Electrosurgical Smoke: Ultrafine Particle Measurements and Work Environment Quality in Different Operating Theatres.

作者: Francesco Romano , Jan Gustén , Stefano De Antonellis , Cesare Joppolo

DOI: 10.3390/IJERPH14020137

关键词: ContaminationOperating theatresEnvironmental scienceWork environmentQuality (business)Ultrafine particleAirflowAutomotive engineeringVentilation (architecture)Smoke

摘要: Air cleanliness in operating theatres (OTs) is an important factor for preserving the health of both patient and medical staff. Particle contamination OTs depends mainly on surgery process, ventilation principle, personnel clothing systems working routines. In many open surgical operations, electrosurgical tools (ESTs) are used tissue cauterization. ESTs generate a significant airborne contamination, as smoke. Surgical smoke work environment quality problem. Ordinary masks OT inadequate to control this This research based numerous monitoring campaigns ultrafine particle concentrations OTs, equipped with upward displacement or downward unidirectional airflow system. Measurements performed during ten real surgeries highlight that use generates quite sharp relevant increase concentration area well within entire area. The measured level linked operation, used. A better knowledge crucial limiting personnel’s exposure Research results can give conditions adequate contaminant removal performances than systems.

参考文章(47)
María Cristina Navarro-Meza, Raquel González-Baltazar, María Guadalupe Aldrete-Rodríguez, David Enrique Carmona-Navarro, María Guadalupe López-Cardona, Síntomas respiratorios causados por el uso del electrocauterio en médicos en formación quirúrgica de un hospital de México Revista Peruana de Medicina Experimental y Salud Pública. ,vol. 30, pp. 41- 44 ,(2013) , 10.1590/S1726-46342013000100008
Nicholas Mowbray, James Ansell, Neil Warren, Pete Wall, Jared Torkington, Is surgical smoke harmful to theater staff? a systematic review Surgical Endoscopy and Other Interventional Techniques. ,vol. 27, pp. 3100- 3107 ,(2013) , 10.1007/S00464-013-2940-5
P. Hallmo, O. Naess, Laryngeal papillomatosis with human papillomavirus DNA contracted by a laser surgeon European Archives of Oto-rhino-laryngology. ,vol. 248, pp. 425- 427 ,(1991) , 10.1007/BF01463570
D.S. Hill, J.K. O’Neill, R.J. Powell, D.W. Oliver, Surgical smoke – A health hazard in the operating theatre: A study to quantify exposure and a survey of the use of smoke extractor systems in UK plastic surgery units Journal of Plastic Reconstructive and Aesthetic Surgery. ,vol. 65, pp. 911- 916 ,(2012) , 10.1016/J.BJPS.2012.02.012
S. Scaltriti, S. Cencetti, S. Rovesti, I. Marchesi, A. Bargellini, P. Borella, Risk factors for particulate and microbial contamination of air in operating theatres Journal of Hospital Infection. ,vol. 66, pp. 320- 326 ,(2007) , 10.1016/J.JHIN.2007.05.019
E. Alp, D. Bijl, R.P. Bleichrodt, B. Hansson, A. Voss, Surgical smoke and infection control. Journal of Hospital Infection. ,vol. 62, pp. 1- 5 ,(2006) , 10.1016/J.JHIN.2005.01.014
Günter Oberdörster, Eva Oberdörster, Jan Oberdörster, Nanotoxicology: An Emerging Discipline Evolving from Studies of Ultrafine Particles Environmental Health Perspectives. ,vol. 113, pp. 823- 839 ,(2005) , 10.1289/EHP.7339
Matthew D Brace, Elizabeth Stevens, S Mark Taylor, Sarah Butt, Zhennan Sun, Licai Hu, Megan Borden, Neeraj Khanna, James Kuchta, Jonathan Trites, Robert Hart, Mark D Gibson, ‘The air that we breathe’: assessment of laser and electrosurgical dissection devices on operating theater air quality Journal of Otolaryngology-head & Neck Surgery. ,vol. 43, pp. 39- ,(2014) , 10.1186/S40463-014-0039-1
Irene Brüske-Hohlfeld, Gerhard Preissler, Karl-Walter Jauch, Mike Pitz, Dennis Nowak, Annette Peters, H-Erich Wichmann, Surgical smoke and ultrafine particles Journal of Occupational Medicine and Toxicology. ,vol. 3, pp. 31- 31 ,(2008) , 10.1186/1745-6673-3-31