Signs and symptoms related to inhalation of surgical smoke in the nursing team

Saito, Ana Claudia; Margatho, Amanda Salles; Bieniek, Aryane Apolinario; Stanganelli, Nathanye Crystal; Ribeiro, Renata Perfeito

doi:10.1590/2177-9465-ean-2018-0292

Cited by 6 publications

(12 citation statements)

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“…Indeed, a recent study was conducted with surgical workers to compare the prevalence of signs and symptoms related to inhalation of surgical smoke among surgical technologists and non-surgical technologists nursing professionals. As a result, a statistical significance was found as regards the presence of eye irritation (p = 0.02), nasal mucosa and oral cavity irritation (p = 0.03) and headache (p = 0.04), when comparing surgical and non-surgical technologists nursing professionals (35) .…”

Section: Polycyclic Aromatic Hydrocarbons and Development Of Respiratmentioning

confidence: 92%

Polycyclic aromatic hydrocarbons and development of respiratory and cardiovascular diseases in workers

et al. 2020

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Objectives: to identify the scientific evidence on the development of cardiovascular and respiratory diseases due to workplace contamination by polycyclic aromatic hydrocarbons. Methods: integrative literature review. The search for primary articles was held in October 2017 in the Medical Literature Analysis and Retrieval System Online (through Pubmed), Web of Science and Latin American and Caribbean Literature in Health Sciences (LILACS). Results: the 16 studies analyzed showed that exposure to polycyclic aromatic hydrocarbons was associated with cardiovascular diseases, such as increased blood pressure, heart rate variation, and ischemic heart disease; and respiratory disorders, such as decreased lung function, chronic obstructive pulmonary disease, asthma, wheeze, coughing, pulmonary wheezing, chest tightness, effort dyspnea, and sore throat. Conclusions: polycyclic aromatic hydrocarbons cause deleterious effects on the cardiovascular and respiratory systems through mutations and cellular inflammation, being a risk to exposed individuals.

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Section: Polycyclic Aromatic Hydrocarbons and Development Of Respiratmentioning

confidence: 92%

Polycyclic aromatic hydrocarbons and development of respiratory and cardiovascular diseases in workers

et al. 2020

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“…In a typical procedure, a chief surgeon, a surgeon assistant, a circulating nurse, an anesthesiologist, one or two surgical technicians and even a medical device representative may be present as well as others depending on the complexity of the surgical case. Saito, et al [1] asserted in their cross-sectional study of 46 subjects, 10 of which were nurses, and 36 technologists and nurse assistants, all working in the surgical center of Londrina State University in the state of Paraná, Brazil, that nurses remained in the operating room intermittently. Surgical technologists and non-surgical technologists nursing professionals remained in the room from receipt of the patient in the OR to transfer of the patient to the postanesthesia care unit.…”

Section: The Operating Room-staff Positionmentioning

confidence: 99%

“…This technology was developed by Harvey Cushing and William T Bovie. Saito, et al [1] described its use as common due to the many advantages such as the reduction in surgical time and intraoperative bleeding, as well as improvement of visibility of the surgical field. As a result of temperatures of more than 100°C (212°F), products generated from use of an electrocautery device are water vapor and surgical smoke (SS).…”

Section: Introductionmentioning

confidence: 99%

“…Due to highly publicized cases of effects from SS resulting from laser ablation, there is higher compliance with personal protective equipment in conjunction with its use than with the use of electrocautery or ultrasonic ablation. Furthermore, and according to Saito, et al [1], SS consists of polycyclic aromatic hydrocarbons (PAHs), hydrogen cyanide, formaldehyde, and carbon monoxide-many of which are carcinogenic compounds.…”

Section: Introductionmentioning

confidence: 99%

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The Detrimental Effects of Surgical Smoke: Promoting Safety in an Operating Room Team-A Mixed Methods Approach

Mitchell¹

2020

JQHE

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Background: Electrosurgical or electrocautery technology is one of the most widely used in the world, yet no federal agency has mandated the use of electrosurgical filter devices for the protection of surgical teams. Currently, there are 500,000 operating room workers in the U.S.Objective: To identify and appraise perceived barriers and benefits that impact implementation of a hospital-approved electrosurgical filter device that reduces the exposure of surgical smoke by a surgical team. Utilize that data to implement a filter device and collect feedback. Methods:The study is a quality improvement project that involved mixed methods. Because there were no patients involved, an institutional review board approval was deemed unnecessary. The operating room staff in an acute care hospital completed a nine-question survey to determine the pre-intervention perceptions of the staff. There were 53 pre-surveys handed out and 42 of them were returned-a 79% response rate. After the implementation of the device, focus groups were organized to collect feedback. Findings:The main barrier expressed by the operating room staff was perceived cost of a system that would be effective in surgical smoke removal. The main perceived benefit from the use of an electrocautery filter device was the decrease in surgical smoke. Conclusion:Four out of the 11 in the surgeon group expressed overall satisfaction with the filter device. Seven of the 20 (35%) who provided feedback said they were satisfied and that same percentage expressed looking forward to future use of the filter device. Thirty percent (30%) of respondents voiced reports of no smell, and 25% said they felt the filter device was useful in reducing surgical smoke.

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“…Surgical smoke contains toxic gaseous compounds (i.e., hydrogen cyanide, toluene, benzene, and carbon monoxide) that can be hazardous to the human body (Fencl, 2017). Saito et al (2019) reported that OR personnel experienced side effects from exposure to hazardous surgical smoke; specifically, that continuous exposure can cause anemia, dermatitis, headaches, inflammation of the eyes and mucous membranes, and respiratory diseases (e.g., asthma, emphysema, and chronic bronchitis; Okoshi et al, 2015;York & Autry, 2018). Another study confirmed that prolonged exposure to surgical smoke may have deleterious effects on OR personnel's health status (Wang et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Operating room nurses' perceptions of the impact of surgical smoke and its countermeasures: A mixed‐methods study

Moon

Park

Chang

2021

Nursing & Health Sciences

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Although surgical team members are exposed to surgical smoke, most do not fully recognize the hazards of such exposure during surgery. This study aimed to explore the perceptions of surgical smoke and its countermeasures in the operating room, specifically among nurses who have been exposed to surgical smoke for a long time.This was a mixed-methods study involving focus groups and a descriptive survey.The focus group revealed that nurses believed harmful substances accumulating in the body were proportional to the years worked, and many were unaware of the existent hazards in their work environment. They encouraged the formulation of selfprotection measures and perceived that the recognition of rules and collaboration should take precedence among potential countermeasures. Our survey showed that properly wearing personal protective equipment and being educated on surgical smoke hazards were identified as essential coping methods for nurses. These findings will help create awareness regarding surgical smoke hazards in operating rooms. Policies and systems need to be established at the hospital administration level to substantially reduce the risks associated with surgical smoke for operating room nurses.

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Signs and symptoms related to inhalation of surgical smoke in the nursing team

Cited by 6 publications

References 12 publications

Polycyclic aromatic hydrocarbons and development of respiratory and cardiovascular diseases in workers

Polycyclic aromatic hydrocarbons and development of respiratory and cardiovascular diseases in workers

The Detrimental Effects of Surgical Smoke: Promoting Safety in an Operating Room Team-A Mixed Methods Approach

Operating room nurses' perceptions of the impact of surgical smoke and its countermeasures: A mixed‐methods study

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