<scp>OR</scp> Air Quality: Is It Time to Consider Adjunctive Air Cleaning Technology?

Barnes, Sue; Twomey, Carolyn L; Carrico, Ruth; Murphy, Cathryn; Warye, Kathy

doi:10.1002/aorn.12391

Cited by 8 publications

(5 citation statements)

References 36 publications

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“…4 The Association of periOperative Registered Nurses recommends that the evacuation apparatus should be no more than 2 inches from the source of generated smoke during open surgical procedures. 28 In accordance with these data, our simple smoke evacuation system described in the present study is precisely designed so that the cautery tip is directly inserted into the suction tube, enabling very close contact with the operation area without leakage of surgical smoke.…”

Section: Discussionmentioning

confidence: 90%

Easy-to-use electrocautery smoke evacuation device for open surgery under the risk of the COVID-19 pandemic

Ekçı

2020

J Int Med Res

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Objective This study was performed to introduce an easy method of surgical smoke evacuation for patients with confirmed or suspected COVID-19 undergoing emergency surgery. Methods An easy, inexpensive, protective, and practical surgical smoke evacuation device/system was developed and is herein described. Results The use of this surgical smoke evacuation device/system in open surgery is convenient and effective. It allows for easy, economic, useful, and protective surgical smoke evacuation. Conclusions COVID-19 infection causes direct mortality and morbidity, and its incidence has recently increased. Protection from electrosurgery-related smoke is recommended particularly during the current pandemic. This surgical smoke evacuation device/system is easy to use and provides a convenient and effective method of smoke evacuation during both open surgery and all cauterization interventions.

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Section: Discussionmentioning

confidence: 90%

Easy-to-use electrocautery smoke evacuation device for open surgery under the risk of the COVID-19 pandemic

Ekçı

2020

J Int Med Res

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“…Walsh et al reported that air filtration and disinfection units that combine HEPA filtration and UV-C disinfection technologies significantly reduce total and viable particle counts in a highly controlled OR setting. 39 Hyeong et al reported that built-in filter ports have the potential to reduce emission of SS. 40…”

Section: Resultsmentioning

confidence: 99%

Are Smoke and Aerosols Generated During Laparoscopic Surgery a Biohazard? A Systematic Evidence-Based Review

et al. 2021

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Background. Laparoscopic surgery generates end products that can have potentially harmful effects for the surgical team from short- or long-time exposure. In view of the current SARS-CoV-2 circumstances, controversy has risen concerning the safety of surgical smoke (SS) and aerosols and the perception of an increased risk of exposure during laparoscopic surgery. Methods. The present qualitative systematic review was conducted according to Meta-Analyses and Systematic Reviews of Observational Studies (MOOSE). A literature search was performed from March 2020 up to May 10, 2020, using the PubMed database, Cochrane, and Google Scholar to assess the risk of airborne transmission of viruses and the potential health risk of surgical smoke- and aerosol-generating procedures produced during laparoscopic surgery. The keywords were introduced in combination to obtain better search results. Application of the inclusion and exclusion criteria identified 44 relevant articles. Results. Genetic material from certain viruses, or the virus itself, has been detected in SS and aerosols. However, in the current SARS-CoV-2, as in other coronavirus situations, studies analyzing the presence of airborne transmission of viruses in surgical smoke are lacking. Conclusion. Despite the lack of clear evidence regarding the risk of diseases as the result of smoke- and aerosol-generating procedures during laparoscopic surgery, further investigation is needed. Meanwhile, all available precautions must be taken.

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“…The Association of periOperative Regis tered Nurses (AORN) group are known to advocate for a safe and smoke-free OR environment. 9 They support the use of local exhaust ventilation, either by a central smoke evacuation system, portable smoke evacuation unit, wall suction with inline filter or laparoscopic evacuation/filtration system. For open surgery, the evacu ation apparatus should be no more than 2 inches from the source of generated smoke.…”

Section: Discussion In Surgery • Discussion En Chirurgie Discussionmentioning

confidence: 99%

“…It is also believed that without proper smoke evacuation measures, electrosurgical devices in procedures open to the OR can be more harmful than robotic or laparoscopic procedures with regard to exposure of uncontrolled surgical smoke emission. 9 Despite all the literature suggesting that surgical smoke can have potential harmful effects with prolonged exposure, compliance with best practice measures has been difficult. The recommendations from various organizations advocating for local exhaust ventilators and respiratory precautions have been poorly implemented for many reasons, such as cost, lack of equipment or repair parts, physician resistance, staff complacency and extra personal accommodation devices.…”

Section: Discussion In Surgery • Discussion En Chirurgie Discussionmentioning

confidence: 99%

Operating during COVID-19: Is there a risk of viral transmission from surgical smoke during surgery?

Vourtzoumis

Alkhamesi

Elnahas

et al. 2020

cjs

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Operating during COVID-19: Is there a risk of viral transmission from surgical smoke during surgery? I n December 2019, an outbreak of coronavirus disease 2019 (COVID-19), caused by the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), originated in Wuhan, China. On March 11, 2020, COVID-19 was declared a pandemic by the World Health Organization (WHO). As this pandemic sweeps the globe, concerns are being raised about the risk to health care workers treating patients who are known and unknown carriers of this highly contagious disease. Initial estimates suggest that up to 80% of all patients with COVID-19 have either mild or no symptoms at all, and carriers are likely transmitting SARS-CoV-2 to others. The conventional routes via respiratory droplets and direct contact are the main mechanisms believed to be involved in transmission. The virus has also been detected in the gastrointestinal tract, blood, saliva and urine, broadening the potential routes of transmission. 1 Reports by the Chinese Center for Disease Control and Prevention also mention the likelihood of aerosol transmission, which can occur during aerosol-generating medical procedures (AGMP). The surgical community is also faced with another potential route of virus transmission concern: surgical smoke. Dissection or cauterization of tissue using heat-generating devices produce a gaseous by-product known as surgical smoke. In general, the heat causes rupture of the target cell membrane, generating a plume of smoke made up of 95% water and 5% cellular debris. About 77% of particulate matter inside smoke plume has a mean diameter of 0.07 μm, and particulate matter < 5 μm is not filtered by surgical masks and may be inhaled by personnel in the operating room (OR). 2 Many reviews in the past 40 years have looked at the potential harmful effects of prolonged exposure to surgical smoke. Approximately 500 000 personnel, including surgeons, nurses, anesthesiologists and technicians, are exposed to surgical smoke in the OR each year in the United States. To understand whether there are any harmful effects associated with the

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OR Air Quality: Is It Time to Consider Adjunctive Air Cleaning Technology?

Cited by 8 publications

References 36 publications

Easy-to-use electrocautery smoke evacuation device for open surgery under the risk of the COVID-19 pandemic

Easy-to-use electrocautery smoke evacuation device for open surgery under the risk of the COVID-19 pandemic

Are Smoke and Aerosols Generated During Laparoscopic Surgery a Biohazard? A Systematic Evidence-Based Review

Operating during COVID-19: Is there a risk of viral transmission from surgical smoke during surgery?

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