Influence of Surgical Smoke on Indoor Air Quality in Hospital Operating Rooms
作者： Dong Hee Choi , Seock Hwan Choi , Dong Hwa Kang
DOI: 10.4209/AAQR.2016.05.0191
关键词:
摘要: ABSTRACTThe objective of this study is to analyze the volatile organic compounds (VOCs) in surgical smoke generated during laparoscopic surgery, and determine their influence on indoor air quality hospital operating rooms (ORs). Field measurements were carried out eight surgeries conventional robotic ORs which an electrosurgery system was being used, thus continuously generating smoke. The VOCs measured at three different locations, patients’ abdominal cavities, beside table, exhaust vent. Other pollutants including carbon monoxide (CO), dioxide (CO2), total airborne bacteria (TAB) assess general ORs. results from cavities confirmed that contained abundant VOCs, with levels benzene toluene exceeding health guidelines. Compared obtained cavity, table vent exhibited low indicating actual exposure these minimized a highly-ventilated room. However, concentration room approached level threatens occupants. Therefore, suggest there potential risk surgeon who closest point origin gas, as well need for further attention identify local pollutant dispersion near while ventilation operating.
sci-hub.st 参考文章(21)
Seock Hwan Choi, Tae Gyun Kwon, Sung Kwang Chung, Tae-Hwan Kim, Surgical smoke may be a biohazard to surgeons performing laparoscopic surgery. Surgical Endoscopy and Other Interventional Techniques. ,vol. 28, pp. 2374- 2380 ,(2014) , 10.1007/S00464-014-3472-3
Constantinos A. Balaras, Elena Dascalaki, Athina Gaglia, HVAC and indoor thermal conditions in hospital operating rooms Energy and Buildings. ,vol. 39, pp. 454- 470 ,(2007) , 10.1016/J.ENBUILD.2006.09.004
Brenda C. Ulmer, The Hazards of Surgical Smoke AORN Journal. ,vol. 87, pp. 721- 738 ,(2008) , 10.1016/J.AORN.2007.10.012
Tin-Tai Chow, Jinliang Wang, Dynamic simulation on impact of surgeon bending movement on bacteria-carrying particles distribution in operating theatre Building and Environment. ,vol. 57, pp. 68- 80 ,(2012) , 10.1016/J.BUILDENV.2012.04.010
S.N. Andréasson, H. Anundi, B. Sahlberg, C.-G. Ericsson, R. Wålinder, G. Enlund, L. Påhlman, H. Mahteme, Peritonectomy with high voltage electrocautery generates higher levels of ultrafine smoke particles Ejso. ,vol. 35, pp. 780- 784 ,(2009) , 10.1016/J.EJSO.2008.09.002
T.T. Chow, X.Y. Yang, Ventilation performance in the operating theatre against airborne infection: numerical study on an ultra-clean system Journal of Hospital Infection. ,vol. 59, pp. 138- 147 ,(2005) , 10.1016/J.JHIN.2004.09.006
Donna S. Watson, Surgical Smoke Evacuation During Laparoscopic Surgery AORN Journal. ,vol. 92, pp. 347- 350 ,(2010) , 10.1016/J.AORN.2010.06.010
Tin-Tai Chow, Xiao-Yu Yang, Performance of ventilation system in a non-standard operating room Building and Environment. ,vol. 38, pp. 1401- 1411 ,(2003) , 10.1016/S0360-1323(03)00155-0
John A. Weigelt, Benjamin A. Lipsky, Ying P. Tabak, Karen G. Derby, Myoung Kim, Vikas Gupta, Surgical site infections: Causative pathogens and associated outcomes American Journal of Infection Control. ,vol. 38, pp. 112- 120 ,(2010) , 10.1016/J.AJIC.2009.06.010
Junjie Liu, Haidong Wang, Wenyong Wen, Numerical simulation on a horizontal airflow for airborne particles control in hospital operating room Building and Environment. ,vol. 44, pp. 2284- 2289 ,(2009) , 10.1016/J.BUILDENV.2009.03.019