Cargando…
Electrocautery smoke exposure and efficacy of smoke evacuation systems in minimally invasive and open surgery: a prospective randomized study
Worldwide, health care professionals working in operating rooms (ORs) are exposed to electrocautery smoke on a daily basis. Aims of this study were to determine composition and concentrations of electrocautery smoke in the OR using mass spectrometry. Prospective observational study at a tertiary car...
Autores principales: | , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group UK
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8943181/ https://www.ncbi.nlm.nih.gov/pubmed/35322134 http://dx.doi.org/10.1038/s41598-022-08970-y |
_version_ | 1784673462517760000 |
---|---|
author | Kocher, Gregor J. Koss, Abigail R. Groessl, Michael Schefold, Joerg C. Luedi, Markus M. Quapp, Christopher Dorn, Patrick Lutz, Jon Cappellin, Luca Hutterli, Manuel Lopez-Hilfiker, Felipe D. Al-Hurani, Mohammad Sesia, Sergio B. |
author_facet | Kocher, Gregor J. Koss, Abigail R. Groessl, Michael Schefold, Joerg C. Luedi, Markus M. Quapp, Christopher Dorn, Patrick Lutz, Jon Cappellin, Luca Hutterli, Manuel Lopez-Hilfiker, Felipe D. Al-Hurani, Mohammad Sesia, Sergio B. |
author_sort | Kocher, Gregor J. |
collection | PubMed |
description | Worldwide, health care professionals working in operating rooms (ORs) are exposed to electrocautery smoke on a daily basis. Aims of this study were to determine composition and concentrations of electrocautery smoke in the OR using mass spectrometry. Prospective observational study at a tertiary care academic center, involving 122 surgical procedures of which 84 were 1:1 computer randomized to smoke evacuation system (SES) versus no SES use. Irritating, toxic, carcinogenic and mutagenic VOCs were observed in OR air, with some exceeding permissible exposure limits (OSHA/NIOSH). Mean total concentration of harmful compounds was 272.69 ppb (± 189 ppb) with a maximum total concentration of harmful substances of 8991 ppb (at surgeon level, no SES). Maximum total VOC concentrations were 1.6 ± 1.2 ppm (minimally-invasive surgery) and 2.1 ± 1.5 ppm (open surgery), and total maximum VOC concentrations were 1.8 ± 1.3 ppm at the OR table ‘at surgeon level’ and 1.4 ± 1.0 ppm ‘in OR room air’ away from the operating table. Neither difference was statistically significant. In open surgery, SES significantly reduced maximum concentrations of specific VOCs at surgeon level, including aromatics and aldehydes. Our data indicate relevant exposure of health care professionals to volatile organic compounds in the OR. Surgical technique and distance to cautery devices did not significantly reduce exposure. SES reduced exposure to specific harmful VOC’s during open surgery. Trial Registration Number: NCT03924206 (clinicaltrials.gov). |
format | Online Article Text |
id | pubmed-8943181 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-89431812022-03-28 Electrocautery smoke exposure and efficacy of smoke evacuation systems in minimally invasive and open surgery: a prospective randomized study Kocher, Gregor J. Koss, Abigail R. Groessl, Michael Schefold, Joerg C. Luedi, Markus M. Quapp, Christopher Dorn, Patrick Lutz, Jon Cappellin, Luca Hutterli, Manuel Lopez-Hilfiker, Felipe D. Al-Hurani, Mohammad Sesia, Sergio B. Sci Rep Article Worldwide, health care professionals working in operating rooms (ORs) are exposed to electrocautery smoke on a daily basis. Aims of this study were to determine composition and concentrations of electrocautery smoke in the OR using mass spectrometry. Prospective observational study at a tertiary care academic center, involving 122 surgical procedures of which 84 were 1:1 computer randomized to smoke evacuation system (SES) versus no SES use. Irritating, toxic, carcinogenic and mutagenic VOCs were observed in OR air, with some exceeding permissible exposure limits (OSHA/NIOSH). Mean total concentration of harmful compounds was 272.69 ppb (± 189 ppb) with a maximum total concentration of harmful substances of 8991 ppb (at surgeon level, no SES). Maximum total VOC concentrations were 1.6 ± 1.2 ppm (minimally-invasive surgery) and 2.1 ± 1.5 ppm (open surgery), and total maximum VOC concentrations were 1.8 ± 1.3 ppm at the OR table ‘at surgeon level’ and 1.4 ± 1.0 ppm ‘in OR room air’ away from the operating table. Neither difference was statistically significant. In open surgery, SES significantly reduced maximum concentrations of specific VOCs at surgeon level, including aromatics and aldehydes. Our data indicate relevant exposure of health care professionals to volatile organic compounds in the OR. Surgical technique and distance to cautery devices did not significantly reduce exposure. SES reduced exposure to specific harmful VOC’s during open surgery. Trial Registration Number: NCT03924206 (clinicaltrials.gov). Nature Publishing Group UK 2022-03-23 /pmc/articles/PMC8943181/ /pubmed/35322134 http://dx.doi.org/10.1038/s41598-022-08970-y Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Article Kocher, Gregor J. Koss, Abigail R. Groessl, Michael Schefold, Joerg C. Luedi, Markus M. Quapp, Christopher Dorn, Patrick Lutz, Jon Cappellin, Luca Hutterli, Manuel Lopez-Hilfiker, Felipe D. Al-Hurani, Mohammad Sesia, Sergio B. Electrocautery smoke exposure and efficacy of smoke evacuation systems in minimally invasive and open surgery: a prospective randomized study |
title | Electrocautery smoke exposure and efficacy of smoke evacuation systems in minimally invasive and open surgery: a prospective randomized study |
title_full | Electrocautery smoke exposure and efficacy of smoke evacuation systems in minimally invasive and open surgery: a prospective randomized study |
title_fullStr | Electrocautery smoke exposure and efficacy of smoke evacuation systems in minimally invasive and open surgery: a prospective randomized study |
title_full_unstemmed | Electrocautery smoke exposure and efficacy of smoke evacuation systems in minimally invasive and open surgery: a prospective randomized study |
title_short | Electrocautery smoke exposure and efficacy of smoke evacuation systems in minimally invasive and open surgery: a prospective randomized study |
title_sort | electrocautery smoke exposure and efficacy of smoke evacuation systems in minimally invasive and open surgery: a prospective randomized study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8943181/ https://www.ncbi.nlm.nih.gov/pubmed/35322134 http://dx.doi.org/10.1038/s41598-022-08970-y |
work_keys_str_mv | AT kochergregorj electrocauterysmokeexposureandefficacyofsmokeevacuationsystemsinminimallyinvasiveandopensurgeryaprospectiverandomizedstudy AT kossabigailr electrocauterysmokeexposureandefficacyofsmokeevacuationsystemsinminimallyinvasiveandopensurgeryaprospectiverandomizedstudy AT groesslmichael electrocauterysmokeexposureandefficacyofsmokeevacuationsystemsinminimallyinvasiveandopensurgeryaprospectiverandomizedstudy AT schefoldjoergc electrocauterysmokeexposureandefficacyofsmokeevacuationsystemsinminimallyinvasiveandopensurgeryaprospectiverandomizedstudy AT luedimarkusm electrocauterysmokeexposureandefficacyofsmokeevacuationsystemsinminimallyinvasiveandopensurgeryaprospectiverandomizedstudy AT quappchristopher electrocauterysmokeexposureandefficacyofsmokeevacuationsystemsinminimallyinvasiveandopensurgeryaprospectiverandomizedstudy AT dornpatrick electrocauterysmokeexposureandefficacyofsmokeevacuationsystemsinminimallyinvasiveandopensurgeryaprospectiverandomizedstudy AT lutzjon electrocauterysmokeexposureandefficacyofsmokeevacuationsystemsinminimallyinvasiveandopensurgeryaprospectiverandomizedstudy AT cappellinluca electrocauterysmokeexposureandefficacyofsmokeevacuationsystemsinminimallyinvasiveandopensurgeryaprospectiverandomizedstudy AT hutterlimanuel electrocauterysmokeexposureandefficacyofsmokeevacuationsystemsinminimallyinvasiveandopensurgeryaprospectiverandomizedstudy AT lopezhilfikerfeliped electrocauterysmokeexposureandefficacyofsmokeevacuationsystemsinminimallyinvasiveandopensurgeryaprospectiverandomizedstudy AT alhuranimohammad electrocauterysmokeexposureandefficacyofsmokeevacuationsystemsinminimallyinvasiveandopensurgeryaprospectiverandomizedstudy AT sesiasergiob electrocauterysmokeexposureandefficacyofsmokeevacuationsystemsinminimallyinvasiveandopensurgeryaprospectiverandomizedstudy |