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Surgical smoke: modern mobile smoke evacuation systems improve occupational safety in the operating theatre

OBJECTIVES: Evaluation of smoke capture efficiency of different mobile smoke evacuation devices with respect to volatile organic compounds and their noise emission. METHODS: Electrosurgical incisions were performed on fresh porcine liver in an operating room with vertical laminar flow. The generated...

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Autores principales: Gioutsos, Konstantinos, Nguyen, Thanh-Long, Biber, Ulrich, Enderle, Markus D, Koss, Abigail, Kocher, Gregor J
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9070503/
https://www.ncbi.nlm.nih.gov/pubmed/35137083
http://dx.doi.org/10.1093/icvts/ivac024
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author Gioutsos, Konstantinos
Nguyen, Thanh-Long
Biber, Ulrich
Enderle, Markus D
Koss, Abigail
Kocher, Gregor J
author_facet Gioutsos, Konstantinos
Nguyen, Thanh-Long
Biber, Ulrich
Enderle, Markus D
Koss, Abigail
Kocher, Gregor J
author_sort Gioutsos, Konstantinos
collection PubMed
description OBJECTIVES: Evaluation of smoke capture efficiency of different mobile smoke evacuation devices with respect to volatile organic compounds and their noise emission. METHODS: Electrosurgical incisions were performed on fresh porcine liver in an operating room with vertical laminar flow. The generated surgical smoke was analysed with proton-transfer-reaction mass spectrometry with and without the use of a mobile smoke evacuation system consisting of a smoke evacuator machine, a suction hose and a handpiece. The inlet of the mass spectrometer was positioned 40 cm above the specimen. Various devices were compared: a hard plastic funnel, a flexible foam funnel, an on-tip integrated aspirator of an electrosurgical knife and a standard secretion suction (Yankauer). Also, sound levels were measured at a distance of 40 cm from the handpieces’ inlet. RESULTS: The smoke capture efficiency of the secretion suction was only 53%, while foam funnel, plastic funnel and integrated aspirator were all significantly more effective with a clearance of 95%, 91% and 91%, respectively. The mean sound levels were 68 and 59 A-weighted decibels with the plastic and foam funnel, respectively, 66 A-weighted decibels with the integrated aspirator and 63 A-weighted decibels with the secretion suction. CONCLUSIONS: Carcinogenic, mutagenic and reprotoxic volatile organic compounds in surgical smoke can be efficiently reduced by mobile smoke evacuation system, providing improved protection for medical personnel. Devices specifically designed for smoke evacuation are more efficient than standard suction tools. Noise exposure for the surgeon was lowest with the flexible foam funnel and higher with the other handpieces tested.
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spelling pubmed-90705032022-05-06 Surgical smoke: modern mobile smoke evacuation systems improve occupational safety in the operating theatre Gioutsos, Konstantinos Nguyen, Thanh-Long Biber, Ulrich Enderle, Markus D Koss, Abigail Kocher, Gregor J Interact Cardiovasc Thorac Surg Thoracic OBJECTIVES: Evaluation of smoke capture efficiency of different mobile smoke evacuation devices with respect to volatile organic compounds and their noise emission. METHODS: Electrosurgical incisions were performed on fresh porcine liver in an operating room with vertical laminar flow. The generated surgical smoke was analysed with proton-transfer-reaction mass spectrometry with and without the use of a mobile smoke evacuation system consisting of a smoke evacuator machine, a suction hose and a handpiece. The inlet of the mass spectrometer was positioned 40 cm above the specimen. Various devices were compared: a hard plastic funnel, a flexible foam funnel, an on-tip integrated aspirator of an electrosurgical knife and a standard secretion suction (Yankauer). Also, sound levels were measured at a distance of 40 cm from the handpieces’ inlet. RESULTS: The smoke capture efficiency of the secretion suction was only 53%, while foam funnel, plastic funnel and integrated aspirator were all significantly more effective with a clearance of 95%, 91% and 91%, respectively. The mean sound levels were 68 and 59 A-weighted decibels with the plastic and foam funnel, respectively, 66 A-weighted decibels with the integrated aspirator and 63 A-weighted decibels with the secretion suction. CONCLUSIONS: Carcinogenic, mutagenic and reprotoxic volatile organic compounds in surgical smoke can be efficiently reduced by mobile smoke evacuation system, providing improved protection for medical personnel. Devices specifically designed for smoke evacuation are more efficient than standard suction tools. Noise exposure for the surgeon was lowest with the flexible foam funnel and higher with the other handpieces tested. Oxford University Press 2022-02-08 /pmc/articles/PMC9070503/ /pubmed/35137083 http://dx.doi.org/10.1093/icvts/ivac024 Text en © The Author(s) 2022. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Thoracic
Gioutsos, Konstantinos
Nguyen, Thanh-Long
Biber, Ulrich
Enderle, Markus D
Koss, Abigail
Kocher, Gregor J
Surgical smoke: modern mobile smoke evacuation systems improve occupational safety in the operating theatre
title Surgical smoke: modern mobile smoke evacuation systems improve occupational safety in the operating theatre
title_full Surgical smoke: modern mobile smoke evacuation systems improve occupational safety in the operating theatre
title_fullStr Surgical smoke: modern mobile smoke evacuation systems improve occupational safety in the operating theatre
title_full_unstemmed Surgical smoke: modern mobile smoke evacuation systems improve occupational safety in the operating theatre
title_short Surgical smoke: modern mobile smoke evacuation systems improve occupational safety in the operating theatre
title_sort surgical smoke: modern mobile smoke evacuation systems improve occupational safety in the operating theatre
topic Thoracic
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9070503/
https://www.ncbi.nlm.nih.gov/pubmed/35137083
http://dx.doi.org/10.1093/icvts/ivac024
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