Is surgical smoke harmful to theater staff? a systematic review
作者： Nicholas Mowbray , James Ansell , Neil Warren , Pete Wall , Jared Torkington
DOI: 10.1007/S00464-013-2940-5
关键词:
摘要: Smoke is generated by energy-based surgical instruments. The airborne byproducts may have potential health implications. This study aimed to evaluate the properties of smoke and evidence for harmful effects theater staff. Cochrane Database, MEDLINE, PubMed, Embase classic Embase, metaRegister Controlled Trials were searched studies reporting constituents found in plume created during procedures, methods used analyze smoke, implications exposure, type instrument that smoke. Studies excluded if they animal based, preclinical experimental work, or opinion-based reports. common end points particle size characteristics, infection risk, malignant spread, mutagenesis. inclusion criteria fulfilled 20 studies. In terms size, 5 (25 %) showed diathermy laser can produce ultrafine particles (UFP) are respirable size. With regard characterization, 7 (35 %) demonstrated a variety volatile hydrocarbons present diathermy-, ultrasonic-, laser-derived These potentially carcinogenic, but no exists support cause–effect relationship those exposed. 6 (30 %) assessed presence viruses, with only 1 (5 %) positively identifying viral DNA One bacterial cell culture (Staphylococcus aureus) from after surgery. Regarding mutagenesis one reported mutagenic effect cells patient undergoing procedures carcinomatosis. carcinogenic components sufficiently small be respirable. Infective plume, full risk this staff unproven. Future work could focus on long-term consequences exposure.
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