Surgical Smoke Evacuators Reduce the Risk of Fires From Alcohol-Based Skin Preparations

Carmichael, Heather; Samuels, Jason M.; Wikiel, Krzysztof J.; Robinson, Thomas N.; Barnett, Carlton C.; Jones, Teresa S.; Jones, Edward L.

doi:10.1097/sle.0000000000000734

Cited by 3 publications

(1 citation statement)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Smoke evacuation systems are designed to reduce surgical smoke for a cleaner OR environment and improved surgical site visibility. Additionally, surgical smoke evacuators may reduce the concentration of alcohol vapors from skin preparations at the site of electrosurgical device activation, decreasing operating room fire risk [15].…”

Section: Introductionmentioning

confidence: 99%

A modern surgical smoke evacuator for the challenges of today’s operating room

Ricketts¹,

Horner²,

Clymer³

et al. 2020

Med Res Innov

View full text Add to dashboard Cite

Background: In the current conditions of the COVID-19 pandemic, it is imperative that surgical plume be effectively removed from both open and laparoscopic procedures, especially when energized devices are being utilized. This study evaluated a new Megadyne Smoke Evacuator, to establish its performance in removing smoke, while improving visibility at the surgical site and lessening the risk of staff exposure to the components of surgical smoke, such as chemicals, particulates, viruses and bacteria. Methods:The smoke evacuator was evaluated by nurses and surgeons in both open and laparoscopic simulated procedures. Nurses were asked to setup and operate the smoke evacuator, and surgeons performed a variety of electrosurgery procedures in an animate porcine model. Both groups were then asked to evaluate the device via a questionnaire.Results: Over 90% of the nurses (n=18) agreed that the Megadyne Smoke Evacuator was easy to set up, understand the settings and change the filter. Surgeons agreed that the smoke evacuator operated effectively in open (94%, 17/18) and laparoscopic (100%, 16/16) procedures. Conclusion:Given the risks inherent in performing surgery today, it is more important than ever to use an effective method of smoke evacuation. With an ULPA filter capable of blocking particles as small as 20 nm with high efficiency, the Megadyne Smoke Evacuator lowers the risk of exposure to small viruses, cellular debris, bacteria and other particles. In addition to having a range of flow rates amenable to open procedures, the device can be used in all steps of laparoscopy, including the process of desufflation.

show abstract

Section: Introductionmentioning

confidence: 99%

A modern surgical smoke evacuator for the challenges of today’s operating room

Ricketts¹,

Horner²,

Clymer³

et al. 2020

Med Res Innov

View full text Add to dashboard Cite

show abstract

Fire in operating room: The adverse “never” event. Case report, mini-review and medico-legal considerations

et al. 2021

View full text Add to dashboard Cite

Surgical smoke: modern mobile smoke evacuation systems improve occupational safety in the operating theatre

Gioutsos

Nguyen

Biber

et al. 2022

Interactive CardioVascular and Thoracic Surgery

View full text Add to dashboard Cite

OBJECTIVES Evaluation of smoke capture efficiency of different mobile smoke evacuation devices with respect to volatile organic compounds and their noise emission. METHODS Electrosurgical incisions were performed on fresh porcine liver in an operating room with vertical laminar flow. The generated surgical smoke was analysed with proton-transfer-reaction mass spectrometry with and without the use of a mobile smoke evacuation system consisting of a smoke evacuator machine, a suction hose and a handpiece. The inlet of the mass spectrometer was positioned 40 cm above the specimen. Various devices were compared: a hard plastic funnel, a flexible foam funnel, an on-tip integrated aspirator of an electrosurgical knife and a standard secretion suction (Yankauer). Also, sound levels were measured at a distance of 40 cm from the handpieces’ inlet. RESULTS The smoke capture efficiency of the secretion suction was only 53%, while foam funnel, plastic funnel and integrated aspirator were all significantly more effective with a clearance of 95%, 91% and 91%, respectively. The mean sound levels were 68 and 59 A-weighted decibels with the plastic and foam funnel, respectively, 66 A-weighted decibels with the integrated aspirator and 63 A-weighted decibels with the secretion suction. CONCLUSIONS Carcinogenic, mutagenic and reprotoxic volatile organic compounds in surgical smoke can be efficiently reduced by mobile smoke evacuation system, providing improved protection for medical personnel. Devices specifically designed for smoke evacuation are more efficient than standard suction tools. Noise exposure for the surgeon was lowest with the flexible foam funnel and higher with the other handpieces tested.

show abstract

Surgical Smoke Evacuators Reduce the Risk of Fires From Alcohol-Based Skin Preparations

Cited by 3 publications

References 19 publications

A modern surgical smoke evacuator for the challenges of today’s operating room

A modern surgical smoke evacuator for the challenges of today’s operating room

Fire in operating room: The adverse “never” event. Case report, mini-review and medico-legal considerations

Surgical smoke: modern mobile smoke evacuation systems improve occupational safety in the operating theatre

Contact Info

Product

Resources

About