Surgical Smoke in Dermatologic Surgery

Oganesyan, Gagik; Eimpunth, Sasima; Kim, Silvia Soohyun; Jiang, Shang I Brian

doi:10.1097/dss.0000000000000221

Cited by 25 publications

(29 citation statements)

References 17 publications

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“…A study found that 77 % of dermatologic surgeons did not use smoke management precautions in their office [56]. This same study analyzed the smoke generated during electrosurgery and found concerning levels of toxic chemicals, including the carcinogens butadiene and benzene [56]. However, this study did not address air exchange in the operating room, which can clear the plume effectively.…”

Section: Electrosurgerymentioning

confidence: 93%

“…Guidelines for respiratory protection during electrosurgery are provided by the Occupational Health and Safety Agency and National Institute for Occupational Safety and Health (NIOSH) but these are not regulated and use is institution dependent [56]. A study found that 77 % of dermatologic surgeons did not use smoke management precautions in their office [56].…”

Section: Electrosurgerymentioning

confidence: 98%

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Error Avoidance in Dermatologic Surgery

Decker

Lawrence

2015

Curr Derm Rep

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Surgical errors pose a significant source of morbidity, mortality, and expense within the health care system. While rates of errors within dermatologic surgery are low, there are certain areas of dermatologic surgery that are more prone to errors than others. These include site identification, specimen labeling, triage, lidocaine toxicity, needle sticks, electrosurgery, and laser surgery. Within these areas, continued research is being done to identify the source of the errors and establish protocols to minimize the risk.

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Section: Electrosurgerymentioning

confidence: 93%

Section: Electrosurgerymentioning

confidence: 98%

Error Avoidance in Dermatologic Surgery

Decker

Lawrence

2015

Curr Derm Rep

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“…Several are known carcinogens, and others are environmental toxins. 6,7 Smoke management is an important consideration for dermatologists and their patients and generally includes respiratory protection via masks and ventilation techniques. However, the practice is not universal, and oversight agencies such as OSHA and the National Institute for Occupational Safety and Health (NIOSH) provide guidelines only; they do not enforce.…”

Section: Laser Safetymentioning

confidence: 99%

Laser Safety: The Need for Protocols

Daggett¹,

Daggett²,

McBurney³

et al. 2020

Cutis

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Lasers are being used in ever-expanding roles in dermatology. As our understanding of laser energy grew, the need for safety guidelines became apparent. The US Food and Drug Administration (FDA) published the first safety guidelines in 1984, which are updated on a regular basis. However, these are just guidelines, and their implementation is voluntary by the laser practitioner. In this article, we discuss the 4 regulatory entities for laser safety in the United States, laser principles in general, ocular hazards, laser-generated airborne contaminants (LGACs), fires, and unintended laser beam injuries. We also review the use of checklists in reducing adverse outcomes and the need for safety protocols for laser practitioners. We provide a modifiable checklist, which pertains specifically to lasers and can be customized to meet the needs of the individual laser practitioner. Cutis. 2020;106:87-92. Laser Principles The basic principles of lasers include transmission, absorption, scatter, and reflection, all occurring when laser light

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“…Effects of short-term exposure to acrylonitrile and benzene include eye irritation, nausea, vomiting, headache, dizziness, weakness, and light headedness, whereas chronic exposure can result in higher incidence of cancer. [ 1 2 7 8 9 ] Carbon monoxide, hydrogen cyanide, formaldehyde, benzene, and acrolein are also present in plume associated with ablative lasers. [ 10 ]…”

Section: R Isks Of S Urgical S mentioning

confidence: 99%

“…[ 1 ] Surgical plume has been compared to smoking unfiltered cigarettes, with electrosurgical plume being twice as harmful as compared to lasers, hence making its complete evacuation necessary. [ 2 ] Although several guidelines and articles have been published about smoke evacuation in the Western literature, there is paucity of publications in Indian literature. This article aims at discussing methods and proposed strategies to minimize the hazards of surgical smoke.…”

Section: Introductionmentioning

confidence: 99%