating room staff taste [1,3,7]. In the operating room, workers who are exposed to components emitted by surgical smoke for a long time; headache, dizziness, nausea, vomiting, cough, sneezing, burning in the throat, eye irritation and tearing, odor in the hair, difficulty in breathing, hypoxia, airway inflammation, weakness, weakness, conjunctivitis, dermatitis, myalgia, cramps, anemia, rhinitis, asthma, anxiety and hepatitis as health problems are seen [2,3,9,11].…”

Section: Introductionmentioning

confidence: 99%

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Investigation of Surgical Smoke Exposure and Well-Being Levels of Operating Room Workers in the COVID-19 Pandemic

Çınar¹,

Sanlier²

2022

Arch Pharm Pract

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This study was conducted to determine operating room workers' thoughts and personal well-being levels about surgical smoke exposure during the COVID-19 Pandemic. This descriptive study was conducted between May-June 2022. The research was completed with 82 operating room employees in a public hospital in Istanbul. Research data were collected using a questionnaire about sociodemographic characteristics, surgical smoke, and the Personal Well-Being Scale. Descriptive statistics were used in the analysis of the data. 89% of the individuals included in the study thought they were exposed to surgical smoke. Individuals exposed to surgical smoke; had a headache (45.1), cough (11%), burning in the throat (31.7%), eye irritation (56.1%), tearing (34.1) and respiratory problems (20.7%). Employees use surgical masks (74.4%), aspiration catheters (59.8%), gowns (74.4%), goggles (74.4%), filters (35.4), and filtration masks (6.1) to protect themselves from surgical smoke. In addition, it was determined that they wanted to receive education about surgical smoke (93.9%). It was determined that the mean score of the Personal Well-Being Scale was X ̄ =41.76. In the pandemic process, it has been determined that the measures taken to prevent surgical smoke in operating rooms are insufficient, the employees experience many symptoms, and their well-being is low. Efforts should be made to reduce and possibly eliminate fumes from the operating room. Cost-effective forms of smoke extraction need to be investigated. There is also a need for studies on the sequelae of exposure to operating room smoke in personnel who have been exposed to operating room smoke for a long time.

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“…Koter dumanı, duman bulutu, aerosol, biyoaerosol, hava kirleticiler gibi çeşitli isimlerle tanımlanan cerrahi duman, ameliyathanelerde kullanılan enerji bazlı cihazların (elektrokoter, lazer, ultrasonik aletler, yüksek hızlı matkaplar, testereler gibi) kullanımı sırasında ortaya çıkan yüksek ısının, protein ve diğer organik maddeleri yakması ve çevre doku hücrelerinde nekroza sebep olması sonucunda dokulardaki yağ ve proteinin parçalanarak buharlaşması ile ortaya çıkmaktadır (1,2,(5)(6)(7). Kokusu olan ve gözle görülebilen cerrahi dumanın %95'i sudur; fakat geriye kalan %5'lik kısmı ölü ve canlı hücresel materyallerden, kan parçaları, virüs, bakteri ve toksik gazdan oluşur (7)(8)(9)(10). Cerrahi dumandaki bakteri ve virüsler 72 saate kadar yaşayabilmekte ve partikül boyutu arttıkça çalışma alanından 1 metre uzağa kadar gidebilmektedirler (9,11).…”

unclassified

Cerrahi Dumanın Ameliyathane Çalışanlarına Etkisi

Aydin

Kaya

Yılmaz

2021

Batı Karadeniz Tıp Dergisi

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Bu araştırma, ameliyathane çalışanlarının cerrahi duman konusunda görüşlerini belirlemek ve cerrahi dumanın etkilerine maruz kalan sağlık çalışanlarında meydana gelen belirtileri, bulguları ve aldıkları önlemleri saptamak amacıyla yapılmıştır.Gereç ve Yöntemler: Tanımlayıcı tipte olan araştırma Kasım 2019-Ocak 2020 tarihleri arasında gerçekleştirilmiştir. Araştırma KKTC'de bir üniversite hastanesindeki 67 ameliyathane çalışanı (doktor, hemşire, sağlık teknisyeni) ile tamamlanmıştır. Araştırma verileri, sosyodemografik özellikler ve cerrahi duman ile ilgili soruları içeren anket formu kullanılarak toplanmıştır. Verilerin analizinde tanımlayıcı istatistikler kullanılmıştır.Bulgular: Araştırma kapsamına alınan bireylerin %82,1'i cerrahi dumana maruz kaldığını düşünmektedir. Cerrahi dumana maruz kalan bireylerin; baş ağrısı (%47,8), bulantı (%35,8), öksürük ve boğazda yanma (%31,3), göz iritasyonu ve yaşarması (%29,9) ve solunum problemi (%22,4) yaşadıkları saptanmıştır. Çalışanların cerrahi dumandan korunmak için cerrahi maske (%77,6), aspirasyon kateteri (%55,2), önlük (%28,4) ve gözlük (%26,9) kullandığı ayrıca cerrahi duman hakkında eğitim almak istedikleri (%77,6) görülmüştür.Sonuç: Ameliyathanelerde cerrahi dumandan korunmaya yönelik alınan önlemlerin yetersiz olduğu ve çalışanların birçok semptom yaşadığı görülmüştür. Ameliyathanelerde cerrahi dumandan korunmaya yönelik önlemlerin alınması ve yazılı protokollerin oluşturulması önerilmektedir.

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Experimental study on influence of personnel activity and surgical smoke on indoor environment inside clean operating room

Cited by 5 publications

References 32 publications

Investigating surgical smoke in otolaryngology operating rooms

Investigating surgical smoke in otolaryngology operating rooms

Investigation of Surgical Smoke Exposure and Well-Being Levels of Operating Room Workers in the COVID-19 Pandemic

Cerrahi Dumanın Ameliyathane Çalışanlarına Etkisi

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