Surgical Smoke Exposure in Operating Room Personnel: A Review.

@article{Limchantra2019SurgicalSE,
  title={Surgical Smoke Exposure in Operating Room Personnel: A Review.},
  author={Ice V Limchantra and Yuman Fong and Kurt A. Melstrom},
  journal={JAMA surgery},
  year={2019}
}
Importance Smoke generated during surgical procedures has long been thought to be hazardous to hospital personnel; however, the degree of danger has yet to be determined. Observations The dangers of surgical smoke are associated with the composition of the plume. Small-particulate matter is found in the smoke that is easily inhaled. Particulates deposit in the lungs, circulatory system, and other organs, which may cause numerous health problems. The smoke also contains many gaseous compounds… 
Surgical smoke and the anesthesia provider
TLDR
Despite the fact that many professional and governmental agencies have endorsed widespread usage of SEDs, anesthesia providers have been largely silent on this subject, with few reports within the field of anesthesiology and perioperative medicine regarding these hazards.
Minimizing operating room personnel exposure to surgical smoke with an easy and costless method
TLDR
A method for self-producing diathermies in a completely sterile environment is described, obviating issues relative to common suction apparatuses but at the same time elevating costs attributable to this technology.
Assessment of the absorbed dose after exposure to surgical smoke in an operating room.
TLDR
The presence of VOCs and PAHs in surgical smoke is confirmed and shows the presence of their metabolites in urine, but the association is unclear; urinary biomonitoring shows especially high concentrations of o-cresol.
A Quantitative Analysis of Surgical Smoke Exposure as an Occupational Hazard
TLDR
The air the authors breathe during surgery has negligible quantities of PM and mutagenic potential, likely due to low frequency of diathermy use coupled with high airflow, and suggests that exposure to surgical smoke is associated with minimal occupational risk.
Operating room nurses' perceptions of the impact of surgical smoke and its countermeasures: A mixed-methods study.
TLDR
Perceptions of surgical smoke and its countermeasures in the operating room, specifically among nurses who have been exposed to surgical smoke for a long time are explored, showed that properly wearing personal protective equipment and being educated on surgical smoke hazards were identified as essential coping methods for nurses.
Guideline for surgical smoke safety.
TLDR
The content in this updated guideline was reorganized to align with the hierarchy of controls from the Centers for Disease Control and Prevention and the National Institute for Occupational Safety and Health.
Occupational Reproductive Hazards for Female Surgeons in the Operating Room: A Review.
Importance Higher rates of infertility and pregnancy complications have been found for female surgeons compared with the general population. Several reproductive hazards are present in the operating
The case for compulsory surgical smoke evacuation systems in the operating theatre
Perioperative staff are frequently exposed to surgical smoke or plume created by using heat-generating devices like diathermy and lasers. This is a concern due to mounting evidence that this exposure
Comparison of generation of particles and bacteria in endoscopic surgery and thoracotomy
TLDR
In situ measurements were conducted to understand the characteristics of airborne particles based on particle size, viable bacteria, and microbiome generated during an endoscopic surgery and a thoracotomy performed in the same operating room on a single day.
Operating during COVID-19: Is there a risk of viral transmission from surgical smoke during surgery?
TLDR
To ensure the safety of operating room personnel, the World Health Organization declared a pandemic when coronavirus disease 2019 started to sweep the globe, and it must consider whether there is any concern of viral transmission from the inhalation of surgical smoke.
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 77 REFERENCES
Health risks associated with exposure to surgical smoke for surgeons and operation room personnel
TLDR
The hazards of surgical smoke and the means of protecting OR personnel are reviewed to promote surgeons’ acceptance to adopt measures to minimize the hazards and encourage the use of evacuation devices to minimize potential health hazards.
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.
TLDR
This study studied six human and 78 porcine tissue samples to find the mass of tissue ablated during 5 min of monopolar diathermy, and provided data to quantify surgical smoke inhalation exposure.
Health risk to medical personnel of surgical smoke produced during laparoscopic surgery.
TLDR
The calculated risk of developing cancer as a result of exposure to surgical smoke during laparoscopic cholecystectomy is negligible, yet it should be kept in mind that repeated exposure to a cocktail of these substances increases the possibility of developing adverse effects.
Quantitative Chemical Analysis of Surgical Smoke Generated During Laparoscopic Surgery With a Vessel-Sealing Device
TLDR
Gas leaking or gas being released from the pneumoperitoneum could therefore increase pollution by waste anesthetic gas in the operating room.
Secondhand smoke in the operating room? Precautionary practices lacking for surgical smoke.
TLDR
Study findings can be used to raise awareness of the marginal use of exposure controls and impediments for their use and to report training and employer standard procedures addressing the hazards of surgical smoke.
Health Risk Assessment of VOCs from Surgical Smoke
Surgical smoke is produced by energy-based surgical instruments. The airborne volatile organic compounds (VOCs) from surgical smoke may have potential health risk. This study aimed to evaluate the
Surgical smoke and infection control.
TLDR
While higher quality filter masks and/or double masking may increase the filtration capability, a smoke evacuation device or filter placed near (2-5 cm) the electrocautery blade or on endoscope valves offers additional safety for operating personnel and patients.
Surgical smoke: a review of the literature
TLDR
Although not a high-priority in most surgical cases, surgeons should support efforts to minimize OR personnel, patients, and their own exposure to surgical smoke.
Operating room nursing and lung cancer risk in a cohort of female registered nurses.
TLDR
Long-term exposure to surgical smoke, as measured by the duration of operating room employment, does not appear to increase the risk of lung cancer.
Surgical smoke may be a biohazard to surgeons performing laparoscopic surgery
TLDR
Analysis of noncarcinogenic compounds showed that risk reduction measures are needed for benzene, and even though surgical smoke is not an immediate health hazard, operating room personnel should be aware of the potential long-term health risks associated with exposure.
...
1
2
3
4
5
...